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Provider 1427031541

NPI: 1427031541Share
Active Billing Period:2018-072024-12(59 months)

Total Paid

$11.3M

$11,319,641

Total Claims

107K

Beneficiaries

53K

2.0 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$456
+8%
2019
$495
+83016%
2020
$411K
+686%
2021
$3.2M
-28%
2022
$2.3M
+15%
2023
$2.7M
+0%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 65% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$7.4M

33K claims · 64.9%

Your Cost: $221.21/claim|Median: $293.45
0.8× median
99479Normal range

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

$1.1M

16K claims · 10.0%

Your Cost: $69.98/claim|Median: $103.70
0.7× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.1M

15K claims · 9.4%

Your Cost: $69.35/claim|Median: $98.15
0.7× median
99472Normal range

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

$665K

2,662 claims · 5.9%

Your Cost: $249.77/claim|Median: $307.98
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$283K

9,716 claims · 2.5%

Your Cost: $29.15/claim|Median: $37.22
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$263K

6,911 claims · 2.3%

Your Cost: $38.06/claim|Median: $62.48
0.6× median
99468Normal range

$225K

640 claims · 2.0%

Your Cost: $350.82/claim|Median: $679.18
0.5× median
92650Normal range

$180K

16K claims · 1.6%

Your Cost: $11.36/claim|Median: $31.90
0.4× median
99462Normal range

$65K

3,594 claims · 0.6%

Your Cost: $18.10/claim|Median: $27.49
0.7× median
99464Normal range

$39K

986 claims · 0.3%

Your Cost: $39.15/claim|Median: $59.94
0.7× median
99477Normal range

$32K

244 claims · 0.3%

Your Cost: $129.48/claim|Median: $276.41
0.5× median
99465Normal range

$9K

135 claims · 0.1%

Your Cost: $65.74/claim|Median: $99.16
0.7× median
99463Normal range

$7K

127 claims · 0.1%

Your Cost: $58.58/claim|Median: $78.46
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$5K

116 claims · 0.0%

Your Cost: $47.17/claim|Median: $43.85
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$3K

146 claims · 0.0%

Your Cost: $21.15/claim|Median: $16.77
1.3× median
92586Normal range

$195

1,046 claims · 0.0%

Your Cost: $0.19/claim|Median: $51.18
0.0× median