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Provider 1285798033

NPI: 1285798033Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.0M

$9,033,888

Total Claims

197K

Beneficiaries

102K

1.9 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-3%
2019
$1.6M
+2%
2020
$1.7M
-1%
2021
$1.6M
-28%
2022
$1.2M
-14%
2023
$1.0M
-77%
2024
$229K

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 16% of total spending.

99214Normal range

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

$1.5M

24K claims · 16.5%

Your Cost: $63.18/claim|Median: $53.41
1.2× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$1.2M

19K claims · 13.2%

Your Cost: $64.63/claim|Median: $42.51
1.5× median
76881Top 25%

$1.1M

11K claims · 11.7%

Your Cost: $91.82/claim|Median: $45.18
2.0× median
97139Normal range

$983K

38K claims · 10.9%

Your Cost: $26.07/claim|Median: $28.71
0.9× median
J7320Top 5%

$541K

1,643 claims · 6.0%

Your Cost: $329.08/claim|Median: $39.61
8.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$517K

12K claims · 5.7%

Your Cost: $43.12/claim|Median: $24.49
1.8× median
J7321Top 25%

Hyaluronan injection for knee joint supplement

$495K

6,917 claims · 5.5%

Your Cost: $71.60/claim|Median: $24.72
2.9× median
99204Top 25%

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

$445K

3,942 claims · 4.9%

Your Cost: $112.80/claim|Median: $84.03
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$374K

11K claims · 4.1%

Your Cost: $33.99/claim|Median: $25.06
1.4× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$360K

11K claims · 4.0%

Your Cost: $32.27/claim|Median: $16.79
1.9× median
76882Normal range

$318K

8,946 claims · 3.5%

Your Cost: $35.52/claim|Median: $22.22
1.6× median
97750Top 25%

$195K

3,706 claims · 2.2%

Your Cost: $52.58/claim|Median: $30.89
1.7× median
76942Top 25%

$157K

2,391 claims · 1.7%

Your Cost: $65.60/claim|Median: $24.73
2.7× median
73560Top 25%

$108K

4,305 claims · 1.2%

Your Cost: $25.16/claim|Median: $10.28
2.4× median
J7328Normal range

$78K

441 claims · 0.9%

Your Cost: $177.18/claim|Median: $110.79
1.6× median
97010Normal range

Hot/cold packs application

$77K

9,940 claims · 0.8%

Your Cost: $7.70/claim|Median: $4.47
1.7× median
73565Top 25%

$76K

2,798 claims · 0.8%

Your Cost: $27.25/claim|Median: $13.75
2.0× median
J1040Top 10%

$73K

5,127 claims · 0.8%

Your Cost: $14.31/claim|Median: $6.87
2.1× median
73030Top 25%

$73K

2,335 claims · 0.8%

Your Cost: $31.09/claim|Median: $10.94
2.8× median
99213Normal range

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

$60K

1,171 claims · 0.7%

Your Cost: $51.34/claim|Median: $37.81
1.4× median
20550Top 25%

$49K

832 claims · 0.5%

Your Cost: $58.60/claim|Median: $29.96
2.0× median
J1030Top 25%

Injection, methylprednisolone acetate, forty milligrams

$45K

4,785 claims · 0.5%

Your Cost: $9.46/claim|Median: $4.38
2.2× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$39K

1,117 claims · 0.4%

Your Cost: $34.67/claim|Median: $12.64
2.7× median
29530Top 10%

$26K

615 claims · 0.3%

Your Cost: $42.24/claim|Median: $14.43
2.9× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$25K

715 claims · 0.3%

Your Cost: $34.33/claim|Median: $13.55
2.5× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$23K

751 claims · 0.3%

Your Cost: $31.27/claim|Median: $12.06
2.6× median
97014Top 25%

Electrical stimulation, unattended

$21K

1,445 claims · 0.2%

Your Cost: $14.48/claim|Median: $8.83
1.6× median
97530Normal range

Therapeutic activities, each 15 min

$21K

528 claims · 0.2%

Your Cost: $39.07/claim|Median: $33.11
1.2× median
A4595Normal range

$19K

1,415 claims · 0.2%

Your Cost: $13.62/claim|Median: $17.27
0.8× median
73130Top 25%

$17K

555 claims · 0.2%

Your Cost: $31.06/claim|Median: $10.69
2.9× median
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