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Provider 1386675940

NPI: 1386675940Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$10.1M

$10,100,076

Total Claims

269K

Beneficiaries

239K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$40K
+28%
2019
$51K
+645%
2020
$381K
+498%
2021
$2.3M
+27%
2022
$2.9M
+1%
2023
$2.9M
-48%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 15% of total spending.

99213Top 25%

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

$1.5M

27K claims · 14.5%

Your Cost: $55.33/claim|Median: $37.81
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

18K claims · 14.1%

Your Cost: $79.15/claim|Median: $69.35
1.1× median
99214Top 25%

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

$959K

12K claims · 9.5%

Your Cost: $79.36/claim|Median: $53.41
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$873K

11K claims · 8.6%

Your Cost: $82.10/claim|Median: $75.18
1.1× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$791K

5,920 claims · 7.8%

Your Cost: $133.66/claim|Median: $103.70
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$487K

4,006 claims · 4.8%

Your Cost: $121.64/claim|Median: $74.09
1.6× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$463K

5,719 claims · 4.6%

Your Cost: $81.02/claim|Median: $62.48
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$461K

7,526 claims · 4.6%

Your Cost: $61.31/claim|Median: $37.22
1.6× median
93303Top 25%

Echocardiography, transthoracic, limited

$458K

2,399 claims · 4.5%

Your Cost: $190.95/claim|Median: $112.83
1.7× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$446K

3,475 claims · 4.4%

Your Cost: $128.36/claim|Median: $98.15
1.3× median
90472Normal range

Immunization administration, each additional vaccine

$263K

27K claims · 2.6%

Your Cost: $9.59/claim|Median: $11.79
0.8× median
90471Normal range

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

$257K

22K claims · 2.5%

Your Cost: $11.50/claim|Median: $9.80
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$253K

2,947 claims · 2.5%

Your Cost: $85.82/claim|Median: $74.82
1.1× median
54150Normal range

$172K

2,053 claims · 1.7%

Your Cost: $83.80/claim|Median: $84.60
1.0× median
99204Top 25%

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

$171K

1,274 claims · 1.7%

Your Cost: $134.44/claim|Median: $84.03
1.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$116K

731 claims · 1.1%

Your Cost: $158.74/claim|Median: $54.68
2.9× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$108K

981 claims · 1.1%

Your Cost: $110.28/claim|Median: $51.25
2.2× median
93320Normal range

$108K

2,463 claims · 1.1%

Your Cost: $43.84/claim|Median: $28.68
1.5× median
96110Normal range

Developmental screening, per standardized instrument

$102K

12K claims · 1.0%

Your Cost: $8.57/claim|Median: $9.10
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$84K

2,307 claims · 0.8%

Your Cost: $36.50/claim|Median: $25.06
1.5× median
90474Normal range

$71K

7,320 claims · 0.7%

Your Cost: $9.75/claim|Median: $8.42
1.2× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$68K

166 claims · 0.7%

Your Cost: $407.23/claim|Median: $293.45
1.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$53K

315 claims · 0.5%

Your Cost: $166.71/claim|Median: $111.09
1.5× median
93325Normal range

$51K

2,629 claims · 0.5%

Your Cost: $19.26/claim|Median: $14.61
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$44K

486 claims · 0.4%

Your Cost: $91.47/claim|Median: $80.15
1.1× median
99462Top 25%

$42K

1,072 claims · 0.4%

Your Cost: $39.54/claim|Median: $27.49
1.4× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$42K

835 claims · 0.4%

Your Cost: $50.65/claim|Median: $23.99
2.1× median
96112Normal range

Developmental test administration

$42K

372 claims · 0.4%

Your Cost: $111.73/claim|Median: $102.95
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$39K

302 claims · 0.4%

Your Cost: $130.31/claim|Median: $121.58
1.1× median
99219Top 25%

$39K

403 claims · 0.4%

Your Cost: $95.65/claim|Median: $63.35
1.5× median
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