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Provider 1285672204

NPI: 1285672204Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,238,038

Total Claims

222K

Beneficiaries

175K

1.3 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+1%
2019
$2.2M
-47%
2020
$1.2M
+9%
2021
$1.3M
+8%
2022
$1.4M
+16%
2023
$1.6M
-61%
2024
$609K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 31% of total spending.

41899Top 5%

Unlisted procedure, dentoalveolar structures

$3.2M

881 claims · 31.5%

Your Cost: $3,658.83/claim|Median: $763.43
4.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.5M

7,137 claims · 15.0%

Your Cost: $215.54/claim|Median: $85.65
2.5× median
G0378Top 25%

Hospital observation service, per hour

$1.3M

2,484 claims · 12.3%

Your Cost: $508.22/claim|Median: $99.39
5.1× median
99284Top 25%

Emergency dept visit, high complexity

$999K

6,605 claims · 9.8%

Your Cost: $151.25/claim|Median: $69.51
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$379K

3,870 claims · 3.7%

Your Cost: $98.01/claim|Median: $42.48
2.3× median
G0463Normal range

Hospital outpatient clinic visit

$362K

9,992 claims · 3.5%

Your Cost: $36.22/claim|Median: $26.41
1.4× median
90837Top 10%

Psychotherapy, 60 minutes

$340K

2,290 claims · 3.3%

Your Cost: $148.55/claim|Median: $85.66
1.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$237K

5,399 claims · 2.3%

Your Cost: $43.81/claim|Median: $47.08
0.9× median
90832Top 25%

Psychotherapy, 30 minutes

$213K

3,478 claims · 2.1%

Your Cost: $61.37/claim|Median: $41.28
1.5× median
97530Normal range

Therapeutic activities, each 15 min

$189K

3,587 claims · 1.8%

Your Cost: $52.67/claim|Median: $33.11
1.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$147K

1,539 claims · 1.4%

Your Cost: $95.29/claim|Median: $75.28
1.3× median
92134Top 1%

$137K

1,193 claims · 1.3%

Your Cost: $114.54/claim|Median: $15.46
7.4× median
92133Top 1%

$128K

1,274 claims · 1.2%

Your Cost: $100.38/claim|Median: $19.09
5.3× median
86850Top 5%

$123K

1,564 claims · 1.2%

Your Cost: $78.68/claim|Median: $5.44
14.5× median
97110Normal range

Therapeutic exercises, each 15 min

$106K

4,824 claims · 1.0%

Your Cost: $22.00/claim|Median: $24.49
0.9× median
80053Normal range

Comprehensive metabolic panel

$85K

17K claims · 0.8%

Your Cost: $4.99/claim|Median: $7.24
0.7× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$84K

585 claims · 0.8%

Your Cost: $143.41/claim|Median: $54.77
2.6× median
92083Top 1%

Visual field exam, extended testing, bilateral

$69K

574 claims · 0.7%

Your Cost: $119.49/claim|Median: $29.82
4.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$60K

1,748 claims · 0.6%

Your Cost: $34.38/claim|Median: $38.23
0.9× median
80048Normal range

Basic metabolic panel

$60K

7,184 claims · 0.6%

Your Cost: $8.33/claim|Median: $5.78
1.4× median
90834Top 25%

Psychotherapy, 45 minutes

$52K

593 claims · 0.5%

Your Cost: $87.83/claim|Median: $63.65
1.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$50K

1,630 claims · 0.5%

Your Cost: $30.65/claim|Median: $29.03
1.1× median
97162Normal range

PT evaluation, moderate complexity

$47K

742 claims · 0.5%

Your Cost: $63.31/claim|Median: $46.10
1.4× median
97161Top 25%

Physical therapy evaluation, low complexity

$36K

410 claims · 0.4%

Your Cost: $87.78/claim|Median: $47.89
1.8× median
C7901Top 1%

$34K

241 claims · 0.3%

Your Cost: $141.28/claim|Median: $14.27
9.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$31K

845 claims · 0.3%

Your Cost: $36.69/claim|Median: $35.80
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$26K

2,369 claims · 0.3%

Your Cost: $10.90/claim|Median: $12.93
0.8× median
99282Normal range

Emergency dept visit, low complexity

$21K

380 claims · 0.2%

Your Cost: $54.14/claim|Median: $37.72
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$21K

269 claims · 0.2%

Your Cost: $76.29/claim|Median: $99.21
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$19K

1,394 claims · 0.2%

Your Cost: $13.37/claim|Median: $65.76
0.2× median
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