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Provider 1417901323

NPI: 1417901323Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,444,718

Total Claims

217K

Beneficiaries

206K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-54%
2019
$1.6M
-61%
2020
$629K
+45%
2021
$913K
+9%
2022
$993K
+9%
2023
$1.1M
-27%
2024
$785K

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 29% of total spending.

99213Top 10%

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

$2.8M

37K claims · 29.3%

Your Cost: $75.13/claim|Median: $37.81
2.0× median
99214Top 10%

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

$2.5M

22K claims · 26.9%

Your Cost: $115.63/claim|Median: $53.41
2.2× median
99284Top 25%

Emergency dept visit, high complexity

$762K

6,103 claims · 8.1%

Your Cost: $124.84/claim|Median: $69.51
1.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$480K

7,479 claims · 5.1%

Your Cost: $64.20/claim|Median: $42.48
1.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$421K

2,331 claims · 4.5%

Your Cost: $180.49/claim|Median: $85.65
2.1× median
99204Top 5%

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

$230K

1,381 claims · 2.4%

Your Cost: $166.46/claim|Median: $84.03
2.0× median
01967Top 25%

Anesthesia, neuraxial labor analgesia/delivery

$230K

431 claims · 2.4%

Your Cost: $532.94/claim|Median: $283.78
1.9× median
G0444Top 10%

Annual depression screening, fifteen minutes

$147K

9,050 claims · 1.6%

Your Cost: $16.19/claim|Median: $4.23
3.8× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$141K

1,923 claims · 1.5%

Your Cost: $73.24/claim|Median: $23.99
3.1× median
99221Top 10%

Initial hospital care, straightforward/low

$131K

1,396 claims · 1.4%

Your Cost: $93.89/claim|Median: $39.96
2.3× median
74177Normal range

CT abdomen and pelvis with contrast

$122K

1,266 claims · 1.3%

Your Cost: $96.10/claim|Median: $65.76
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$97K

1,238 claims · 1.0%

Your Cost: $78.48/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$90K

1,064 claims · 1.0%

Your Cost: $85.03/claim|Median: $75.18
1.1× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$85K

1,089 claims · 0.9%

Your Cost: $77.78/claim|Median: $37.22
2.1× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$77K

826 claims · 0.8%

Your Cost: $92.69/claim|Median: $35.80
2.6× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$76K

634 claims · 0.8%

Your Cost: $120.04/claim|Median: $76.06
1.6× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$74K

1,793 claims · 0.8%

Your Cost: $41.03/claim|Median: $16.77
2.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$54K

3,129 claims · 0.6%

Your Cost: $17.11/claim|Median: $17.85
1.0× median
71046Normal range

Chest X-ray, 2 views

$52K

4,430 claims · 0.5%

Your Cost: $11.70/claim|Median: $8.92
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$48K

452 claims · 0.5%

Your Cost: $106.20/claim|Median: $106.79
1.0× median
93010Top 25%

Electrocardiogram, interpretation and report only

$45K

5,225 claims · 0.5%

Your Cost: $8.52/claim|Median: $5.60
1.5× median
99460Top 10%

Initial hospital or birthing center care, newborn, per day

$44K

442 claims · 0.5%

Your Cost: $98.67/claim|Median: $62.48
1.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$43K

1,098 claims · 0.5%

Your Cost: $39.48/claim|Median: $39.33
1.0× median
70450Normal range

CT head/brain without contrast

$41K

950 claims · 0.4%

Your Cost: $43.42/claim|Median: $45.53
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$39K

393 claims · 0.4%

Your Cost: $98.63/claim|Median: $54.68
1.8× median
G0442Normal range

$37K

3,743 claims · 0.4%

Your Cost: $9.82/claim|Median: $4.91
2.0× median
71045Top 25%

Chest X-ray, single view

$35K

3,749 claims · 0.4%

Your Cost: $9.35/claim|Median: $4.93
1.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$31K

658 claims · 0.3%

Your Cost: $47.47/claim|Median: $58.55
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$29K

367 claims · 0.3%

Your Cost: $79.27/claim|Median: $74.82
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$26K

927 claims · 0.3%

Your Cost: $27.64/claim|Median: $25.06
1.1× median
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