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Provider 1306982855

NPI: 1306982855Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,275,176

Total Claims

380K

Beneficiaries

355K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$370K
+204%
2019
$1.1M
+15%
2020
$1.3M
+53%
2021
$2.0M
+31%
2022
$2.6M
+34%
2023
$3.5M
+56%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 32% of total spending.

99213Normal range

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

$5.3M

152K claims · 32.5%

Your Cost: $34.78/claim|Median: $37.81
0.9× median
17110Normal range

Destruction of benign lesions, up to fourteen

$2.1M

28K claims · 12.7%

Your Cost: $73.57/claim|Median: $59.25
1.2× median
99214Normal range

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

$2.0M

43K claims · 12.2%

Your Cost: $46.49/claim|Median: $53.41
0.9× median
99203Normal range

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

$1.6M

30K claims · 9.8%

Your Cost: $53.70/claim|Median: $57.85
0.9× median
99243Normal range

Office or other outpatient consultation, low complexity

$1.2M

21K claims · 7.3%

Your Cost: $55.42/claim|Median: $82.43
0.7× median
99204Normal range

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

$666K

11K claims · 4.1%

Your Cost: $61.08/claim|Median: $84.03
0.7× median
17111Normal range

$509K

5,653 claims · 3.1%

Your Cost: $89.96/claim|Median: $80.28
1.1× median
11102Normal range

$451K

9,311 claims · 2.8%

Your Cost: $48.45/claim|Median: $48.69
1.0× median
17311Normal range

$350K

1,308 claims · 2.2%

Your Cost: $267.72/claim|Median: $194.01
1.4× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$307K

4,531 claims · 1.9%

Your Cost: $67.85/claim|Median: $35.80
1.9× median
11104Normal range

$228K

3,630 claims · 1.4%

Your Cost: $62.71/claim|Median: $76.74
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$187K

8,734 claims · 1.1%

Your Cost: $21.41/claim|Median: $25.06
0.9× median
11301Normal range

$131K

4,833 claims · 0.8%

Your Cost: $27.02/claim|Median: $46.76
0.6× median
17000Normal range

$121K

5,760 claims · 0.7%

Your Cost: $21.04/claim|Median: $21.35
1.0× median
11901Normal range

$110K

4,411 claims · 0.7%

Your Cost: $25.03/claim|Median: $36.91
0.7× median
11103Normal range

$110K

2,776 claims · 0.7%

Your Cost: $39.51/claim|Median: $37.08
1.1× median
11900Normal range

$109K

6,855 claims · 0.7%

Your Cost: $15.87/claim|Median: $31.25
0.5× median
10040Normal range

$74K

1,762 claims · 0.5%

Your Cost: $42.18/claim|Median: $70.50
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$66K

2,794 claims · 0.4%

Your Cost: $23.64/claim|Median: $40.11
0.6× median
77600Normal range

$65K

968 claims · 0.4%

Your Cost: $67.40/claim|Median: $47.41
1.4× median
15788Normal range

$62K

705 claims · 0.4%

Your Cost: $88.07/claim|Median: $88.07
1.0× median
77280Normal range

$55K

1,247 claims · 0.3%

Your Cost: $43.97/claim|Median: $65.84
0.7× median
88312Top 25%

$51K

698 claims · 0.3%

Your Cost: $73.48/claim|Median: $24.56
3.0× median
17312Normal range

$44K

276 claims · 0.3%

Your Cost: $159.21/claim|Median: $197.44
0.8× median
G6001Normal range

$43K

1,640 claims · 0.3%

Your Cost: $26.15/claim|Median: $31.80
0.8× median
17003Normal range

$43K

4,036 claims · 0.3%

Your Cost: $10.60/claim|Median: $8.67
1.2× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$39K

13K claims · 0.2%

Your Cost: $3.11/claim|Median: $2.91
1.1× median
13132Normal range

$39K

359 claims · 0.2%

Your Cost: $108.47/claim|Median: $119.51
0.9× median
11105Normal range

$37K

1,130 claims · 0.2%

Your Cost: $32.35/claim|Median: $36.75
0.9× median
17004Normal range

$34K

489 claims · 0.2%

Your Cost: $70.10/claim|Median: $65.58
1.1× median
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