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Provider 1306282926

NPI: 1306282926Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,872,904

Total Claims

74K

Beneficiaries

42K

1.8 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$772K
+32%
2019
$1.0M
-26%
2020
$757K
+87%
2021
$1.4M
-24%
2022
$1.1M
+50%
2023
$1.6M
-25%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (36465) accounts for 27% of total spending.

36465Normal range

$2.1M

4,636 claims · 26.6%

Your Cost: $451.60/claim|Median: $792.14
0.6× median
36475Normal range

$1.9M

2,394 claims · 24.5%

Your Cost: $806.90/claim|Median: $902.80
0.9× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$1.1M

26K claims · 13.7%

Your Cost: $41.27/claim|Median: $25.43
1.6× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$974K

15K claims · 12.4%

Your Cost: $63.27/claim|Median: $43.07
1.5× median
36478Normal range

$571K

727 claims · 7.3%

Your Cost: $785.13/claim|Median: $864.49
0.9× median
36482Normal range

$333K

696 claims · 4.2%

Your Cost: $478.41/claim|Median: $560.60
0.9× median
99204Normal range

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

$300K

6,061 claims · 3.8%

Your Cost: $49.49/claim|Median: $84.03
0.6× median
99213Normal range

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

$176K

7,662 claims · 2.2%

Your Cost: $22.91/claim|Median: $37.81
0.6× median
A6533Normal range

$137K

3,739 claims · 1.7%

Your Cost: $36.64/claim|Median: $74.92
0.5× median
36466Normal range

$79K

126 claims · 1.0%

Your Cost: $629.46/claim|Median: $930.67
0.7× median
99214Normal range

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

$75K

2,081 claims · 1.0%

Your Cost: $36.03/claim|Median: $53.41
0.7× median
99203Normal range

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

$44K

1,036 claims · 0.6%

Your Cost: $42.42/claim|Median: $57.85
0.7× median
76942Normal range

$24K

620 claims · 0.3%

Your Cost: $39.22/claim|Median: $24.73
1.6× median
36471Normal range

$20K

523 claims · 0.3%

Your Cost: $37.79/claim|Median: $105.39
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$8K

279 claims · 0.1%

Your Cost: $28.09/claim|Median: $40.11
0.7× median
36470Normal range

$6K

154 claims · 0.1%

Your Cost: $41.80/claim|Median: $77.35
0.5× median
A6530Normal range

$6K

329 claims · 0.1%

Your Cost: $18.97/claim|Median: $49.70
0.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$5K

52 claims · 0.1%

Your Cost: $104.14/claim|Median: $121.58
0.9× median
A6539Normal range

$5K

149 claims · 0.1%

Your Cost: $34.73/claim|Median: $107.32
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$4K

254 claims · 0.0%

Your Cost: $14.90/claim|Median: $25.06
0.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$4K

49 claims · 0.0%

Your Cost: $73.85/claim|Median: $82.43
0.9× median
99072Normal range

$0

598 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
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