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Provider 1366763260

NPI: 1366763260Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,017,208

Total Claims

157K

Beneficiaries

123K

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+24%
2019
$3.1M
-29%
2020
$2.2M
-98%
2021
$50K
+151%
2022
$125K
-55%
2023
$56K
-57%
2024
$24K

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 39% of total spending.

99214Normal range

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

$3.1M

53K claims · 38.9%

Your Cost: $58.65/claim|Median: $53.41
1.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.7M

2,678 claims · 20.9%

Your Cost: $626.85/claim|Median: $470.36
1.3× median
99213Normal range

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

$939K

22K claims · 11.7%

Your Cost: $42.35/claim|Median: $37.81
1.1× median
99203Normal range

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

$415K

5,899 claims · 5.2%

Your Cost: $70.37/claim|Median: $57.85
1.2× median
99204Normal range

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

$279K

2,710 claims · 3.5%

Your Cost: $102.77/claim|Median: $84.03
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$248K

7,811 claims · 3.1%

Your Cost: $31.76/claim|Median: $17.85
1.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$169K

4,771 claims · 2.1%

Your Cost: $35.34/claim|Median: $54.68
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$150K

2,140 claims · 1.9%

Your Cost: $70.10/claim|Median: $69.35
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$128K

1,661 claims · 1.6%

Your Cost: $77.27/claim|Median: $74.09
1.0× median
64615Normal range

$125K

1,696 claims · 1.6%

Your Cost: $73.41/claim|Median: $82.82
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$94K

14K claims · 1.2%

Your Cost: $6.91/claim|Median: $5.60
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$75K

2,773 claims · 0.9%

Your Cost: $27.03/claim|Median: $23.99
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$66K

827 claims · 0.8%

Your Cost: $79.28/claim|Median: $75.18
1.1× median
90870Normal range

$51K

1,403 claims · 0.6%

Your Cost: $36.57/claim|Median: $68.07
0.5× median
93793Top 5%

$48K

4,546 claims · 0.6%

Your Cost: $10.53/claim|Median: $4.09
2.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$43K

863 claims · 0.5%

Your Cost: $50.21/claim|Median: $75.28
0.7× median
43239Normal range

Upper GI endoscopy with biopsy

$27K

280 claims · 0.3%

Your Cost: $97.60/claim|Median: $151.68
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$23K

265 claims · 0.3%

Your Cost: $85.41/claim|Median: $74.82
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$22K

800 claims · 0.3%

Your Cost: $27.73/claim|Median: $24.49
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$21K

145 claims · 0.3%

Your Cost: $145.32/claim|Median: $111.09
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$19K

419 claims · 0.2%

Your Cost: $46.22/claim|Median: $42.48
1.1× median
77014Normal range

CT guidance for radiation therapy procedure

$15K

873 claims · 0.2%

Your Cost: $16.84/claim|Median: $26.94
0.6× median
90960Normal range

End-stage renal disease services, per month, age 20+

$14K

728 claims · 0.2%

Your Cost: $19.65/claim|Median: $52.76
0.4× median
64483Normal range

$14K

80 claims · 0.2%

Your Cost: $178.11/claim|Median: $124.24
1.4× median
87804Normal range

Influenza virus detection, rapid test

$14K

1,069 claims · 0.2%

Your Cost: $13.29/claim|Median: $12.59
1.1× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$14K

1,376 claims · 0.2%

Your Cost: $10.32/claim|Median: $10.24
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$12K

1,482 claims · 0.1%

Your Cost: $8.10/claim|Median: $11.48
0.7× median
93307Normal range

$12K

395 claims · 0.1%

Your Cost: $29.94/claim|Median: $31.30
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$10K

157 claims · 0.1%

Your Cost: $66.72/claim|Median: $43.85
1.5× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$10K

813 claims · 0.1%

Your Cost: $12.47/claim|Median: $9.80
1.3× median
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