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Provider 1285630129

NPI: 1285630129Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,186,906

Total Claims

110K

Beneficiaries

95K

1.2 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$11K
-45%
2019
$6K
+5629%
2020
$346K
+323%
2021
$1.5M
+53%
2022
$2.2M
-3%
2023
$2.2M
-11%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (95886) accounts for 12% of total spending.

95886Normal range

$1.0M

11K claims · 12.3%

Your Cost: $94.62/claim|Median: $67.70
1.4× median
70553Top 25%

MRI brain without contrast, then with contrast

$925K

2,220 claims · 11.3%

Your Cost: $416.53/claim|Median: $133.68
3.1× median
95913Normal range

$870K

5,343 claims · 10.6%

Your Cost: $162.89/claim|Median: $166.25
1.0× median
95912Normal range

$712K

4,535 claims · 8.7%

Your Cost: $157.00/claim|Median: $141.23
1.1× median
99214Normal range

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

$651K

16K claims · 8.0%

Your Cost: $40.87/claim|Median: $53.41
0.8× median
95938Top 10%

$459K

2,968 claims · 5.6%

Your Cost: $154.59/claim|Median: $26.58
5.8× median
72148Top 25%

MRI lumbar spine without contrast

$398K

1,638 claims · 4.9%

Your Cost: $243.06/claim|Median: $101.03
2.4× median
99215Normal range

Office/outpatient visit, high complexity

$351K

5,924 claims · 4.3%

Your Cost: $59.32/claim|Median: $74.09
0.8× median
99204Normal range

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

$285K

3,440 claims · 3.5%

Your Cost: $82.94/claim|Median: $84.03
1.0× median
72141Top 25%

MRI of cervical spine without contrast

$274K

1,207 claims · 3.3%

Your Cost: $226.81/claim|Median: $112.68
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$242K

2,459 claims · 3.0%

Your Cost: $98.25/claim|Median: $111.09
0.9× median
76942Top 10%

$191K

2,207 claims · 2.3%

Your Cost: $86.32/claim|Median: $24.73
3.5× median
72114Normal range

$160K

4,430 claims · 2.0%

Your Cost: $36.07/claim|Median: $29.80
1.2× median
72052Normal range

$159K

4,722 claims · 1.9%

Your Cost: $33.69/claim|Median: $34.04
1.0× median
95813Normal range

$150K

981 claims · 1.8%

Your Cost: $152.66/claim|Median: $121.48
1.3× median
93886Normal range

$147K

977 claims · 1.8%

Your Cost: $150.43/claim|Median: $83.25
1.8× median
99213Normal range

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

$120K

5,133 claims · 1.5%

Your Cost: $23.39/claim|Median: $37.81
0.6× median
93892Normal range

$116K

883 claims · 1.4%

Your Cost: $131.24/claim|Median: $87.42
1.5× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$114K

1,013 claims · 1.4%

Your Cost: $112.94/claim|Median: $49.03
2.3× median
70551Top 25%

MRI brain without contrast

$113K

619 claims · 1.4%

Your Cost: $183.18/claim|Median: $85.39
2.1× median
77002Normal range

$82K

2,481 claims · 1.0%

Your Cost: $33.19/claim|Median: $23.55
1.4× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$76K

516 claims · 0.9%

Your Cost: $147.42/claim|Median: $111.02
1.3× median
93893Normal range

$75K

517 claims · 0.9%

Your Cost: $145.87/claim|Median: $186.59
0.8× median
20526Normal range

$62K

1,871 claims · 0.8%

Your Cost: $33.33/claim|Median: $48.63
0.7× median
J3490Normal range

Unclassified drugs

$57K

6,662 claims · 0.7%

Your Cost: $8.58/claim|Median: $5.70
1.5× median
20553Normal range

$55K

2,234 claims · 0.7%

Your Cost: $24.80/claim|Median: $29.47
0.8× median
64493Normal range

$53K

488 claims · 0.6%

Your Cost: $108.30/claim|Median: $103.44
1.0× median
64490Normal range

$37K

372 claims · 0.4%

Your Cost: $98.46/claim|Median: $111.43
0.9× median
99203Normal range

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

$31K

548 claims · 0.4%

Your Cost: $56.57/claim|Median: $57.85
1.0× median
95930Normal range

Visual evoked potential testing

$27K

534 claims · 0.3%

Your Cost: $50.00/claim|Median: $35.54
1.4× median
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