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Provider 1376774208

NPI: 1376774208Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,961,210

Total Claims

39K

Beneficiaries

39K

1.0 claims/patient

Avg Cost/Claim

$330

Monthly Spending Trend

Yearly Spending

2018
$120K
+492%
2019
$709K
+179%
2020
$2.0M
+34%
2021
$2.7M
-0%
2022
$2.7M
+3%
2023
$2.7M
-22%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 44% of total spending.

43239Top 10%

Upper GI endoscopy with biopsy

$5.7M

12K claims · 43.7%

Your Cost: $457.68/claim|Median: $151.68
3.0× median
45380Top 25%

Colonoscopy with biopsy

$3.7M

8,401 claims · 28.7%

Your Cost: $443.42/claim|Median: $200.68
2.2× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$1.0M

2,049 claims · 8.1%

Your Cost: $512.06/claim|Median: $255.17
2.0× median
00731Top 25%

$872K

8,595 claims · 6.7%

Your Cost: $101.41/claim|Median: $64.75
1.6× median
45378Top 25%

Colonoscopy, diagnostic

$574K

1,147 claims · 4.4%

Your Cost: $500.32/claim|Median: $225.49
2.2× median
46221Top 5%

$490K

875 claims · 3.8%

Your Cost: $559.48/claim|Median: $120.31
4.7× median
00812Normal range

$245K

2,762 claims · 1.9%

Your Cost: $88.57/claim|Median: $59.54
1.5× median
00811Top 25%

$189K

1,882 claims · 1.5%

Your Cost: $100.22/claim|Median: $56.15
1.8× median
00813Top 25%

$114K

939 claims · 0.9%

Your Cost: $121.39/claim|Median: $71.82
1.7× median
G0121Normal range

Colorectal cancer screening; colonoscopy

$40K

82 claims · 0.3%

Your Cost: $493.72/claim|Median: $332.07
1.5× median
45331Top 25%

$4K

12 claims · 0.0%

Your Cost: $361.34/claim|Median: $162.70
2.2× median
G8907Normal range

$0

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
G8918Normal range

$0

60 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03
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