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Provider 1386813103

NPI: 1386813103Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.4M

$15,421,061

Total Claims

229K

Beneficiaries

111K

2.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+24%
2019
$1.7M
+20%
2020
$2.1M
+1%
2021
$2.1M
+12%
2022
$2.3M
+26%
2023
$2.9M
+2%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99291 (Critical care, first 30-74 minutes)) accounts for 47% of total spending.

99291Normal range

Critical care, first 30-74 minutes

$7.3M

73K claims · 47.5%

Your Cost: $100.39/claim|Median: $101.24
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.3M

70K claims · 14.9%

Your Cost: $32.71/claim|Median: $35.30
0.9× median
99292Top 25%

$1.9M

19K claims · 12.6%

Your Cost: $101.50/claim|Median: $57.64
1.8× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$879K

2,461 claims · 5.7%

Your Cost: $357.01/claim|Median: $255.03
1.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$775K

2,217 claims · 5.0%

Your Cost: $349.68/claim|Median: $233.73
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$487K

15K claims · 3.2%

Your Cost: $32.81/claim|Median: $23.99
1.4× median
99214Normal range

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

$370K

9,814 claims · 2.4%

Your Cost: $37.71/claim|Median: $53.41
0.7× median
94729Top 25%

$170K

3,799 claims · 1.1%

Your Cost: $44.72/claim|Median: $12.24
3.7× median
94726Top 25%

$169K

3,787 claims · 1.1%

Your Cost: $44.65/claim|Median: $13.41
3.3× median
99223Normal range

Initial hospital care, per day, high complexity

$156K

2,174 claims · 1.0%

Your Cost: $71.81/claim|Median: $67.32
1.1× median
94060Normal range

$155K

3,762 claims · 1.0%

Your Cost: $41.27/claim|Median: $25.18
1.6× median
99204Normal range

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

$135K

1,853 claims · 0.9%

Your Cost: $72.64/claim|Median: $84.03
0.9× median
99310Normal range

$123K

3,848 claims · 0.8%

Your Cost: $31.85/claim|Median: $21.82
1.5× median
99308Normal range

Nursing facility care, subsequent, straightforward

$102K

5,927 claims · 0.7%

Your Cost: $17.17/claim|Median: $9.79
1.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$81K

3,491 claims · 0.5%

Your Cost: $23.10/claim|Median: $16.77
1.4× median
99348Normal range

$40K

3,472 claims · 0.3%

Your Cost: $11.65/claim|Median: $17.17
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$37K

817 claims · 0.2%

Your Cost: $45.58/claim|Median: $74.09
0.6× median
94660Normal range

$32K

817 claims · 0.2%

Your Cost: $38.92/claim|Median: $36.43
1.1× median
99203Normal range

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

$24K

396 claims · 0.2%

Your Cost: $59.76/claim|Median: $57.85
1.0× median
99213Normal range

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

$22K

845 claims · 0.1%

Your Cost: $25.79/claim|Median: $37.81
0.7× median
99284Normal range

Emergency dept visit, high complexity

$19K

257 claims · 0.1%

Your Cost: $74.86/claim|Median: $69.51
1.1× median
94618Top 25%

$15K

531 claims · 0.1%

Your Cost: $29.03/claim|Median: $14.59
2.0× median
99306Normal range

$15K

353 claims · 0.1%

Your Cost: $42.51/claim|Median: $29.97
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$12K

158 claims · 0.1%

Your Cost: $75.47/claim|Median: $111.09
0.7× median
95800Top 25%

$10K

69 claims · 0.1%

Your Cost: $149.02/claim|Median: $86.65
1.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$10K

135 claims · 0.1%

Your Cost: $73.06/claim|Median: $51.25
1.4× median
G0447Top 25%

$8K

391 claims · 0.1%

Your Cost: $21.10/claim|Median: $5.19
4.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$3K

155 claims · 0.0%

Your Cost: $16.91/claim|Median: $9.56
1.8× median
99305Top 25%

$2K

60 claims · 0.0%

Your Cost: $38.95/claim|Median: $19.28
2.0× median
99221Normal range

Initial hospital care, straightforward/low

$609

12 claims · 0.0%

Your Cost: $50.71/claim|Median: $39.96
1.3× median
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