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Provider 1316044027

NPI: 1316044027Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.2M

$11,175,784

Total Claims

86K

Beneficiaries

54K

1.6 claims/patient

Avg Cost/Claim

$129

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+9%
2019
$1.9M
-5%
2020
$1.8M
-15%
2021
$1.5M
-3%
2022
$1.5M
+26%
2023
$1.9M
-54%
2024
$857K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 36% of total spending.

99469Top 25%

Subsequent intensive care, very low birth weight infant

$4.0M

11K claims · 35.6%

Your Cost: $369.16/claim|Median: $293.45
1.3× median
99479Normal range

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

$3.4M

29K claims · 30.2%

Your Cost: $115.67/claim|Median: $103.70
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$1.3M

15K claims · 11.9%

Your Cost: $89.70/claim|Median: $62.48
1.4× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$1.1M

16K claims · 9.8%

Your Cost: $68.99/claim|Median: $37.22
1.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$907K

8,166 claims · 8.1%

Your Cost: $111.03/claim|Median: $98.15
1.1× median
99462Top 25%

$261K

6,645 claims · 2.3%

Your Cost: $39.26/claim|Median: $27.49
1.4× median
99468Top 25%

$114K

136 claims · 1.0%

Your Cost: $839.60/claim|Median: $679.18
1.2× median
54150Normal range

$54K

618 claims · 0.5%

Your Cost: $86.85/claim|Median: $84.60
1.0× median
99472Top 25%

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

$48K

123 claims · 0.4%

Your Cost: $391.05/claim|Median: $307.98
1.3× median
99463Top 25%

$26K

249 claims · 0.2%

Your Cost: $104.73/claim|Median: $78.46
1.3× median
99478Normal range

$3K

29 claims · 0.0%

Your Cost: $117.44/claim|Median: $106.11
1.1× median