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Provider 1285809509

NPI: 1285809509Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,383,076

Total Claims

470K

Beneficiaries

353K

1.3 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$119K
+521%
2019
$739K
+165%
2020
$2.0M
+24%
2021
$2.4M
+10%
2022
$2.7M
-4%
2023
$2.6M
-27%
2024
$1.9M

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 31% of total spending.

99214Normal range

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

$3.9M

76K claims · 31.2%

Your Cost: $50.58/claim|Median: $53.41
0.9× median
99213Normal range

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

$1.8M

55K claims · 14.8%

Your Cost: $33.45/claim|Median: $37.81
0.9× median
99204Normal range

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

$1.2M

13K claims · 9.5%

Your Cost: $94.13/claim|Median: $84.03
1.1× median
99203Normal range

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

$732K

15K claims · 5.9%

Your Cost: $47.49/claim|Median: $57.85
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$385K

11K claims · 3.1%

Your Cost: $34.72/claim|Median: $54.68
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$327K

11K claims · 2.6%

Your Cost: $29.22/claim|Median: $23.99
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$321K

5,018 claims · 2.6%

Your Cost: $63.93/claim|Median: $51.25
1.2× median
59409Normal range

Vaginal delivery only

$302K

511 claims · 2.4%

Your Cost: $591.78/claim|Median: $619.91
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$259K

4,324 claims · 2.1%

Your Cost: $60.00/claim|Median: $74.09
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$223K

1,548 claims · 1.8%

Your Cost: $143.86/claim|Median: $151.68
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$193K

2,438 claims · 1.6%

Your Cost: $79.14/claim|Median: $76.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$162K

2,257 claims · 1.3%

Your Cost: $71.75/claim|Median: $72.71
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$155K

26K claims · 1.2%

Your Cost: $5.93/claim|Median: $9.70
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$151K

2,337 claims · 1.2%

Your Cost: $64.82/claim|Median: $69.35
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$146K

7,793 claims · 1.2%

Your Cost: $18.76/claim|Median: $25.06
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$145K

1,641 claims · 1.2%

Your Cost: $88.14/claim|Median: $67.32
1.3× median
45380Normal range

Colonoscopy with biopsy

$115K

576 claims · 0.9%

Your Cost: $200.23/claim|Median: $200.68
1.0× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$114K

1,630 claims · 0.9%

Your Cost: $69.96/claim|Median: $106.14
0.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$110K

2,642 claims · 0.9%

Your Cost: $41.72/claim|Median: $22.44
1.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$103K

1,981 claims · 0.8%

Your Cost: $52.05/claim|Median: $37.22
1.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$97K

3,713 claims · 0.8%

Your Cost: $26.06/claim|Median: $29.03
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$92K

1,855 claims · 0.7%

Your Cost: $49.50/claim|Median: $35.30
1.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$79K

3,841 claims · 0.6%

Your Cost: $20.49/claim|Median: $16.77
1.2× median
99221Normal range

Initial hospital care, straightforward/low

$73K

1,702 claims · 0.6%

Your Cost: $43.00/claim|Median: $39.96
1.1× median
31575Normal range

$68K

1,312 claims · 0.5%

Your Cost: $51.54/claim|Median: $68.78
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$66K

961 claims · 0.5%

Your Cost: $68.26/claim|Median: $62.48
1.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$64K

264 claims · 0.5%

Your Cost: $243.17/claim|Median: $255.17
1.0× median
59514Top 25%

Cesarean delivery only

$59K

87 claims · 0.5%

Your Cost: $676.84/claim|Median: $452.80
1.5× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$57K

3,439 claims · 0.5%

Your Cost: $16.64/claim|Median: $27.28
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$56K

1,078 claims · 0.5%

Your Cost: $52.41/claim|Median: $75.18
0.7× median
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