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Provider 1427230788

NPI: 1427230788Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.7M

$16,682,892

Total Claims

322K

Beneficiaries

276K

1.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+20%
2019
$2.8M
-3%
2020
$2.7M
-13%
2021
$2.3M
+11%
2022
$2.6M
-17%
2023
$2.1M
-10%
2024
$1.9M

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 42% of total spending.

99214Normal range

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

$7.0M

136K claims · 42.2%

Your Cost: $51.76/claim|Median: $53.41
1.0× median
64483Normal range

$1.7M

9,802 claims · 10.1%

Your Cost: $172.65/claim|Median: $124.24
1.4× median
99213Normal range

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

$1.2M

32K claims · 7.0%

Your Cost: $36.99/claim|Median: $37.81
1.0× median
64635Normal range

$1.0M

4,522 claims · 6.0%

Your Cost: $221.89/claim|Median: $207.78
1.1× median
99204Normal range

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

$896K

11K claims · 5.4%

Your Cost: $81.38/claim|Median: $84.03
1.0× median
77002Top 25%

$711K

13K claims · 4.3%

Your Cost: $55.57/claim|Median: $23.55
2.4× median
64636Top 25%

$618K

4,582 claims · 3.7%

Your Cost: $134.81/claim|Median: $63.60
2.1× median
64493Normal range

$535K

5,459 claims · 3.2%

Your Cost: $98.06/claim|Median: $103.44
0.9× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$520K

12K claims · 3.1%

Your Cost: $44.21/claim|Median: $29.03
1.5× median
64484Normal range

$402K

5,917 claims · 2.4%

Your Cost: $67.92/claim|Median: $47.83
1.4× median
64494Normal range

$260K

4,914 claims · 1.6%

Your Cost: $52.87/claim|Median: $34.70
1.5× median
62321Normal range

$243K

1,588 claims · 1.5%

Your Cost: $153.09/claim|Median: $132.67
1.2× median
20553Normal range

$204K

5,436 claims · 1.2%

Your Cost: $37.58/claim|Median: $29.47
1.3× median
64633Normal range

$185K

963 claims · 1.1%

Your Cost: $191.84/claim|Median: $223.58
0.9× median
64495Normal range

$164K

3,255 claims · 1.0%

Your Cost: $50.52/claim|Median: $36.70
1.4× median
64634Normal range

$156K

1,134 claims · 0.9%

Your Cost: $137.98/claim|Median: $96.82
1.4× median
64490Normal range

$154K

1,559 claims · 0.9%

Your Cost: $98.91/claim|Median: $111.43
0.9× median
J7321Top 25%

Hyaluronan injection for knee joint supplement

$115K

1,871 claims · 0.7%

Your Cost: $61.28/claim|Median: $24.72
2.5× median
27096Normal range

$101K

733 claims · 0.6%

Your Cost: $137.85/claim|Median: $89.16
1.5× median
64491Normal range

$79K

1,556 claims · 0.5%

Your Cost: $51.09/claim|Median: $40.21
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$69K

6,203 claims · 0.4%

Your Cost: $11.09/claim|Median: $9.56
1.2× median
01992Normal range

$66K

777 claims · 0.4%

Your Cost: $84.31/claim|Median: $54.01
1.6× median
64492Normal range

$64K

1,288 claims · 0.4%

Your Cost: $49.47/claim|Median: $38.45
1.3× median
J1040Normal range

$34K

4,330 claims · 0.2%

Your Cost: $7.90/claim|Median: $6.87
1.2× median
99492Normal range

$26K

377 claims · 0.2%

Your Cost: $68.50/claim|Median: $68.72
1.0× median
64450Normal range

$26K

1,000 claims · 0.2%

Your Cost: $25.67/claim|Median: $33.48
0.8× median
99152Top 25%

$24K

893 claims · 0.1%

Your Cost: $26.81/claim|Median: $7.34
3.7× median
80305Normal range

$22K

5,802 claims · 0.1%

Your Cost: $3.74/claim|Median: $7.44
0.5× median
J1030Normal range

Injection, methylprednisolone acetate, forty milligrams

$19K

4,532 claims · 0.1%

Your Cost: $4.30/claim|Median: $4.38
1.0× median
64640Normal range

$15K

341 claims · 0.1%

Your Cost: $44.47/claim|Median: $74.80
0.6× median
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