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Provider 1417183963

NPI: 1417183963Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,487,543

Total Claims

408K

Beneficiaries

377K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+17%
2019
$1.3M
+13%
2020
$1.4M
+74%
2021
$2.5M
-16%
2022
$2.1M
-12%
2023
$1.8M
-32%
2024
$1.3M

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 48% of total spending.

99213Top 25%

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

$5.5M

91K claims · 47.9%

Your Cost: $60.39/claim|Median: $37.81
1.6× median
99214Top 25%

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

$2.0M

24K claims · 17.1%

Your Cost: $80.97/claim|Median: $53.41
1.5× median
99203Top 25%

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

$918K

10K claims · 8.0%

Your Cost: $89.56/claim|Median: $57.85
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$408K

3,541 claims · 3.6%

Your Cost: $115.25/claim|Median: $74.09
1.6× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$310K

5,613 claims · 2.7%

Your Cost: $55.30/claim|Median: $23.99
2.3× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$230K

1,154 claims · 2.0%

Your Cost: $199.71/claim|Median: $111.09
1.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$213K

5,681 claims · 1.9%

Your Cost: $37.49/claim|Median: $58.55
0.6× median
99204Top 25%

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

$205K

1,485 claims · 1.8%

Your Cost: $138.31/claim|Median: $84.03
1.6× median
76818Normal range

$193K

4,240 claims · 1.7%

Your Cost: $45.53/claim|Median: $68.15
0.7× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$164K

1,634 claims · 1.4%

Your Cost: $100.59/claim|Median: $51.25
2.0× median
43775Top 25%

$149K

122 claims · 1.3%

Your Cost: $1,220.86/claim|Median: $619.12
2.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$144K

2,791 claims · 1.3%

Your Cost: $51.65/claim|Median: $54.68
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$117K

3,529 claims · 1.0%

Your Cost: $33.28/claim|Median: $25.06
1.3× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$99K

1,902 claims · 0.9%

Your Cost: $51.95/claim|Median: $70.87
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$94K

2,157 claims · 0.8%

Your Cost: $43.53/claim|Median: $74.78
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$74K

841 claims · 0.6%

Your Cost: $87.80/claim|Median: $76.06
1.2× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$67K

848 claims · 0.6%

Your Cost: $79.00/claim|Median: $35.30
2.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$62K

781 claims · 0.5%

Your Cost: $79.97/claim|Median: $106.79
0.7× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$57K

2,240 claims · 0.5%

Your Cost: $25.60/claim|Median: $43.07
0.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$51K

1,627 claims · 0.4%

Your Cost: $31.61/claim|Median: $47.65
0.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$43K

1,012 claims · 0.4%

Your Cost: $42.91/claim|Median: $58.16
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$40K

489 claims · 0.3%

Your Cost: $81.88/claim|Median: $72.71
1.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$38K

328 claims · 0.3%

Your Cost: $114.56/claim|Median: $67.32
1.7× median
11306Top 10%

$32K

268 claims · 0.3%

Your Cost: $120.73/claim|Median: $35.79
3.4× median
43239Normal range

Upper GI endoscopy with biopsy

$28K

264 claims · 0.2%

Your Cost: $107.60/claim|Median: $151.68
0.7× median
20550Normal range

$24K

603 claims · 0.2%

Your Cost: $39.16/claim|Median: $29.96
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$22K

366 claims · 0.2%

Your Cost: $60.37/claim|Median: $42.48
1.4× median
90961Top 5%

$16K

96 claims · 0.1%

Your Cost: $170.94/claim|Median: $47.22
3.6× median
99291Top 25%

Critical care, first 30-74 minutes

$15K

86 claims · 0.1%

Your Cost: $175.43/claim|Median: $101.24
1.7× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$15K

405 claims · 0.1%

Your Cost: $35.96/claim|Median: $16.77
2.1× median
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