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Provider 1316581440

NPI: 1316581440Share
Active Billing Period:2021-07→2024-12(42 months)

Total Paid

$7.6M

$7,578,408

Total Claims

40K

Beneficiaries

22K

1.8 claims/patient

Avg Cost/Claim

$188

Monthly Spending Trend

Yearly Spending

2021
$64K
+2917%
2022
$1.9M
+125%
2023
$4.4M
-73%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (Q4186) accounts for 76% of total spending.

Q4186Top 25%

$5.7M

2,205 claims · 75.7%

Your Cost: $2,601.64/claim|Median: $1,529.61
1.7× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$977K

23K claims · 12.9%

Your Cost: $42.95/claim|Median: $14.00
3.1× median
99489Top 5%

$266K

2,523 claims · 3.5%

Your Cost: $105.36/claim|Median: $9.86
10.7× median
99487Top 25%

$162K

2,767 claims · 2.1%

Your Cost: $58.59/claim|Median: $14.74
4.0× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$82K

2,424 claims · 1.1%

Your Cost: $33.76/claim|Median: $9.79
3.4× median
15271Normal range

Skin substitute graft, first twenty-five square centimeters

$71K

1,371 claims · 0.9%

Your Cost: $52.14/claim|Median: $33.75
1.5× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$52K

938 claims · 0.7%

Your Cost: $55.17/claim|Median: $36.13
1.5× median
11043Normal range

$50K

659 claims · 0.7%

Your Cost: $76.17/claim|Median: $62.99
1.2× median
99305Top 10%

$32K

536 claims · 0.4%

Your Cost: $59.37/claim|Median: $19.28
3.1× median
99306Top 10%

$23K

274 claims · 0.3%

Your Cost: $83.67/claim|Median: $29.97
2.8× median
99439Top 10%

$23K

730 claims · 0.3%

Your Cost: $31.17/claim|Median: $5.83
5.3× median
99349Top 25%

$21K

459 claims · 0.3%

Your Cost: $45.24/claim|Median: $24.29
1.9× median
99490Top 25%

Chronic care management services, 20 minutes per month

$19K

851 claims · 0.3%

Your Cost: $22.89/claim|Median: $6.31
3.6× median
99310Top 25%

$16K

406 claims · 0.2%

Your Cost: $38.93/claim|Median: $21.82
1.8× median
99336Top 25%

$12K

238 claims · 0.2%

Your Cost: $50.94/claim|Median: $20.35
2.5× median
99348Top 25%

$7K

226 claims · 0.1%

Your Cost: $32.42/claim|Median: $17.17
1.9× median
99497Top 25%

$7K

256 claims · 0.1%

Your Cost: $26.63/claim|Median: $10.99
2.4× median
99335Top 25%

$4K

101 claims · 0.1%

Your Cost: $40.40/claim|Median: $14.90
2.7× median
15275Normal range

$4K

69 claims · 0.1%

Your Cost: $57.29/claim|Median: $51.83
1.1× median
G0439Top 10%

Annual wellness visit, subsequent visit

$4K

59 claims · 0.1%

Your Cost: $66.57/claim|Median: $5.42
12.3× median
99347Top 25%

$4K

172 claims · 0.1%

Your Cost: $22.24/claim|Median: $11.74
1.9× median
95923Normal range

$2K

21 claims · 0.0%

Your Cost: $74.60/claim|Median: $44.24
1.7× median
90682Normal range

$1K

25 claims · 0.0%

Your Cost: $45.66/claim|Median: $34.72
1.3× median
93922Top 25%

$970

20 claims · 0.0%

Your Cost: $48.49/claim|Median: $26.06
1.9× median
99342Normal range

$919

32 claims · 0.0%

Your Cost: $28.73/claim|Median: $32.19
0.9× median
99304Top 25%

$566

13 claims · 0.0%

Your Cost: $43.52/claim|Median: $13.51
3.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$422

47 claims · 0.0%

Your Cost: $8.98/claim|Median: $17.15
0.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$378

12 claims · 0.0%

Your Cost: $31.50/claim|Median: $30.04
1.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$214

22 claims · 0.0%

Your Cost: $9.72/claim|Median: $9.80
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$139

32 claims · 0.0%

Your Cost: $4.35/claim|Median: $1.57
2.8× median
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