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Provider 1316235427

NPI: 1316235427Share
Active Billing Period:2018-012024-11(82 months)

Extreme procedure concentration — 100% of $9.8M billed through just 2 codes

Total Paid

$9.8M

$9,841,141

Total Claims

31K

Beneficiaries

31K

1.0 claims/patient

Avg Cost/Claim

$317

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-14%
2019
$1.6M
-4%
2020
$1.5M
-15%
2021
$1.3M
-27%
2022
$938K
+50%
2023
$1.4M
-6%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (G9002 (Coordinated care fee, maintenance period)) accounts for 100% of total spending.

G9002Top 10%

Coordinated care fee, maintenance period

$9.8M

31K claims · 99.8%

Your Cost: $316.29/claim|Median: $108.80
2.9× median
G9001Top 1%

$19K

12 claims · 0.2%

Your Cost: $1,600.00/claim|Median: $53.98
29.6× median