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Provider 1336319086

NPI: 1336319086Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.0M

$17,959,658

Total Claims

238K

Beneficiaries

211K

1.1 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-23%
2019
$2.2M
-19%
2020
$1.8M
+44%
2021
$2.5M
+19%
2022
$3.0M
+9%
2023
$3.3M
-29%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 22% of total spending.

99214Normal range

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

$3.9M

70K claims · 21.7%

Your Cost: $55.95/claim|Median: $53.41
1.0× median
99213Normal range

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

$2.3M

54K claims · 12.6%

Your Cost: $41.94/claim|Median: $37.81
1.1× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$1.1M

7,562 claims · 6.2%

Your Cost: $147.96/claim|Median: $121.58
1.2× median
95886Top 25%

$958K

6,591 claims · 5.3%

Your Cost: $145.37/claim|Median: $67.70
2.1× median
99204Normal range

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

$914K

12K claims · 5.1%

Your Cost: $74.98/claim|Median: $84.03
0.9× median
95816Top 10%

$909K

3,207 claims · 5.1%

Your Cost: $283.33/claim|Median: $56.87
5.0× median
95819Top 25%

Electroencephalogram with sleep recording

$779K

2,454 claims · 4.3%

Your Cost: $317.51/claim|Median: $62.75
5.1× median
95913Top 25%

$650K

2,904 claims · 3.6%

Your Cost: $223.85/claim|Median: $166.25
1.3× median
95715Top 5%

$564K

226 claims · 3.1%

Your Cost: $2,495.98/claim|Median: $615.45
4.1× median
01936Top 25%

$470K

4,465 claims · 2.6%

Your Cost: $105.17/claim|Median: $55.01
1.9× median
01992Top 25%

$438K

4,780 claims · 2.4%

Your Cost: $91.60/claim|Median: $54.01
1.7× median
64400Normal range

$398K

3,525 claims · 2.2%

Your Cost: $112.84/claim|Median: $114.91
1.0× median
64615Top 25%

$374K

3,039 claims · 2.1%

Your Cost: $122.94/claim|Median: $82.82
1.5× median
95700Top 5%

$315K

241 claims · 1.8%

Your Cost: $1,305.77/claim|Median: $154.31
8.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$260K

2,120 claims · 1.4%

Your Cost: $122.70/claim|Median: $54.68
2.2× median
64635Normal range

$216K

1,566 claims · 1.2%

Your Cost: $138.06/claim|Median: $207.78
0.7× median
68761Top 25%

$203K

2,281 claims · 1.1%

Your Cost: $89.19/claim|Median: $60.32
1.5× median
95910Top 25%

$199K

1,407 claims · 1.1%

Your Cost: $141.46/claim|Median: $97.13
1.5× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$182K

1,439 claims · 1.0%

Your Cost: $126.72/claim|Median: $43.07
2.9× median
95923Top 25%

$180K

1,846 claims · 1.0%

Your Cost: $97.42/claim|Median: $44.24
2.2× median
64483Normal range

$170K

1,604 claims · 0.9%

Your Cost: $106.11/claim|Median: $124.24
0.9× median
36478Normal range

$167K

217 claims · 0.9%

Your Cost: $769.54/claim|Median: $864.49
0.9× median
64450Normal range

$152K

3,974 claims · 0.8%

Your Cost: $38.27/claim|Median: $33.48
1.1× median
99203Normal range

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

$136K

2,140 claims · 0.8%

Your Cost: $63.67/claim|Median: $57.85
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$135K

393 claims · 0.7%

Your Cost: $342.67/claim|Median: $233.73
1.5× median
64405Normal range

$133K

4,508 claims · 0.7%

Your Cost: $29.44/claim|Median: $48.36
0.6× median
64493Normal range

$125K

1,399 claims · 0.7%

Your Cost: $89.62/claim|Median: $103.44
0.9× median
95921Top 10%

$117K

1,779 claims · 0.7%

Your Cost: $65.95/claim|Median: $31.18
2.1× median
64636Normal range

$115K

1,572 claims · 0.6%

Your Cost: $73.24/claim|Median: $63.60
1.2× median
93922Top 25%

$94K

1,600 claims · 0.5%

Your Cost: $58.81/claim|Median: $26.06
2.3× median