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Provider 1285007989

NPI: 1285007989Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,894,356

Total Claims

581K

Beneficiaries

456K

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$26K
+5624%
2019
$1.5M
+42%
2020
$2.1M
-8%
2021
$1.9M
-1%
2022
$1.9M
+14%
2023
$2.2M
-39%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 36% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$3.9M

155K claims · 35.6%

Your Cost: $25.08/claim|Median: $53.41
0.5× median
64493Normal range

$1.3M

13K claims · 11.7%

Your Cost: $96.48/claim|Median: $103.44
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$938K

37K claims · 8.6%

Your Cost: $25.38/claim|Median: $35.43
0.7× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$809K

16K claims · 7.4%

Your Cost: $51.28/claim|Median: $90.89
0.6× median
64635Normal range

$731K

4,305 claims · 6.7%

Your Cost: $169.89/claim|Median: $207.78
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$472K

7,467 claims · 4.3%

Your Cost: $63.22/claim|Median: $84.03
0.8× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$361K

23K claims · 3.3%

Your Cost: $15.92/claim|Median: $37.81
0.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$352K

14K claims · 3.2%

Your Cost: $25.56/claim|Median: $29.03
0.9× median
27096Normal range

$339K

4,293 claims · 3.1%

Your Cost: $78.87/claim|Median: $89.16
0.9× median
64494Normal range

$336K

15K claims · 3.1%

Your Cost: $23.15/claim|Median: $34.70
0.7× median
20553Normal range

$244K

10K claims · 2.2%

Your Cost: $24.02/claim|Median: $29.47
0.8× median
77002Normal range

$243K

13K claims · 2.2%

Your Cost: $18.10/claim|Median: $23.55
0.8× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$235K

4,559 claims · 2.2%

Your Cost: $51.54/claim|Median: $75.26
0.7× median
64636Normal range

$163K

4,137 claims · 1.5%

Your Cost: $39.40/claim|Median: $63.60
0.6× median
64490Normal range

$103K

728 claims · 0.9%

Your Cost: $141.24/claim|Median: $111.43
1.3× median
80305Normal range

$91K

15K claims · 0.8%

Your Cost: $5.98/claim|Median: $7.44
0.8× median
99454Normal range

$55K

16K claims · 0.5%

Your Cost: $3.45/claim|Median: $9.15
0.4× median
64495Normal range

$50K

5,130 claims · 0.5%

Your Cost: $9.66/claim|Median: $36.70
0.3× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$27K

240 claims · 0.2%

Your Cost: $111.87/claim|Median: $111.02
1.0× median
64491Normal range

$20K

722 claims · 0.2%

Your Cost: $28.10/claim|Median: $40.21
0.7× median
J1100Normal range

$18K

46K claims · 0.2%

Your Cost: $0.40/claim|Median: $0.52
0.8× median
99457Normal range

$18K

15K claims · 0.2%

Your Cost: $1.21/claim|Median: $6.05
0.2× median
64633Normal range

$16K

85 claims · 0.1%

Your Cost: $190.73/claim|Median: $223.58
0.9× median
64492Normal range

$15K

289 claims · 0.1%

Your Cost: $53.22/claim|Median: $38.45
1.4× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$15K

328 claims · 0.1%

Your Cost: $45.14/claim|Median: $64.72
0.7× median
99458Normal range

$13K

8,424 claims · 0.1%

Your Cost: $1.57/claim|Median: $6.87
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$10K

2,846 claims · 0.1%

Your Cost: $3.48/claim|Median: $9.56
0.4× median
64634Normal range

$6K

100 claims · 0.1%

Your Cost: $57.07/claim|Median: $96.82
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$5K

99 claims · 0.0%

Your Cost: $48.00/claim|Median: $111.09
0.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$4K

381 claims · 0.0%

Your Cost: $9.73/claim|Median: $37.56
0.3× median
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