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Provider 1386971687

NPI: 1386971687Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.3M

$12,275,353

Total Claims

90K

Beneficiaries

88K

1.0 claims/patient

Avg Cost/Claim

$137

Monthly Spending Trend

Yearly Spending

2018
$848K
+37%
2019
$1.2M
+9%
2020
$1.3M
+43%
2021
$1.8M
+31%
2022
$2.4M
+4%
2023
$2.5M
-4%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (88305 (Surgical pathology, gross and microscopic examination)) accounts for 26% of total spending.

88305Top 5%

Surgical pathology, gross and microscopic examination

$3.2M

17K claims · 26.3%

Your Cost: $184.36/claim|Median: $35.80
5.1× median
99214Top 5%

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

$2.6M

22K claims · 21.4%

Your Cost: $117.58/claim|Median: $53.41
2.2× median
45380Normal range

Colonoscopy with biopsy

$1.2M

5,178 claims · 9.5%

Your Cost: $225.91/claim|Median: $200.68
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$1.2M

6,274 claims · 9.5%

Your Cost: $186.14/claim|Median: $151.68
1.2× median
99204Top 5%

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

$915K

5,067 claims · 7.5%

Your Cost: $180.57/claim|Median: $84.03
2.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$750K

2,484 claims · 6.1%

Your Cost: $301.73/claim|Median: $255.17
1.2× median
99213Top 10%

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

$743K

9,156 claims · 6.1%

Your Cost: $81.16/claim|Median: $37.81
2.1× median
00811Normal range

$500K

7,835 claims · 4.1%

Your Cost: $63.81/claim|Median: $56.15
1.1× median
00731Normal range

$419K

6,469 claims · 3.4%

Your Cost: $64.82/claim|Median: $64.75
1.0× median
88312Top 10%

$361K

3,778 claims · 2.9%

Your Cost: $95.45/claim|Median: $24.56
3.9× median
99203Top 5%

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

$202K

1,660 claims · 1.6%

Your Cost: $121.62/claim|Median: $57.85
2.1× median
46221Top 25%

$50K

221 claims · 0.4%

Your Cost: $224.45/claim|Median: $120.31
1.9× median
45378Normal range

Colonoscopy, diagnostic

$44K

133 claims · 0.4%

Your Cost: $331.53/claim|Median: $225.49
1.5× median
99215Top 5%

Office/outpatient visit, high complexity

$21K

116 claims · 0.2%

Your Cost: $178.16/claim|Median: $74.09
2.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$13K

633 claims · 0.1%

Your Cost: $20.91/claim|Median: $12.93
1.6× median
99223Top 10%

Initial hospital care, per day, high complexity

$13K

97 claims · 0.1%

Your Cost: $134.75/claim|Median: $67.32
2.0× median
99243Top 10%

Office or other outpatient consultation, low complexity

$13K

102 claims · 0.1%

Your Cost: $125.13/claim|Median: $82.43
1.5× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$11K

58 claims · 0.1%

Your Cost: $186.50/claim|Median: $121.58
1.5× median
88313Top 25%

$9K

134 claims · 0.1%

Your Cost: $66.74/claim|Median: $18.95
3.5× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$6K

78 claims · 0.1%

Your Cost: $80.00/claim|Median: $35.30
2.3× median
91110Normal range

$6K

12 claims · 0.0%

Your Cost: $470.12/claim|Median: $428.00
1.1× median
00812Normal range

$5K

56 claims · 0.0%

Your Cost: $85.78/claim|Median: $59.54
1.4× median
76981Top 25%

$4K

42 claims · 0.0%

Your Cost: $91.67/claim|Median: $42.75
2.1× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$4K

15 claims · 0.0%

Your Cost: $249.90/claim|Median: $111.09
2.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$1K

24 claims · 0.0%

Your Cost: $52.81/claim|Median: $23.99
2.2× median
99152Top 10%

$919

26 claims · 0.0%

Your Cost: $35.35/claim|Median: $7.34
4.8× median
91200Top 25%

$436

12 claims · 0.0%

Your Cost: $36.34/claim|Median: $17.80
2.0× median
99490Normal range

Chronic care management services, 20 minutes per month

$193

56 claims · 0.0%

Your Cost: $3.44/claim|Median: $6.31
0.5× median
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