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Provider 1306824420

NPI: 1306824420Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,204,431

Total Claims

59K

Beneficiaries

57K

1.0 claims/patient

Avg Cost/Claim

$172

Monthly Spending Trend

Yearly Spending

2018
$887K
+59%
2019
$1.4M
-16%
2020
$1.2M
+43%
2021
$1.7M
+15%
2022
$1.9M
+2%
2023
$2.0M
-45%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 25% of total spending.

99214Top 5%

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

$2.6M

22K claims · 25.2%

Your Cost: $117.70/claim|Median: $53.41
2.2× median
95819Top 5%

Electroencephalogram with sleep recording

$1.8M

4,236 claims · 17.3%

Your Cost: $415.96/claim|Median: $62.75
6.6× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.4M

2,698 claims · 13.8%

Your Cost: $521.13/claim|Median: $470.36
1.1× median
99204Top 5%

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

$956K

5,807 claims · 9.4%

Your Cost: $164.58/claim|Median: $84.03
2.0× median
99213Top 10%

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

$948K

12K claims · 9.3%

Your Cost: $78.18/claim|Median: $37.81
2.1× median
95816Top 5%

$654K

1,955 claims · 6.4%

Your Cost: $334.47/claim|Median: $56.87
5.9× median
64615Top 5%

$526K

1,898 claims · 5.2%

Your Cost: $276.95/claim|Median: $82.82
3.3× median
99215Top 10%

Office/outpatient visit, high complexity

$395K

2,454 claims · 3.9%

Your Cost: $161.16/claim|Median: $74.09
2.2× median
99203Top 10%

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

$274K

2,446 claims · 2.7%

Your Cost: $111.95/claim|Median: $57.85
1.9× median
95911Top 5%

$257K

970 claims · 2.5%

Your Cost: $264.73/claim|Median: $122.86
2.2× median
95886Top 25%

$220K

1,504 claims · 2.2%

Your Cost: $146.38/claim|Median: $67.70
2.2× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$102K

490 claims · 1.0%

Your Cost: $208.42/claim|Median: $111.09
1.9× median
93880Top 5%

Duplex ultrasound scan of carotid arteries, bilateral

$57K

309 claims · 0.6%

Your Cost: $183.05/claim|Median: $49.03
3.7× median
J0588Normal range

$46K

81 claims · 0.5%

Your Cost: $567.07/claim|Median: $234.99
2.4× median
95951Top 1%

$24K

12 claims · 0.2%

Your Cost: $2,021.67/claim|Median: $183.28
11.0× median
95912Top 10%

$3K

12 claims · 0.0%

Your Cost: $282.05/claim|Median: $141.23
2.0× median
99406Top 10%

$660

44 claims · 0.0%

Your Cost: $15.01/claim|Median: $6.53
2.3× median
G8427Normal range

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
1123FNormal range

$0

228 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.49
1036FNormal range

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
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