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Provider 1326015777

NPI: 1326015777Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.7M

$7,680,974

Total Claims

165K

Beneficiaries

119K

1.4 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-11%
2019
$2.2M
-35%
2020
$1.4M
-53%
2021
$668K
-48%
2022
$349K
+21%
2023
$423K
-41%
2024
$252K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (95811 (Sleep study with CPAP titration, polysomnography)) accounts for 26% of total spending.

95811Normal range

Sleep study with CPAP titration, polysomnography

$2.0M

4,637 claims · 26.2%

Your Cost: $434.49/claim|Median: $255.03
1.7× median
99214Normal range

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

$1.2M

39K claims · 15.4%

Your Cost: $30.33/claim|Median: $53.41
0.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$631K

1,550 claims · 8.2%

Your Cost: $407.36/claim|Median: $233.73
1.7× median
43239Normal range

Upper GI endoscopy with biopsy

$466K

2,136 claims · 6.1%

Your Cost: $218.10/claim|Median: $151.68
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$381K

2,966 claims · 5.0%

Your Cost: $128.57/claim|Median: $101.24
1.3× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$359K

6,254 claims · 4.7%

Your Cost: $57.46/claim|Median: $35.80
1.6× median
94375Top 10%

$293K

5,065 claims · 3.8%

Your Cost: $57.82/claim|Median: $17.23
3.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$233K

2,707 claims · 3.0%

Your Cost: $86.02/claim|Median: $54.68
1.6× median
88342Top 25%

$178K

3,500 claims · 2.3%

Your Cost: $50.96/claim|Median: $23.66
2.2× median
80053Top 25%

Comprehensive metabolic panel

$175K

9,171 claims · 2.3%

Your Cost: $19.03/claim|Median: $7.24
2.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$165K

3,505 claims · 2.2%

Your Cost: $47.19/claim|Median: $35.30
1.3× median
45380Top 25%

Colonoscopy with biopsy

$165K

390 claims · 2.1%

Your Cost: $423.02/claim|Median: $200.68
2.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$124K

2,034 claims · 1.6%

Your Cost: $60.83/claim|Median: $111.09
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$120K

6,064 claims · 1.6%

Your Cost: $19.72/claim|Median: $74.09
0.3× median
86140Top 10%

$114K

7,806 claims · 1.5%

Your Cost: $14.58/claim|Median: $3.02
4.8× median
31231Normal range

Nasal endoscopy, diagnostic

$113K

842 claims · 1.5%

Your Cost: $134.15/claim|Median: $98.77
1.4× median
99204Normal range

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

$107K

2,079 claims · 1.4%

Your Cost: $51.69/claim|Median: $84.03
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$90K

15K claims · 1.2%

Your Cost: $6.15/claim|Median: $4.71
1.3× median
82306Top 25%

Vitamin D, 25 hydroxy

$84K

2,598 claims · 1.1%

Your Cost: $32.22/claim|Median: $18.18
1.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$78K

2,140 claims · 1.0%

Your Cost: $36.59/claim|Median: $23.99
1.5× median
J2357Normal range

Injection, omalizumab, 5 mg

$65K

85 claims · 0.9%

Your Cost: $769.05/claim|Median: $920.37
0.8× median
95806Top 10%

$56K

272 claims · 0.7%

Your Cost: $205.46/claim|Median: $64.51
3.2× median
71250Normal range

CT scan of chest without contrast

$46K

1,803 claims · 0.6%

Your Cost: $25.63/claim|Median: $39.11
0.7× median
71046Normal range

Chest X-ray, 2 views

$40K

3,420 claims · 0.5%

Your Cost: $11.83/claim|Median: $8.92
1.3× median
94664Top 5%

$32K

425 claims · 0.4%

Your Cost: $76.04/claim|Median: $8.88
8.6× median
95004Top 25%

Percutaneous allergy skin tests, each

$32K

130 claims · 0.4%

Your Cost: $247.78/claim|Median: $134.97
1.8× median
85652Top 25%

$27K

7,210 claims · 0.4%

Your Cost: $3.79/claim|Median: $1.68
2.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$26K

381 claims · 0.3%

Your Cost: $67.40/claim|Median: $63.08
1.1× median
99213Normal range

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

$25K

1,255 claims · 0.3%

Your Cost: $19.67/claim|Median: $37.81
0.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$19K

1,201 claims · 0.2%

Your Cost: $15.45/claim|Median: $9.56
1.6× median
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