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Provider 1316984388

NPI: 1316984388Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,754,557

Total Claims

1.0M

Beneficiaries

629K

1.6 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+22%
2019
$1.6M
-1%
2020
$1.6M
+1%
2021
$1.6M
-28%
2022
$1.2M
+6%
2023
$1.2M
-0%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 16% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$1.5M

46K claims · 15.5%

Your Cost: $33.11/claim|Median: $35.30
0.9× median
99214Normal range

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

$737K

30K claims · 7.6%

Your Cost: $24.67/claim|Median: $53.41
0.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$563K

25K claims · 5.8%

Your Cost: $22.27/claim|Median: $23.99
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$551K

22K claims · 5.7%

Your Cost: $25.19/claim|Median: $35.80
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$477K

8,776 claims · 4.9%

Your Cost: $54.37/claim|Median: $67.32
0.8× median
88350Normal range

$454K

5,324 claims · 4.7%

Your Cost: $85.37/claim|Median: $69.59
1.2× median
88348Normal range

$331K

3,876 claims · 3.4%

Your Cost: $85.38/claim|Median: $49.85
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$270K

6,779 claims · 2.8%

Your Cost: $39.85/claim|Median: $54.68
0.7× median
99213Normal range

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

$240K

15K claims · 2.5%

Your Cost: $15.57/claim|Median: $37.81
0.4× median
88313Normal range

$233K

6,106 claims · 2.4%

Your Cost: $38.12/claim|Median: $18.95
2.0× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$214K

1,845 claims · 2.2%

Your Cost: $115.83/claim|Median: $52.76
2.2× median
99215Normal range

Office/outpatient visit, high complexity

$199K

7,149 claims · 2.0%

Your Cost: $27.79/claim|Median: $74.09
0.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$180K

5,510 claims · 1.8%

Your Cost: $32.70/claim|Median: $43.85
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$173K

108K claims · 1.8%

Your Cost: $1.60/claim|Median: $4.71
0.3× median
80048Normal range

Basic metabolic panel

$153K

73K claims · 1.6%

Your Cost: $2.10/claim|Median: $5.78
0.4× median
88346Normal range

$150K

5,578 claims · 1.5%

Your Cost: $26.87/claim|Median: $23.73
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$124K

3,369 claims · 1.3%

Your Cost: $36.84/claim|Median: $51.25
0.7× median
88342Normal range

$119K

6,544 claims · 1.2%

Your Cost: $18.20/claim|Median: $23.66
0.8× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$106K

3,381 claims · 1.1%

Your Cost: $31.40/claim|Median: $59.38
0.5× median
99204Normal range

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

$95K

3,782 claims · 1.0%

Your Cost: $25.17/claim|Median: $84.03
0.3× median
86923Top 25%

$95K

2,604 claims · 1.0%

Your Cost: $36.53/claim|Median: $14.07
2.6× median
83735Normal range

Magnesium blood level test

$86K

36K claims · 0.9%

Your Cost: $2.42/claim|Median: $2.77
0.9× median
80053Normal range

Comprehensive metabolic panel

$86K

32K claims · 0.9%

Your Cost: $2.66/claim|Median: $7.24
0.4× median
83880Normal range

$86K

11K claims · 0.9%

Your Cost: $7.78/claim|Median: $11.81
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$85K

5,909 claims · 0.9%

Your Cost: $14.38/claim|Median: $14.00
1.0× median
99203Normal range

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

$78K

3,292 claims · 0.8%

Your Cost: $23.55/claim|Median: $57.85
0.4× median
88341Normal range

$76K

4,023 claims · 0.8%

Your Cost: $18.87/claim|Median: $45.31
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$74K

2,092 claims · 0.8%

Your Cost: $35.60/claim|Median: $111.09
0.3× median
85027Normal range

Complete blood count (CBC), automated

$74K

39K claims · 0.8%

Your Cost: $1.88/claim|Median: $3.72
0.5× median
84484Normal range

Troponin, quantitative

$66K

15K claims · 0.7%

Your Cost: $4.43/claim|Median: $4.84
0.9× median
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