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Provider 1366489254

NPI: 1366489254Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,159,017

Total Claims

157K

Beneficiaries

145K

1.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$437K
+45%
2019
$636K
+33%
2020
$848K
+82%
2021
$1.5M
+38%
2022
$2.1M
+48%
2023
$3.2M
-23%
2024
$2.4M

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 34% of total spending.

99214Normal range

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

$3.8M

65K claims · 34.0%

Your Cost: $57.93/claim|Median: $53.41
1.1× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.7M

20K claims · 15.4%

Your Cost: $84.72/claim|Median: $75.28
1.1× median
J1602Top 25%

$865K

582 claims · 7.8%

Your Cost: $1,486.95/claim|Median: $1,204.70
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$779K

6,590 claims · 7.0%

Your Cost: $118.18/claim|Median: $111.09
1.1× median
99204Normal range

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

$647K

7,211 claims · 5.8%

Your Cost: $89.77/claim|Median: $84.03
1.1× median
J0490Top 25%

$628K

281 claims · 5.6%

Your Cost: $2,233.72/claim|Median: $1,422.77
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$618K

7,253 claims · 5.5%

Your Cost: $85.24/claim|Median: $74.09
1.2× median
Q5121Normal range

$531K

330 claims · 4.8%

Your Cost: $1,608.46/claim|Median: $1,326.64
1.2× median
J3262Normal range

Injection, tocilizumab, one milligram

$490K

434 claims · 4.4%

Your Cost: $1,128.85/claim|Median: $702.69
1.6× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$234K

191 claims · 2.1%

Your Cost: $1,225.47/claim|Median: $1,587.53
0.8× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$194K

3,068 claims · 1.7%

Your Cost: $63.26/claim|Median: $32.55
1.9× median
J0129Top 25%

Injection, abatacept, ten milligrams intravenous

$121K

57 claims · 1.1%

Your Cost: $2,127.05/claim|Median: $1,286.08
1.7× median
96415Normal range

Chemotherapy infusion, each additional hour

$112K

4,027 claims · 1.0%

Your Cost: $27.91/claim|Median: $43.68
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$102K

2,744 claims · 0.9%

Your Cost: $37.08/claim|Median: $22.44
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$80K

32K claims · 0.7%

Your Cost: $2.53/claim|Median: $1.57
1.6× median
J0897Normal range

Injection, denosumab, one milligram

$78K

180 claims · 0.7%

Your Cost: $433.52/claim|Median: $493.25
0.9× median
99213Normal range

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

$47K

1,534 claims · 0.4%

Your Cost: $30.83/claim|Median: $37.81
0.8× median
Q5104Normal range

$41K

48 claims · 0.4%

Your Cost: $854.77/claim|Median: $1,412.69
0.6× median
Q5103Top 25%

$22K

12 claims · 0.2%

Your Cost: $1,834.92/claim|Median: $1,075.28
1.7× median
76881Normal range

$17K

541 claims · 0.1%

Your Cost: $30.79/claim|Median: $45.18
0.7× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$12K

186 claims · 0.1%

Your Cost: $66.58/claim|Median: $42.51
1.6× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$6K

1,354 claims · 0.1%

Your Cost: $4.47/claim|Median: $2.91
1.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$5K

400 claims · 0.0%

Your Cost: $13.10/claim|Median: $14.92
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$4K

630 claims · 0.0%

Your Cost: $6.53/claim|Median: $9.56
0.7× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$3K

53 claims · 0.0%

Your Cost: $50.66/claim|Median: $29.03
1.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

701 claims · 0.0%

Your Cost: $2.34/claim|Median: $2.00
1.2× median
99203Normal range

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

$1K

26 claims · 0.0%

Your Cost: $55.10/claim|Median: $57.85
1.0× median
99441Normal range

Telephone E/M by physician, 5-10 min

$1K

120 claims · 0.0%

Your Cost: $9.43/claim|Median: $13.30
0.7× median
20600Normal range

$678

50 claims · 0.0%

Your Cost: $13.56/claim|Median: $23.18
0.6× median
J1010Normal range

$377

65 claims · 0.0%

Your Cost: $5.80/claim|Median: $3.44
1.7× median
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