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Provider 1326158395

NPI: 1326158395Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$15.1M

$15,120,373

Total Claims

38K

Beneficiaries

36K

1.0 claims/patient

Avg Cost/Claim

$403

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+1%
2019
$2.6M
+5%
2020
$2.7M
+35%
2021
$3.7M
-59%
2022
$1.5M
-24%
2023
$1.2M
-25%
2024
$859K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (36475) accounts for 45% of total spending.

36475Normal range

$6.8M

5,536 claims · 45.1%

Your Cost: $1,231.02/claim|Median: $902.80
1.4× median
36466Top 10%

$4.8M

3,176 claims · 31.5%

Your Cost: $1,498.80/claim|Median: $930.67
1.6× median
37766Top 1%

$988K

1,635 claims · 6.5%

Your Cost: $604.42/claim|Median: $497.10
1.2× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$744K

5,137 claims · 4.9%

Your Cost: $144.82/claim|Median: $43.07
3.4× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$485K

5,532 claims · 3.2%

Your Cost: $87.74/claim|Median: $25.43
3.5× median
99213Top 10%

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

$479K

6,042 claims · 3.2%

Your Cost: $79.25/claim|Median: $37.81
2.1× median
99203Top 10%

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

$367K

3,496 claims · 2.4%

Your Cost: $104.91/claim|Median: $57.85
1.8× median
93922Top 10%

$211K

2,926 claims · 1.4%

Your Cost: $72.12/claim|Median: $26.06
2.8× median
36465Top 25%

$106K

85 claims · 0.7%

Your Cost: $1,250.93/claim|Median: $792.14
1.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$55K

332 claims · 0.4%

Your Cost: $166.98/claim|Median: $54.68
3.1× median
99212Top 10%

Office/outpatient visit, low complexity

$42K

715 claims · 0.3%

Your Cost: $59.43/claim|Median: $25.06
2.4× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$37K

2,377 claims · 0.2%

Your Cost: $15.40/claim|Median: $9.70
1.6× median
99214Top 25%

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

$13K

138 claims · 0.1%

Your Cost: $94.28/claim|Median: $53.41
1.8× median
93923Top 25%

$11K

108 claims · 0.1%

Your Cost: $97.38/claim|Median: $38.08
2.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$6K

80 claims · 0.0%

Your Cost: $78.38/claim|Median: $40.11
2.0× median
36468Normal range

$273

28 claims · 0.0%

Your Cost: $9.74/claim|Median: $9.74
1.0× median
99072Normal range

$175

220 claims · 0.0%

Your Cost: $0.80/claim|Median: $0.54
1.5× median
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