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Provider 1376967422

NPI: 1376967422Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,575,308

Total Claims

146K

Beneficiaries

135K

1.1 claims/patient

Avg Cost/Claim

$114

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+26%
2019
$1.7M
+12%
2020
$2.0M
+25%
2021
$2.4M
+1%
2022
$2.5M
+25%
2023
$3.1M
+16%
2024
$3.5M

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 25% of total spending.

99214Top 25%

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

$4.1M

46K claims · 24.9%

Your Cost: $90.44/claim|Median: $53.41
1.7× median
95913Top 25%

$1.6M

6,512 claims · 9.8%

Your Cost: $249.08/claim|Median: $166.25
1.5× median
99204Top 25%

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

$1.6M

11K claims · 9.7%

Your Cost: $140.71/claim|Median: $84.03
1.7× median
95886Top 10%

$1.5M

8,107 claims · 8.9%

Your Cost: $181.00/claim|Median: $67.70
2.7× median
95819Top 25%

Electroencephalogram with sleep recording

$1.1M

3,890 claims · 6.8%

Your Cost: $291.51/claim|Median: $62.75
4.6× median
95816Top 25%

$1.1M

4,205 claims · 6.6%

Your Cost: $261.71/claim|Median: $56.87
4.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$1.1M

6,126 claims · 6.4%

Your Cost: $174.19/claim|Median: $111.09
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$807K

6,340 claims · 4.9%

Your Cost: $127.21/claim|Median: $74.09
1.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$697K

12K claims · 4.2%

Your Cost: $60.17/claim|Median: $35.30
1.7× median
99223Normal range

Initial hospital care, per day, high complexity

$672K

6,785 claims · 4.1%

Your Cost: $99.03/claim|Median: $67.32
1.5× median
99490Top 10%

Chronic care management services, 20 minutes per month

$437K

12K claims · 2.6%

Your Cost: $37.14/claim|Median: $6.31
5.9× median
99439Top 5%

$403K

9,170 claims · 2.4%

Your Cost: $44.00/claim|Median: $5.83
7.5× median
99291Normal range

Critical care, first 30-74 minutes

$220K

2,109 claims · 1.3%

Your Cost: $104.38/claim|Median: $101.24
1.0× median
95812Top 25%

$175K

687 claims · 1.1%

Your Cost: $255.43/claim|Median: $104.99
2.4× median
96132Normal range

$162K

1,573 claims · 1.0%

Your Cost: $102.92/claim|Median: $70.53
1.5× median
95912Top 25%

$138K

662 claims · 0.8%

Your Cost: $208.87/claim|Median: $141.23
1.5× median
64615Top 25%

$110K

811 claims · 0.7%

Your Cost: $135.56/claim|Median: $82.82
1.6× median
93886Top 25%

$90K

452 claims · 0.5%

Your Cost: $199.55/claim|Median: $83.25
2.4× median
93880Top 10%

Duplex ultrasound scan of carotid arteries, bilateral

$75K

492 claims · 0.5%

Your Cost: $152.05/claim|Median: $49.03
3.1× median
99213Top 25%

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

$58K

884 claims · 0.3%

Your Cost: $65.29/claim|Median: $37.81
1.7× median
99203Top 10%

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

$56K

564 claims · 0.3%

Your Cost: $99.90/claim|Median: $57.85
1.7× median
96139Normal range

$51K

937 claims · 0.3%

Your Cost: $53.96/claim|Median: $97.14
0.6× median
95911Top 25%

$48K

252 claims · 0.3%

Your Cost: $191.01/claim|Median: $122.86
1.6× median
96138Top 10%

$42K

1,085 claims · 0.3%

Your Cost: $38.85/claim|Median: $19.87
2.0× median
95813Top 25%

$36K

127 claims · 0.2%

Your Cost: $280.38/claim|Median: $121.48
2.3× median
98960Normal range

$31K

1,374 claims · 0.2%

Your Cost: $22.61/claim|Median: $12.74
1.8× median
96118Normal range

$28K

274 claims · 0.2%

Your Cost: $100.86/claim|Median: $196.66
0.5× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$18K

96 claims · 0.1%

Your Cost: $188.98/claim|Median: $75.28
2.5× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$15K

145 claims · 0.1%

Your Cost: $102.41/claim|Median: $51.25
2.0× median
96415Top 25%

Chemotherapy infusion, each additional hour

$14K

94 claims · 0.1%

Your Cost: $146.38/claim|Median: $43.68
3.4× median
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