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Provider 1417042466

NPI: 1417042466Share
Active Billing Period:2019-112024-11(53 months)

Total Paid

$8.8M

$8,804,374

Total Claims

47K

Beneficiaries

32K

1.5 claims/patient

Avg Cost/Claim

$189

Monthly Spending Trend

Yearly Spending

2019
$19K
+1101%
2020
$223K
+689%
2021
$1.8M
+50%
2022
$2.6M
-10%
2023
$2.4M
-24%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 72% of total spending.

99472Top 10%

Subsequent pediatric critical care, per day, age 2-5

$6.3M

14K claims · 71.9%

Your Cost: $448.00/claim|Median: $307.98
1.5× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$707K

8,361 claims · 8.0%

Your Cost: $84.50/claim|Median: $62.48
1.4× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$673K

11K claims · 7.6%

Your Cost: $63.41/claim|Median: $37.22
1.7× median
99462Top 25%

$355K

8,926 claims · 4.0%

Your Cost: $39.78/claim|Median: $27.49
1.4× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$286K

732 claims · 3.2%

Your Cost: $390.67/claim|Median: $293.45
1.3× median
99479Top 25%

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

$197K

1,475 claims · 2.2%

Your Cost: $133.60/claim|Median: $103.70
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$142K

1,278 claims · 1.6%

Your Cost: $111.09/claim|Median: $74.09
1.5× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$70K

561 claims · 0.8%

Your Cost: $124.45/claim|Median: $98.15
1.3× median
99464Normal range

$30K

435 claims · 0.3%

Your Cost: $69.09/claim|Median: $59.94
1.2× median
99468Normal range

$11K

14 claims · 0.1%

Your Cost: $788.73/claim|Median: $679.18
1.2× median
99239Top 1%

Hospital discharge day management, more than 30 minutes

$2K

12 claims · 0.0%

Your Cost: $173.98/claim|Median: $43.85
4.0× median
99417Normal range

$2K

89 claims · 0.0%

Your Cost: $18.44/claim|Median: $34.90
0.5× median