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Provider 1427043777

NPI: 1427043777Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,516,442

Total Claims

171K

Beneficiaries

161K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-1%
2019
$1.3M
-8%
2020
$1.2M
+8%
2021
$1.3M
+2%
2022
$1.3M
-9%
2023
$1.2M
-31%
2024
$839K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 15% of total spending.

99214Normal range

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

$1.3M

21K claims · 14.9%

Your Cost: $59.31/claim|Median: $53.41
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$1.1M

3,255 claims · 13.2%

Your Cost: $344.28/claim|Median: $233.73
1.5× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$1.1M

6,902 claims · 12.8%

Your Cost: $157.57/claim|Median: $106.14
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$961K

10K claims · 11.3%

Your Cost: $96.02/claim|Median: $54.68
1.8× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$680K

1,928 claims · 8.0%

Your Cost: $352.89/claim|Median: $255.03
1.4× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$679K

6,446 claims · 8.0%

Your Cost: $105.41/claim|Median: $64.30
1.6× median
J2785Normal range

$612K

5,579 claims · 7.2%

Your Cost: $109.68/claim|Median: $61.83
1.8× median
99213Normal range

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

$561K

13K claims · 6.6%

Your Cost: $42.61/claim|Median: $37.81
1.1× median
99204Top 25%

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

$410K

3,200 claims · 4.8%

Your Cost: $128.08/claim|Median: $84.03
1.5× median
93015Normal range

$290K

6,906 claims · 3.4%

Your Cost: $42.01/claim|Median: $41.12
1.0× median
93224Normal range

ECG monitoring, continuous, up to forty-eight hours, with analysis

$248K

3,721 claims · 2.9%

Your Cost: $66.66/claim|Median: $67.14
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$140K

6,087 claims · 1.6%

Your Cost: $23.00/claim|Median: $21.76
1.1× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$136K

2,769 claims · 1.6%

Your Cost: $49.27/claim|Median: $49.03
1.0× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$105K

1,647 claims · 1.2%

Your Cost: $63.52/claim|Median: $43.07
1.5× median
93458Normal range

Left heart catheterization with imaging

$94K

738 claims · 1.1%

Your Cost: $126.74/claim|Median: $183.33
0.7× median
J0280Normal range

$23K

5,573 claims · 0.3%

Your Cost: $4.07/claim|Median: $3.04
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$22K

371 claims · 0.3%

Your Cost: $60.00/claim|Median: $67.32
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$22K

1,705 claims · 0.3%

Your Cost: $12.70/claim|Median: $12.93
1.0× median
99203Top 25%

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

$18K

221 claims · 0.2%

Your Cost: $80.61/claim|Median: $57.85
1.4× median
36475Normal range

$11K

16 claims · 0.1%

Your Cost: $705.17/claim|Median: $902.80
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$7K

641 claims · 0.1%

Your Cost: $10.24/claim|Median: $9.70
1.1× median
93229Normal range

$6K

37 claims · 0.1%

Your Cost: $156.13/claim|Median: $364.01
0.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$6K

291 claims · 0.1%

Your Cost: $19.77/claim|Median: $23.99
0.8× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$5K

95 claims · 0.1%

Your Cost: $50.41/claim|Median: $25.43
2.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$2K

81 claims · 0.0%

Your Cost: $29.29/claim|Median: $22.44
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$1K

52 claims · 0.0%

Your Cost: $26.66/claim|Median: $25.06
1.1× median
85610Normal range

Prothrombin time (PT) blood clotting test

$1K

660 claims · 0.0%

Your Cost: $1.84/claim|Median: $2.14
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$440

12 claims · 0.0%

Your Cost: $36.69/claim|Median: $51.25
0.7× median
93784Normal range

$291

13 claims · 0.0%

Your Cost: $22.41/claim|Median: $38.61
0.6× median
93228Normal range

$284

36 claims · 0.0%

Your Cost: $7.89/claim|Median: $14.08
0.6× median
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