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Provider 1336163708

NPI: 1336163708Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,922,573

Total Claims

453K

Beneficiaries

299K

1.5 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$341K
+295%
2019
$1.3M
+32%
2020
$1.8M
+46%
2021
$2.6M
+20%
2022
$3.1M
-21%
2023
$2.5M
-47%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 17% of total spending.

41899Normal range

Unlisted procedure, dentoalveolar structures

$2.2M

2,165 claims · 17.0%

Your Cost: $1,012.40/claim|Median: $763.43
1.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

31K claims · 15.9%

Your Cost: $66.50/claim|Median: $42.48
1.6× median
99284Normal range

Emergency dept visit, high complexity

$1.5M

29K claims · 11.2%

Your Cost: $50.05/claim|Median: $69.51
0.7× median
99213Normal range

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

$870K

49K claims · 6.7%

Your Cost: $17.80/claim|Median: $37.81
0.5× median
99214Normal range

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

$723K

28K claims · 5.6%

Your Cost: $25.85/claim|Median: $53.41
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$664K

22K claims · 5.1%

Your Cost: $29.56/claim|Median: $63.08
0.5× median
97530Top 25%

Therapeutic activities, each 15 min

$529K

7,152 claims · 4.1%

Your Cost: $73.96/claim|Median: $33.11
2.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$513K

7,191 claims · 4.0%

Your Cost: $71.29/claim|Median: $85.65
0.8× median
70450Top 10%

CT head/brain without contrast

$336K

1,691 claims · 2.6%

Your Cost: $198.69/claim|Median: $45.53
4.4× median
36415Top 5%

Collection of venous blood by venipuncture

$260K

14K claims · 2.0%

Your Cost: $18.00/claim|Median: $1.57
11.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$198K

934 claims · 1.5%

Your Cost: $211.82/claim|Median: $65.76
3.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$194K

4,269 claims · 1.5%

Your Cost: $45.51/claim|Median: $24.49
1.9× median
99282Normal range

Emergency dept visit, low complexity

$170K

5,302 claims · 1.3%

Your Cost: $31.97/claim|Median: $37.72
0.8× median
92507Top 10%

Speech/hearing/language treatment

$168K

1,882 claims · 1.3%

Your Cost: $89.10/claim|Median: $49.45
1.8× median
80053Normal range

Comprehensive metabolic panel

$154K

16K claims · 1.2%

Your Cost: $9.48/claim|Median: $7.24
1.3× median
00170Normal range

Anesthesia for intraoral procedures

$140K

9,155 claims · 1.1%

Your Cost: $15.34/claim|Median: $132.89
0.1× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$125K

652 claims · 1.0%

Your Cost: $191.23/claim|Median: $120.85
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$98K

18K claims · 0.8%

Your Cost: $5.53/claim|Median: $4.71
1.2× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$90K

445 claims · 0.7%

Your Cost: $203.28/claim|Median: $57.39
3.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$88K

1,680 claims · 0.7%

Your Cost: $52.34/claim|Median: $75.18
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$85K

1,361 claims · 0.7%

Your Cost: $62.65/claim|Median: $36.13
1.7× median
99203Normal range

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

$83K

1,858 claims · 0.6%

Your Cost: $44.72/claim|Median: $57.85
0.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$82K

445 claims · 0.6%

Your Cost: $185.27/claim|Median: $60.19
3.1× median
87400Normal range

$70K

12K claims · 0.5%

Your Cost: $6.02/claim|Median: $8.40
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$68K

1,616 claims · 0.5%

Your Cost: $41.86/claim|Median: $69.35
0.6× median
D0272Top 1%

Bitewings, two radiographic images

$65K

308 claims · 0.5%

Your Cost: $210.97/claim|Median: $15.81
13.3× median
G0378Normal range

Hospital observation service, per hour

$63K

1,109 claims · 0.5%

Your Cost: $57.19/claim|Median: $99.39
0.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$60K

5,515 claims · 0.5%

Your Cost: $10.80/claim|Median: $7.50
1.4× median
99281Top 25%

Emergency dept visit, minimal complexity

$56K

487 claims · 0.4%

Your Cost: $115.65/claim|Median: $52.03
2.2× median
99204Normal range

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

$53K

509 claims · 0.4%

Your Cost: $104.69/claim|Median: $84.03
1.2× median
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