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CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION, LLC

Orthopaedic Surgery·PHOENIX, AZ·NPI: 1427095801Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$36.4M

$36,405,812

Total Claims

815K

Beneficiaries

608K

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+6%
2019
$3.5M
+38%
2020
$4.8M
+19%
2021
$5.7M
+9%
2022
$6.3M
+7%
2023
$6.7M
-8%
2024
$6.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 21% of total spending.

99214Normal range

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

$7.5M

139K claims · 20.5%

Your Cost: $53.74/claim|Median: $53.41
1.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$6.9M

143K claims · 19.0%

Your Cost: $48.52/claim|Median: $24.49
2.0× median
99213Normal range

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

$4.7M

117K claims · 13.0%

Your Cost: $40.49/claim|Median: $37.81
1.1× median
99203Normal range

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

$3.2M

55K claims · 8.9%

Your Cost: $59.39/claim|Median: $57.85
1.0× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$1.5M

35K claims · 4.2%

Your Cost: $43.56/claim|Median: $29.03
1.5× median
64483Normal range

$1.4M

7,274 claims · 3.8%

Your Cost: $191.27/claim|Median: $124.24
1.5× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$1.3M

39K claims · 3.6%

Your Cost: $33.60/claim|Median: $20.04
1.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.1M

62K claims · 3.0%

Your Cost: $17.40/claim|Median: $16.79
1.0× median
99204Normal range

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

$992K

11K claims · 2.7%

Your Cost: $88.40/claim|Median: $84.03
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$636K

16K claims · 1.7%

Your Cost: $39.01/claim|Median: $33.11
1.2× median
97161Top 25%

Physical therapy evaluation, low complexity

$603K

8,807 claims · 1.7%

Your Cost: $68.45/claim|Median: $47.89
1.4× median
95886Top 25%

$494K

4,354 claims · 1.4%

Your Cost: $113.37/claim|Median: $67.70
1.7× median
J0897Normal range

Injection, denosumab, one milligram

$470K

1,256 claims · 1.3%

Your Cost: $374.43/claim|Median: $493.25
0.8× median
72100Top 25%

$406K

16K claims · 1.1%

Your Cost: $25.66/claim|Median: $15.14
1.7× median
73564Top 25%

$402K

14K claims · 1.1%

Your Cost: $29.70/claim|Median: $15.00
2.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$362K

8,320 claims · 1.0%

Your Cost: $43.48/claim|Median: $23.99
1.8× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$306K

14K claims · 0.8%

Your Cost: $22.65/claim|Median: $12.06
1.9× median
27447Normal range

Total knee replacement surgery, both components

$301K

413 claims · 0.8%

Your Cost: $729.08/claim|Median: $1,115.75
0.7× median
73030Top 25%

$272K

13K claims · 0.7%

Your Cost: $21.45/claim|Median: $10.94
2.0× median
64635Normal range

$236K

934 claims · 0.6%

Your Cost: $252.70/claim|Median: $207.78
1.2× median
73130Top 25%

$228K

8,594 claims · 0.6%

Your Cost: $26.58/claim|Median: $10.69
2.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$221K

1,822 claims · 0.6%

Your Cost: $121.25/claim|Median: $67.32
1.8× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$219K

41K claims · 0.6%

Your Cost: $5.35/claim|Median: $2.91
1.8× median
36475Normal range

$204K

291 claims · 0.6%

Your Cost: $702.12/claim|Median: $902.80
0.8× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$195K

7,702 claims · 0.5%

Your Cost: $25.33/claim|Median: $13.55
1.9× median
64493Normal range

$171K

1,147 claims · 0.5%

Your Cost: $149.08/claim|Median: $103.44
1.4× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$167K

5,587 claims · 0.5%

Your Cost: $29.85/claim|Median: $12.64
2.4× median
64636Top 25%

$137K

905 claims · 0.4%

Your Cost: $151.72/claim|Median: $63.60
2.4× median
J7318Top 25%

$128K

140 claims · 0.4%

Your Cost: $915.64/claim|Median: $505.91
1.8× median
95913Top 25%

$111K

442 claims · 0.3%

Your Cost: $250.54/claim|Median: $166.25
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$83K

1,984 claims · 0.2%

Your Cost: $41.63/claim|Median: $35.43
1.2× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$82K

714 claims · 0.2%

Your Cost: $114.18/claim|Median: $43.07
2.7× median
72040Top 25%

$78K

2,891 claims · 0.2%

Your Cost: $26.85/claim|Median: $16.49
1.6× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$76K

272 claims · 0.2%

Your Cost: $279.36/claim|Median: $470.36
0.6× median
64494Top 25%

$68K

930 claims · 0.2%

Your Cost: $73.43/claim|Median: $34.70
2.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$68K

981 claims · 0.2%

Your Cost: $69.30/claim|Median: $35.30
2.0× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$44K

629 claims · 0.1%

Your Cost: $69.87/claim|Median: $42.51
1.6× median
72110Top 25%

$43K

1,116 claims · 0.1%

Your Cost: $38.94/claim|Median: $21.02
1.9× median
95911Top 25%

$43K

234 claims · 0.1%

Your Cost: $184.77/claim|Median: $122.86
1.5× median
73502Top 25%

$42K

1,503 claims · 0.1%

Your Cost: $28.28/claim|Median: $10.79
2.6× median
98980Top 10%

$40K

1,102 claims · 0.1%

Your Cost: $35.87/claim|Median: $8.81
4.1× median
62321Normal range

$39K

229 claims · 0.1%

Your Cost: $171.70/claim|Median: $132.67
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$39K

540 claims · 0.1%

Your Cost: $72.61/claim|Median: $51.25
1.4× median
95910Top 25%

$39K

253 claims · 0.1%

Your Cost: $152.60/claim|Median: $97.13
1.6× median
73560Top 25%

$37K

1,464 claims · 0.1%

Your Cost: $25.46/claim|Median: $10.28
2.5× median
95912Top 25%

$35K

168 claims · 0.1%

Your Cost: $209.69/claim|Median: $141.23
1.5× median
64484Normal range

$35K

526 claims · 0.1%

Your Cost: $66.67/claim|Median: $47.83
1.4× median
77002Top 10%

$33K

446 claims · 0.1%

Your Cost: $74.54/claim|Median: $23.55
3.2× median
97535Normal range

Self-care/home management training, per 15 minutes

$33K

1,444 claims · 0.1%

Your Cost: $22.88/claim|Median: $18.18
1.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$31K

437 claims · 0.1%

Your Cost: $71.36/claim|Median: $43.85
1.6× median

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