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Provider 1336252402

NPI: 1336252402Share
Active Billing Period:2018-012024-12(81 months)

Total Paid

$8.1M

$8,115,251

Total Claims

17K

Beneficiaries

17K

1.0 claims/patient

Avg Cost/Claim

$475

Monthly Spending Trend

Yearly Spending

2018
$115K
+420%
2019
$600K
+79%
2020
$1.1M
+63%
2021
$1.7M
-7%
2022
$1.6M
+10%
2023
$1.8M
-35%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 36% of total spending.

43239Top 10%

Upper GI endoscopy with biopsy

$2.9M

6,025 claims · 35.8%

Your Cost: $481.60/claim|Median: $151.68
3.2× median
45378Top 25%

Colonoscopy, diagnostic

$2.0M

3,935 claims · 24.3%

Your Cost: $501.99/claim|Median: $225.49
2.2× median
45380Top 25%

Colonoscopy with biopsy

$1.8M

4,328 claims · 22.0%

Your Cost: $413.20/claim|Median: $200.68
2.1× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$1.2M

2,341 claims · 14.6%

Your Cost: $506.43/claim|Median: $255.17
2.0× median
G0121Top 25%

Colorectal cancer screening; colonoscopy

$264K

463 claims · 3.3%

Your Cost: $571.11/claim|Median: $332.07
1.7× median