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Provider 1386091486

NPI: 1386091486Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,252,136

Total Claims

226K

Beneficiaries

188K

1.2 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$208K
+68%
2019
$350K
+343%
2020
$1.6M
+155%
2021
$4.0M
-1%
2022
$3.9M
+14%
2023
$4.4M
-14%
2024
$3.8M

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 21% of total spending.

99214Top 25%

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

$3.8M

44K claims · 20.6%

Your Cost: $85.14/claim|Median: $53.41
1.6× median
99204Top 25%

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

$2.2M

19K claims · 11.9%

Your Cost: $116.98/claim|Median: $84.03
1.4× median
95004Normal range

Percutaneous allergy skin tests, each

$1.5M

7,732 claims · 8.1%

Your Cost: $191.46/claim|Median: $134.97
1.4× median
97530Top 25%

Therapeutic activities, each 15 min

$913K

15K claims · 5.0%

Your Cost: $61.03/claim|Median: $33.11
1.8× median
95886Top 10%

$900K

5,753 claims · 4.9%

Your Cost: $156.48/claim|Median: $67.70
2.3× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$814K

4,542 claims · 4.5%

Your Cost: $179.29/claim|Median: $54.68
3.3× median
95813Top 25%

$500K

1,920 claims · 2.7%

Your Cost: $260.51/claim|Median: $121.48
2.1× median
97110Normal range

Therapeutic exercises, each 15 min

$491K

14K claims · 2.7%

Your Cost: $34.35/claim|Median: $24.49
1.4× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$429K

4,621 claims · 2.3%

Your Cost: $92.79/claim|Median: $76.22
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$388K

3,283 claims · 2.1%

Your Cost: $118.10/claim|Median: $74.09
1.6× median
95911Normal range

$364K

2,506 claims · 2.0%

Your Cost: $145.08/claim|Median: $122.86
1.2× median
95819Top 25%

Electroencephalogram with sleep recording

$343K

1,324 claims · 1.9%

Your Cost: $259.15/claim|Median: $62.75
4.1× median
70551Top 25%

MRI brain without contrast

$342K

1,746 claims · 1.9%

Your Cost: $195.96/claim|Median: $85.39
2.3× median
95912Normal range

$330K

1,986 claims · 1.8%

Your Cost: $166.30/claim|Median: $141.23
1.2× median
99213Top 25%

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

$282K

4,627 claims · 1.5%

Your Cost: $60.92/claim|Median: $37.81
1.6× median
76700Top 25%

Ultrasound, abdominal, complete

$264K

2,872 claims · 1.4%

Your Cost: $91.75/claim|Median: $50.69
1.8× median
93923Top 25%

$258K

2,816 claims · 1.4%

Your Cost: $91.65/claim|Median: $38.08
2.4× median
94060Normal range

$246K

6,200 claims · 1.3%

Your Cost: $39.61/claim|Median: $25.18
1.6× median
94729Top 25%

$243K

6,162 claims · 1.3%

Your Cost: $39.47/claim|Median: $12.24
3.2× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$240K

2,133 claims · 1.3%

Your Cost: $112.61/claim|Median: $49.03
2.3× median
95923Top 25%

$219K

2,543 claims · 1.2%

Your Cost: $86.20/claim|Median: $44.24
1.9× median
93268Top 25%

$205K

1,170 claims · 1.1%

Your Cost: $174.94/claim|Median: $133.50
1.3× median
95800Normal range

$203K

2,017 claims · 1.1%

Your Cost: $100.74/claim|Median: $86.65
1.2× median
93229Normal range

$196K

403 claims · 1.1%

Your Cost: $487.01/claim|Median: $364.01
1.3× median
94727Top 25%

$186K

6,192 claims · 1.0%

Your Cost: $30.08/claim|Median: $14.31
2.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$161K

13K claims · 0.9%

Your Cost: $12.17/claim|Median: $16.79
0.7× median
97162Normal range

PT evaluation, moderate complexity

$153K

3,268 claims · 0.8%

Your Cost: $46.92/claim|Median: $46.10
1.0× median
95921Top 25%

$145K

2,561 claims · 0.8%

Your Cost: $56.59/claim|Median: $31.18
1.8× median
72148Top 25%

MRI lumbar spine without contrast

$135K

711 claims · 0.7%

Your Cost: $189.23/claim|Median: $101.03
1.9× median
95816Top 25%

$125K

550 claims · 0.7%

Your Cost: $226.99/claim|Median: $56.87
4.0× median
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