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Provider 1346247368

NPI: 1346247368Share
Active Billing Period:2018-01→2018-08(8 months)
Billing appears to have stoppedLast active: 2018-08

Total Paid

$11.8M

$11,826,695

Total Claims

134K

Beneficiaries

109K

1.2 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 16% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$1.8M

5,646 claims · 15.6%

Your Cost: $326.98/claim|Median: $42.48
7.7× median
99284Top 5%

Emergency dept visit, high complexity

$1.6M

4,046 claims · 13.7%

Your Cost: $401.20/claim|Median: $69.51
5.8× median
G0378Top 5%

Hospital observation service, per hour

$1.4M

1,273 claims · 12.0%

Your Cost: $1,116.84/claim|Median: $99.39
11.2× median
99282Top 5%

Emergency dept visit, low complexity

$582K

2,774 claims · 4.9%

Your Cost: $209.96/claim|Median: $37.72
5.6× median
97110Top 1%

Therapeutic exercises, each 15 min

$575K

4,282 claims · 4.9%

Your Cost: $134.27/claim|Median: $24.49
5.5× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$571K

522 claims · 4.8%

Your Cost: $1,093.90/claim|Median: $763.43
1.4× median
S9480Top 5%

Intensive outpatient psychiatric services, per diem

$506K

622 claims · 4.3%

Your Cost: $814.20/claim|Median: $135.70
6.0× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$379K

1,781 claims · 3.2%

Your Cost: $213.07/claim|Median: $148.53
1.4× median
69436Top 25%

Tympanostomy, general anesthesia

$339K

330 claims · 2.9%

Your Cost: $1,026.27/claim|Median: $205.50
5.0× median
96413Top 1%

Chemotherapy administration, IV infusion, up to 1 hour

$272K

234 claims · 2.3%

Your Cost: $1,164.22/claim|Median: $75.28
15.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$265K

1,423 claims · 2.2%

Your Cost: $186.28/claim|Median: $85.65
2.2× median
92507Top 5%

Speech/hearing/language treatment

$244K

2,056 claims · 2.1%

Your Cost: $118.57/claim|Median: $49.45
2.4× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$150K

2,101 claims · 1.3%

Your Cost: $71.36/claim|Median: $16.79
4.2× median
95819Top 1%

Electroencephalogram with sleep recording

$130K

151 claims · 1.1%

Your Cost: $858.46/claim|Median: $62.75
13.7× median
90832Top 10%

Psychotherapy, 30 minutes

$118K

1,118 claims · 1.0%

Your Cost: $105.34/claim|Median: $41.28
2.6× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$110K

130 claims · 0.9%

Your Cost: $848.05/claim|Median: $54.68
15.5× median
95810Top 1%

Polysomnography, sleep study, 6+ hours

$104K

37 claims · 0.9%

Your Cost: $2,823.08/claim|Median: $233.73
12.1× median
70553Top 5%

MRI brain without contrast, then with contrast

$101K

163 claims · 0.9%

Your Cost: $620.73/claim|Median: $133.68
4.6× median
43239Top 5%

Upper GI endoscopy with biopsy

$89K

83 claims · 0.8%

Your Cost: $1,077.79/claim|Median: $151.68
7.1× median
OP278Normal range

$85K

140 claims · 0.7%

Your Cost: $604.63/claim|Median: $379.52
1.6× median
92557Top 1%

Comprehensive audiometry, air, bone, and speech testing

$77K

236 claims · 0.7%

Your Cost: $327.98/claim|Median: $27.28
12.0× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$75K

55 claims · 0.6%

Your Cost: $1,370.56/claim|Median: $331.68
4.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$72K

2,890 claims · 0.6%

Your Cost: $25.07/claim|Median: $7.50
3.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$72K

1,712 claims · 0.6%

Your Cost: $42.14/claim|Median: $35.43
1.2× median
99211Top 10%

Office/outpatient visit, minimal complexity

$70K

1,308 claims · 0.6%

Your Cost: $53.64/claim|Median: $12.93
4.1× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$67K

137 claims · 0.6%

Your Cost: $492.29/claim|Median: $36.13
13.6× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$65K

863 claims · 0.6%

Your Cost: $75.42/claim|Median: $14.92
5.1× median
90853Normal range

Group psychotherapy

$58K

1,606 claims · 0.5%

Your Cost: $36.32/claim|Median: $25.02
1.5× median
95782Top 1%

$56K

12 claims · 0.5%

Your Cost: $4,659.29/claim|Median: $216.35
21.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$54K

374 claims · 0.5%

Your Cost: $144.58/claim|Median: $52.03
2.8× median
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