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Provider 1316228802

NPI: 1316228802Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.8M

$14,774,761

Total Claims

268K

Beneficiaries

215K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+20%
2019
$1.4M
+23%
2020
$1.8M
+43%
2021
$2.5M
+7%
2022
$2.7M
-0%
2023
$2.7M
-13%
2024
$2.4M

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 17% of total spending.

99214Normal range

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

$2.5M

41K claims · 16.8%

Your Cost: $60.80/claim|Median: $53.41
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.3M

51K claims · 15.7%

Your Cost: $45.30/claim|Median: $23.99
1.9× median
99213Normal range

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

$1.9M

44K claims · 12.5%

Your Cost: $41.71/claim|Median: $37.81
1.1× median
99204Normal range

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

$1.2M

13K claims · 8.1%

Your Cost: $93.91/claim|Median: $84.03
1.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.1M

17K claims · 7.6%

Your Cost: $64.28/claim|Median: $35.30
1.8× median
99203Normal range

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

$1.0M

17K claims · 7.1%

Your Cost: $62.33/claim|Median: $57.85
1.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$727K

6,632 claims · 4.9%

Your Cost: $109.64/claim|Median: $67.32
1.6× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$561K

7,162 claims · 3.8%

Your Cost: $78.27/claim|Median: $51.25
1.5× median
43239Normal range

Upper GI endoscopy with biopsy

$298K

3,605 claims · 2.0%

Your Cost: $82.55/claim|Median: $151.68
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$219K

2,624 claims · 1.5%

Your Cost: $83.41/claim|Median: $85.66
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$210K

2,708 claims · 1.4%

Your Cost: $77.49/claim|Median: $74.09
1.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$209K

4,904 claims · 1.4%

Your Cost: $42.67/claim|Median: $24.33
1.8× median
45380Normal range

Colonoscopy with biopsy

$165K

1,247 claims · 1.1%

Your Cost: $132.37/claim|Median: $200.68
0.7× median
43775Normal range

$143K

299 claims · 1.0%

Your Cost: $476.66/claim|Median: $619.12
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$130K

1,744 claims · 0.9%

Your Cost: $74.36/claim|Median: $54.68
1.4× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$124K

1,899 claims · 0.8%

Your Cost: $65.20/claim|Median: $12.70
5.1× median
99254Top 25%

$121K

906 claims · 0.8%

Your Cost: $133.64/claim|Median: $81.43
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$119K

2,256 claims · 0.8%

Your Cost: $52.90/claim|Median: $41.28
1.3× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$116K

4,300 claims · 0.8%

Your Cost: $26.97/claim|Median: $12.06
2.2× median
90791Normal range

Psychiatric diagnostic evaluation

$95K

788 claims · 0.6%

Your Cost: $120.86/claim|Median: $99.21
1.2× median
90833Normal range

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

$93K

2,008 claims · 0.6%

Your Cost: $46.33/claim|Median: $38.83
1.2× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$87K

3,564 claims · 0.6%

Your Cost: $24.50/claim|Median: $16.77
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$86K

742 claims · 0.6%

Your Cost: $115.72/claim|Median: $108.91
1.1× median
99255Top 25%

$82K

506 claims · 0.6%

Your Cost: $162.79/claim|Median: $90.45
1.8× median
96130Normal range

Psychological testing evaluation by professional, first hour

$77K

803 claims · 0.5%

Your Cost: $95.31/claim|Median: $79.21
1.2× median
99221Top 25%

Initial hospital care, straightforward/low

$74K

1,163 claims · 0.5%

Your Cost: $64.06/claim|Median: $39.96
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$63K

3,346 claims · 0.4%

Your Cost: $18.87/claim|Median: $25.06
0.8× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$62K

1,282 claims · 0.4%

Your Cost: $48.29/claim|Median: $29.03
1.7× median
99291Top 25%

Critical care, first 30-74 minutes

$53K

348 claims · 0.4%

Your Cost: $153.67/claim|Median: $101.24
1.5× median
73030Top 25%

$47K

2,105 claims · 0.3%

Your Cost: $22.21/claim|Median: $10.94
2.0× median
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