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Provider 1295178689

NPI: 1295178689Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.3M

$9,333,738

Total Claims

286K

Beneficiaries

160K

1.8 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$423K
+64%
2019
$695K
+36%
2020
$949K
+63%
2021
$1.5M
+5%
2022
$1.6M
+27%
2023
$2.1M
-2%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 32% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$3.0M

96K claims · 32.3%

Your Cost: $31.52/claim|Median: $35.30
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$1.9M

33K claims · 20.7%

Your Cost: $57.89/claim|Median: $67.32
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.1M

42K claims · 11.6%

Your Cost: $25.56/claim|Median: $23.99
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$856K

25K claims · 9.2%

Your Cost: $34.88/claim|Median: $43.85
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$705K

29K claims · 7.6%

Your Cost: $24.30/claim|Median: $14.00
1.7× median
99308Normal range

Nursing facility care, subsequent, straightforward

$424K

27K claims · 4.5%

Your Cost: $16.01/claim|Median: $9.79
1.6× median
99497Top 25%

$368K

9,801 claims · 3.9%

Your Cost: $37.51/claim|Median: $10.99
3.4× median
99306Normal range

$177K

4,377 claims · 1.9%

Your Cost: $40.44/claim|Median: $29.97
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$142K

2,412 claims · 1.5%

Your Cost: $58.81/claim|Median: $51.25
1.1× median
99487Normal range

$135K

5,356 claims · 1.4%

Your Cost: $25.26/claim|Median: $14.74
1.7× median
99291Normal range

Critical care, first 30-74 minutes

$122K

1,896 claims · 1.3%

Your Cost: $64.29/claim|Median: $101.24
0.6× median
36573Top 25%

$91K

623 claims · 1.0%

Your Cost: $145.77/claim|Median: $46.55
3.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$46K

1,473 claims · 0.5%

Your Cost: $31.02/claim|Median: $37.22
0.8× median
99418Normal range

$45K

1,845 claims · 0.5%

Your Cost: $24.62/claim|Median: $38.93
0.6× median
99493Normal range

$42K

880 claims · 0.5%

Your Cost: $47.98/claim|Median: $73.13
0.7× median
99483Top 25%

$36K

519 claims · 0.4%

Your Cost: $69.98/claim|Median: $34.89
2.0× median
36569Normal range

$28K

826 claims · 0.3%

Your Cost: $34.39/claim|Median: $45.13
0.8× median
99491Top 25%

$20K

453 claims · 0.2%

Your Cost: $44.41/claim|Median: $9.86
4.5× median
99310Normal range

$18K

765 claims · 0.2%

Your Cost: $23.98/claim|Median: $21.82
1.1× median
99492Normal range

$10K

154 claims · 0.1%

Your Cost: $64.97/claim|Median: $68.72
0.9× median
99316Normal range

$9K

523 claims · 0.1%

Your Cost: $18.08/claim|Median: $25.78
0.7× median
99358Top 25%

$5K

76 claims · 0.1%

Your Cost: $62.05/claim|Median: $14.34
4.3× median
76937Normal range

$4K

877 claims · 0.0%

Your Cost: $4.93/claim|Median: $6.99
0.7× median
99356Normal range

$3K

91 claims · 0.0%

Your Cost: $38.12/claim|Median: $22.76
1.7× median
99494Normal range

$3K

123 claims · 0.0%

Your Cost: $26.58/claim|Median: $36.93
0.7× median
36410Normal range

$3K

362 claims · 0.0%

Your Cost: $6.92/claim|Median: $5.72
1.2× median
99203Top 25%

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

$2K

27 claims · 0.0%

Your Cost: $80.65/claim|Median: $57.85
1.4× median
99252Normal range

$2K

90 claims · 0.0%

Your Cost: $22.77/claim|Median: $38.63
0.6× median
99490Normal range

Chronic care management services, 20 minutes per month

$2K

335 claims · 0.0%

Your Cost: $5.65/claim|Median: $6.31
0.9× median
99407Normal range

$735

47 claims · 0.0%

Your Cost: $15.64/claim|Median: $13.29
1.2× median
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