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Provider 1285858837

NPI: 1285858837Share
Active Billing Period:2018-012024-06(77 months)

Extreme procedure concentration — 70% of $12.8M billed through just 2 codes

Total Paid

$12.8M

$12,833,057

Total Claims

128K

Beneficiaries

35K

3.6 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+18%
2019
$2.3M
-31%
2020
$1.6M
+2%
2021
$1.6M
+36%
2022
$2.2M
-13%
2023
$1.9M
-35%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (99361 (Physician direction of emergency medical systems, online)) accounts for 70% of total spending.

99361Top 1%

Physician direction of emergency medical systems, online

$9.0M

5,048 claims · 70.4%

Your Cost: $1,788.55/claim|Median: $1,788.55
1.0× median
T1018Normal range

School-based IEP services, per encounter

$3.8M

123K claims · 29.6%

Your Cost: $30.99/claim|Median: $39.53
0.8× median