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Provider 1417285230

NPI: 1417285230Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.5M

$12,476,601

Total Claims

171K

Beneficiaries

84K

2.0 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$620K
+235%
2019
$2.1M
+6%
2020
$2.2M
+14%
2021
$2.5M
-23%
2022
$1.9M
+7%
2023
$2.1M
-51%
2024
$1.0M

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 45% of total spending.

99291Top 25%

Critical care, first 30-74 minutes

$5.7M

32K claims · 45.3%

Your Cost: $177.01/claim|Median: $101.24
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.8M

69K claims · 22.8%

Your Cost: $41.20/claim|Median: $23.99
1.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.2M

32K claims · 17.3%

Your Cost: $67.14/claim|Median: $35.30
1.9× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$458K

6,801 claims · 3.7%

Your Cost: $67.33/claim|Median: $43.85
1.5× median
99204Normal range

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

$273K

3,117 claims · 2.2%

Your Cost: $87.63/claim|Median: $84.03
1.0× median
99214Normal range

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

$206K

3,224 claims · 1.7%

Your Cost: $63.88/claim|Median: $53.41
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$197K

2,781 claims · 1.6%

Your Cost: $71.00/claim|Median: $67.32
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$177K

2,024 claims · 1.4%

Your Cost: $87.34/claim|Median: $233.73
0.4× median
99213Normal range

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

$121K

2,963 claims · 1.0%

Your Cost: $40.72/claim|Median: $37.81
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$100K

2,171 claims · 0.8%

Your Cost: $46.23/claim|Median: $51.25
0.9× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$55K

777 claims · 0.4%

Your Cost: $70.82/claim|Median: $255.03
0.3× median
99292Normal range

$37K

569 claims · 0.3%

Your Cost: $64.21/claim|Median: $57.64
1.1× median
99217Normal range

$35K

1,009 claims · 0.3%

Your Cost: $34.71/claim|Median: $31.89
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$22K

390 claims · 0.2%

Your Cost: $57.43/claim|Median: $111.09
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$22K

275 claims · 0.2%

Your Cost: $80.71/claim|Median: $74.09
1.1× median
95806Normal range

$19K

389 claims · 0.2%

Your Cost: $48.73/claim|Median: $64.51
0.8× median
94010Normal range

$16K

3,656 claims · 0.1%

Your Cost: $4.29/claim|Median: $18.11
0.2× median
99218Normal range

$16K

361 claims · 0.1%

Your Cost: $43.16/claim|Median: $51.50
0.8× median
94729Normal range

$15K

2,503 claims · 0.1%

Your Cost: $5.96/claim|Median: $12.24
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$12K

551 claims · 0.1%

Your Cost: $22.19/claim|Median: $37.22
0.6× median
94060Normal range

$8K

1,042 claims · 0.1%

Your Cost: $7.95/claim|Median: $25.18
0.3× median
99219Normal range

$8K

125 claims · 0.1%

Your Cost: $64.00/claim|Median: $63.35
1.0× median
94727Normal range

$8K

775 claims · 0.1%

Your Cost: $9.97/claim|Median: $14.31
0.7× median
99203Normal range

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

$7K

289 claims · 0.1%

Your Cost: $24.00/claim|Median: $57.85
0.4× median
95117Top 25%

$5K

360 claims · 0.0%

Your Cost: $12.72/claim|Median: $8.34
1.5× median
94726Normal range

$3K

448 claims · 0.0%

Your Cost: $7.28/claim|Median: $13.41
0.5× median
95004Normal range

Percutaneous allergy skin tests, each

$2K

14 claims · 0.0%

Your Cost: $122.42/claim|Median: $134.97
0.9× median
99235Normal range

$1K

12 claims · 0.0%

Your Cost: $100.63/claim|Median: $110.13
0.9× median
94618Normal range

$974

58 claims · 0.0%

Your Cost: $16.79/claim|Median: $14.59
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$829

41 claims · 0.0%

Your Cost: $20.22/claim|Median: $25.06
0.8× median
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