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Provider 1316041833

NPI: 1316041833Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.9M

$10,852,401

Total Claims

116K

Beneficiaries

69K

1.7 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-38%
2019
$2.3M
-39%
2020
$1.4M
-18%
2021
$1.1M
-33%
2022
$759K
+29%
2023
$979K
-33%
2024
$655K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (Z0104) accounts for 25% of total spending.

Z0104Normal range

$2.7M

19K claims · 24.6%

Your Cost: $143.03/claim|Median: $141.22
1.0× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$2.5M

21K claims · 23.1%

Your Cost: $120.88/claim|Median: $98.15
1.2× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$1.4M

11K claims · 13.3%

Your Cost: $132.11/claim|Median: $103.70
1.3× median
Z0102Top 25%

$1.2M

6,214 claims · 11.3%

Your Cost: $197.19/claim|Median: $193.72
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$753K

18K claims · 6.9%

Your Cost: $41.45/claim|Median: $62.48
0.7× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$376K

1,911 claims · 3.5%

Your Cost: $196.51/claim|Median: $293.45
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$337K

6,324 claims · 3.1%

Your Cost: $53.36/claim|Median: $35.30
1.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$327K

7,014 claims · 3.0%

Your Cost: $46.67/claim|Median: $43.85
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$244K

8,089 claims · 2.2%

Your Cost: $30.17/claim|Median: $37.22
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$196K

4,073 claims · 1.8%

Your Cost: $48.15/claim|Median: $23.99
2.0× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$153K

2,051 claims · 1.4%

Your Cost: $74.52/claim|Median: $51.25
1.5× median
99462Normal range

$142K

6,302 claims · 1.3%

Your Cost: $22.60/claim|Median: $27.49
0.8× median
Z0106Normal range

$114K

1,549 claims · 1.1%

Your Cost: $73.77/claim|Median: $76.54
1.0× median
99464Normal range

$106K

1,751 claims · 1.0%

Your Cost: $60.63/claim|Median: $59.94
1.0× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$82K

466 claims · 0.8%

Your Cost: $175.71/claim|Median: $307.98
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$78K

1,002 claims · 0.7%

Your Cost: $77.81/claim|Median: $67.32
1.2× median
99291Top 5%

Critical care, first 30-74 minutes

$35K

110 claims · 0.3%

Your Cost: $315.43/claim|Median: $101.24
3.1× median
Z0100Normal range

$27K

73 claims · 0.2%

Your Cost: $366.84/claim|Median: $387.19
0.9× median
99477Normal range

$18K

68 claims · 0.2%

Your Cost: $258.19/claim|Median: $276.41
0.9× median
92586Normal range

$9K

162 claims · 0.1%

Your Cost: $58.31/claim|Median: $51.18
1.1× median
99471Normal range

$8K

26 claims · 0.1%

Your Cost: $316.59/claim|Median: $680.99
0.5× median
99468Normal range

$4K

12 claims · 0.0%

Your Cost: $368.26/claim|Median: $679.18
0.5× median
99213Top 25%

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

$4K

64 claims · 0.0%

Your Cost: $63.57/claim|Median: $37.81
1.7× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$1K

38 claims · 0.0%

Your Cost: $39.05/claim|Median: $16.77
2.3× median
Z0108Normal range

$336

13 claims · 0.0%

Your Cost: $25.85/claim|Median: $29.86
0.9× median
1159FNormal range

$0

162 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
99499Normal range

Unlisted evaluation and management service

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.88
92551Normal range

Screening audiometry, pure tone, air only

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
3008FNormal range

$0

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
G8783Normal range

$0

164 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
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