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Provider 1306882261

NPI: 1306882261Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.8M

$12,825,902

Total Claims

102K

Beneficiaries

89K

1.2 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+16%
2019
$2.6M
-14%
2020
$2.3M
-58%
2021
$936K
+39%
2022
$1.3M
+2%
2023
$1.3M
+61%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 18% of total spending.

99214Top 5%

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

$2.3M

17K claims · 18.0%

Your Cost: $139.47/claim|Median: $53.41
2.6× median
59400Top 5%

Routine obstetric care, vaginal delivery, including postpartum

$1.6M

595 claims · 12.1%

Your Cost: $2,609.13/claim|Median: $1,482.45
1.8× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$1.1M

13K claims · 8.7%

Your Cost: $86.68/claim|Median: $23.99
3.6× median
99223Top 5%

Initial hospital care, per day, high complexity

$872K

4,323 claims · 6.8%

Your Cost: $201.62/claim|Median: $67.32
3.0× median
99222Top 1%

Initial hospital care, per day, moderate complexity

$854K

4,606 claims · 6.7%

Your Cost: $185.51/claim|Median: $51.25
3.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$691K

6,416 claims · 5.4%

Your Cost: $107.70/claim|Median: $54.68
2.0× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$658K

7,136 claims · 5.1%

Your Cost: $92.14/claim|Median: $37.22
2.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$613K

6,564 claims · 4.8%

Your Cost: $93.37/claim|Median: $42.48
2.2× median
99235Top 5%

$548K

2,332 claims · 4.3%

Your Cost: $234.85/claim|Median: $110.13
2.1× median
99213Top 10%

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

$459K

6,151 claims · 3.6%

Your Cost: $74.68/claim|Median: $37.81
2.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$443K

6,126 claims · 3.5%

Your Cost: $72.35/claim|Median: $35.30
2.0× median
99284Top 25%

Emergency dept visit, high complexity

$341K

2,083 claims · 2.7%

Your Cost: $163.85/claim|Median: $69.51
2.4× median
99204Top 5%

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

$324K

1,457 claims · 2.5%

Your Cost: $222.04/claim|Median: $84.03
2.6× median
59510Top 5%

$312K

110 claims · 2.4%

Your Cost: $2,835.67/claim|Median: $1,543.20
1.8× median
98927Top 5%

$246K

3,499 claims · 1.9%

Your Cost: $70.43/claim|Median: $25.15
2.8× median
99203Top 5%

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

$151K

1,260 claims · 1.2%

Your Cost: $119.93/claim|Median: $57.85
2.1× median
77067Top 5%

Screening mammography, bilateral, including CAD

$149K

760 claims · 1.2%

Your Cost: $196.40/claim|Median: $39.33
5.0× median
98928Top 5%

$120K

1,415 claims · 0.9%

Your Cost: $84.49/claim|Median: $31.88
2.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$111K

495 claims · 0.9%

Your Cost: $225.03/claim|Median: $85.65
2.6× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$83K

561 claims · 0.6%

Your Cost: $148.13/claim|Median: $62.48
2.4× median
98926Top 5%

$73K

1,429 claims · 0.6%

Your Cost: $50.93/claim|Median: $22.66
2.2× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$72K

233 claims · 0.6%

Your Cost: $308.00/claim|Median: $111.09
2.8× median
99220Top 10%

$64K

442 claims · 0.5%

Your Cost: $144.77/claim|Median: $73.56
2.0× median
99282Normal range

Emergency dept visit, low complexity

$64K

1,155 claims · 0.5%

Your Cost: $55.23/claim|Median: $37.72
1.5× median
76642Top 5%

$63K

461 claims · 0.5%

Your Cost: $137.52/claim|Median: $32.06
4.3× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$62K

5,177 claims · 0.5%

Your Cost: $11.94/claim|Median: $3.67
3.3× median
76830Top 5%

Ultrasound, transvaginal

$61K

347 claims · 0.5%

Your Cost: $176.43/claim|Median: $57.47
3.1× median
90833Top 5%

Psychotherapy, 30 min, add-on to E/M service

$37K

390 claims · 0.3%

Your Cost: $96.15/claim|Median: $38.83
2.5× median
71046Top 10%

Chest X-ray, 2 views

$36K

937 claims · 0.3%

Your Cost: $38.66/claim|Median: $8.92
4.3× median
76705Top 10%

Ultrasound, abdominal, limited

$36K

328 claims · 0.3%

Your Cost: $108.64/claim|Median: $23.81
4.6× median
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