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Provider 1417902925

NPI: 1417902925Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.3M

$17,263,687

Total Claims

521K

Beneficiaries

338K

1.5 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$517K
-6%
2019
$483K
+403%
2020
$2.4M
+26%
2021
$3.1M
+13%
2022
$3.5M
+13%
2023
$3.9M
-14%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 20% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$3.4M

82K claims · 19.8%

Your Cost: $41.77/claim|Median: $35.30
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.2M

112K claims · 18.7%

Your Cost: $28.80/claim|Median: $23.99
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$2.1M

19K claims · 12.3%

Your Cost: $112.34/claim|Median: $101.24
1.1× median
99214Normal range

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

$2.1M

49K claims · 12.2%

Your Cost: $42.97/claim|Median: $53.41
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.8M

29K claims · 10.2%

Your Cost: $61.30/claim|Median: $54.68
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$893K

123K claims · 5.2%

Your Cost: $7.24/claim|Median: $5.60
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$330K

3,932 claims · 1.9%

Your Cost: $84.04/claim|Median: $67.32
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$319K

5,969 claims · 1.8%

Your Cost: $53.39/claim|Median: $43.85
1.2× median
99213Normal range

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

$257K

8,966 claims · 1.5%

Your Cost: $28.65/claim|Median: $37.81
0.8× median
99204Normal range

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

$254K

3,140 claims · 1.5%

Your Cost: $80.99/claim|Median: $84.03
1.0× median
99254Normal range

$232K

2,250 claims · 1.3%

Your Cost: $102.96/claim|Median: $81.43
1.3× median
90960Normal range

End-stage renal disease services, per month, age 20+

$215K

3,546 claims · 1.2%

Your Cost: $60.68/claim|Median: $52.76
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$161K

3,020 claims · 0.9%

Your Cost: $53.46/claim|Median: $51.25
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$152K

1,670 claims · 0.9%

Your Cost: $91.15/claim|Median: $151.68
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$151K

2,653 claims · 0.9%

Your Cost: $56.85/claim|Median: $74.09
0.8× median
99255Normal range

$123K

986 claims · 0.7%

Your Cost: $124.53/claim|Median: $90.45
1.4× median
93458Normal range

Left heart catheterization with imaging

$114K

719 claims · 0.7%

Your Cost: $159.20/claim|Median: $183.33
0.9× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$105K

268 claims · 0.6%

Your Cost: $391.46/claim|Median: $255.03
1.5× median
99245Normal range

Office consultation, high complexity

$91K

604 claims · 0.5%

Your Cost: $151.30/claim|Median: $143.30
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$83K

2,279 claims · 0.5%

Your Cost: $36.39/claim|Median: $37.22
1.0× median
95806Top 25%

$69K

416 claims · 0.4%

Your Cost: $165.29/claim|Median: $64.51
2.6× median
45380Normal range

Colonoscopy with biopsy

$68K

481 claims · 0.4%

Your Cost: $141.25/claim|Median: $200.68
0.7× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$62K

1,318 claims · 0.4%

Your Cost: $46.81/claim|Median: $106.14
0.4× median
94729Normal range

$58K

2,253 claims · 0.3%

Your Cost: $25.69/claim|Median: $12.24
2.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$55K

456 claims · 0.3%

Your Cost: $120.77/claim|Median: $121.58
1.0× median
43274Normal range

$50K

258 claims · 0.3%

Your Cost: $195.25/claim|Median: $296.21
0.7× median
94726Normal range

$50K

1,823 claims · 0.3%

Your Cost: $27.17/claim|Median: $13.41
2.0× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$45K

3,041 claims · 0.3%

Your Cost: $14.71/claim|Median: $9.70
1.5× median
G2066Normal range

$41K

2,496 claims · 0.2%

Your Cost: $16.40/claim|Median: $14.66
1.1× median
99203Normal range

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

$41K

688 claims · 0.2%

Your Cost: $59.31/claim|Median: $57.85
1.0× median