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Provider 1306843222

NPI: 1306843222Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.5M

$14,495,060

Total Claims

32K

Beneficiaries

29K

1.1 claims/patient

Avg Cost/Claim

$458

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+1%
2019
$2.4M
-39%
2020
$1.5M
+11%
2021
$1.6M
+24%
2022
$2.0M
+20%
2023
$2.4M
-8%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (42820 (Tonsillectomy and adenoidectomy, under age 12)) accounts for 31% of total spending.

42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$4.4M

2,677 claims · 30.6%

Your Cost: $1,658.86/claim|Median: $331.68
5.0× median
30140Top 25%

$3.7M

5,625 claims · 25.3%

Your Cost: $651.55/claim|Median: $240.99
2.7× median
43239Normal range

Upper GI endoscopy with biopsy

$1.5M

6,479 claims · 10.3%

Your Cost: $229.85/claim|Median: $151.68
1.5× median
45380Normal range

Colonoscopy with biopsy

$1.1M

4,059 claims · 7.9%

Your Cost: $281.58/claim|Median: $200.68
1.4× median
69436Normal range

Tympanostomy, general anesthesia

$995K

2,164 claims · 6.9%

Your Cost: $459.83/claim|Median: $205.50
2.2× median
30520Normal range

$691K

2,197 claims · 4.8%

Your Cost: $314.57/claim|Median: $369.78
0.9× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$531K

2,025 claims · 3.7%

Your Cost: $262.05/claim|Median: $255.17
1.0× median
31267Top 1%

$520K

543 claims · 3.6%

Your Cost: $958.37/claim|Median: $516.75
1.9× median
45378Normal range

Colonoscopy, diagnostic

$491K

2,316 claims · 3.4%

Your Cost: $211.95/claim|Median: $225.49
0.9× median
31276Top 25%

$163K

133 claims · 1.1%

Your Cost: $1,227.91/claim|Median: $277.39
4.4× median
42821Normal range

$157K

311 claims · 1.1%

Your Cost: $503.49/claim|Median: $613.18
0.8× median
42826Normal range

$66K

118 claims · 0.5%

Your Cost: $559.26/claim|Median: $611.16
0.9× median
42830Normal range

$38K

78 claims · 0.3%

Your Cost: $483.44/claim|Median: $341.04
1.4× median
G0121Normal range

Colorectal cancer screening; colonoscopy

$35K

175 claims · 0.2%

Your Cost: $199.39/claim|Median: $332.07
0.6× median
14301Normal range

$22K

44 claims · 0.2%

Your Cost: $496.50/claim|Median: $496.50
1.0× median
69631Normal range

$17K

13 claims · 0.1%

Your Cost: $1,284.99/claim|Median: $1,284.99
1.0× median
20680Normal range

$10K

18 claims · 0.1%

Your Cost: $532.15/claim|Median: $982.26
0.5× median
30801Top 1%

$9K

49 claims · 0.1%

Your Cost: $177.80/claim|Median: $70.23
2.5× median
61782Normal range

$8K

508 claims · 0.1%

Your Cost: $16.42/claim|Median: $111.35
0.1× median
30802Normal range

$3K

15 claims · 0.0%

Your Cost: $178.76/claim|Median: $110.05
1.6× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$3K

207 claims · 0.0%

Your Cost: $12.46/claim|Median: $123.40
0.1× median
L8699Normal range

Prosthetic implant, not otherwise classified

$116

1,897 claims · 0.0%

Your Cost: $0.06/claim|Median: $389.88
0.0× median
99217Normal range

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $31.89
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