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Provider 1366621930

NPI: 1366621930Share
Active Billing Period:2018-10→2024-12(74 months)

Total Paid

$9.5M

$9,545,486

Total Claims

113K

Beneficiaries

98K

1.2 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$14K
+118%
2019
$31K
+544%
2020
$201K
+141%
2021
$483K
+291%
2022
$1.9M
+78%
2023
$3.4M
+6%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99254) accounts for 57% of total spending.

99254Top 25%

$5.4M

42K claims · 57.0%

Your Cost: $128.68/claim|Median: $81.43
1.6× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$3.8M

64K claims · 39.3%

Your Cost: $58.30/claim|Median: $23.99
2.4× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$90K

1,083 claims · 0.9%

Your Cost: $83.41/claim|Median: $35.30
2.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$87K

1,969 claims · 0.9%

Your Cost: $44.01/claim|Median: $51.25
0.9× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$65K

1,877 claims · 0.7%

Your Cost: $34.70/claim|Median: $16.77
2.1× median
99253Top 25%

$53K

575 claims · 0.6%

Your Cost: $91.97/claim|Median: $55.16
1.7× median
99255Top 25%

$46K

286 claims · 0.5%

Your Cost: $159.93/claim|Median: $90.45
1.8× median
99214Normal range

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

$6K

95 claims · 0.1%

Your Cost: $59.11/claim|Median: $53.41
1.1× median
99204Normal range

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

$4K

46 claims · 0.0%

Your Cost: $79.06/claim|Median: $84.03
0.9× median
99348Top 25%

$3K

62 claims · 0.0%

Your Cost: $45.57/claim|Median: $17.17
2.7× median
99203Normal range

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

$813

17 claims · 0.0%

Your Cost: $47.81/claim|Median: $57.85
0.8× median
99342Normal range

$636

16 claims · 0.0%

Your Cost: $39.77/claim|Median: $32.19
1.2× median
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