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Provider 1427343391

NPI: 1427343391Share
Active Billing Period:2018-01→2024-04(76 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$8.0M

$8,011,056

Total Claims

143K

Beneficiaries

97K

1.5 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$386K
+74%
2019
$671K
+109%
2020
$1.4M
+54%
2021
$2.2M
+1%
2022
$2.2M
-50%
2023
$1.1M
-89%
2024
$115K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 27% of total spending.

99214Normal range

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

$2.2M

32K claims · 27.1%

Your Cost: $67.20/claim|Median: $53.41
1.3× median
10040Normal range

$1.4M

17K claims · 17.7%

Your Cost: $84.00/claim|Median: $70.50
1.2× median
99213Normal range

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

$927K

18K claims · 11.6%

Your Cost: $52.08/claim|Median: $37.81
1.4× median
17110Normal range

Destruction of benign lesions, up to fourteen

$862K

11K claims · 10.8%

Your Cost: $78.39/claim|Median: $59.25
1.3× median
99204Top 25%

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

$657K

5,144 claims · 8.2%

Your Cost: $127.69/claim|Median: $84.03
1.5× median
11901Normal range

$591K

16K claims · 7.4%

Your Cost: $36.76/claim|Median: $36.91
1.0× median
11102Normal range

$527K

11K claims · 6.6%

Your Cost: $46.50/claim|Median: $48.69
1.0× median
17004Top 25%

$229K

2,163 claims · 2.9%

Your Cost: $105.66/claim|Median: $65.58
1.6× median
99203Top 25%

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

$177K

2,044 claims · 2.2%

Your Cost: $86.64/claim|Median: $57.85
1.5× median
17111Normal range

$158K

1,968 claims · 2.0%

Your Cost: $80.43/claim|Median: $80.28
1.0× median
11900Normal range

$122K

4,286 claims · 1.5%

Your Cost: $28.44/claim|Median: $31.25
0.9× median
10060Normal range

Incision and drainage of abscess, simple

$37K

403 claims · 0.5%

Your Cost: $90.99/claim|Median: $75.72
1.2× median
11103Normal range

$32K

726 claims · 0.4%

Your Cost: $43.73/claim|Median: $37.08
1.2× median
17003Top 10%

$30K

1,002 claims · 0.4%

Your Cost: $30.15/claim|Median: $8.67
3.5× median
11100Top 25%

$28K

430 claims · 0.3%

Your Cost: $64.68/claim|Median: $44.58
1.5× median
17000Normal range

$28K

1,125 claims · 0.3%

Your Cost: $24.57/claim|Median: $21.35
1.2× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$20K

18K claims · 0.2%

Your Cost: $1.09/claim|Median: $2.91
0.4× median
11101Top 25%

$1K

38 claims · 0.0%

Your Cost: $36.91/claim|Median: $23.72
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$503

13 claims · 0.0%

Your Cost: $38.70/claim|Median: $25.06
1.5× median
87101Normal range

Culture, fungi, isolation, non-blood specimen

$268

39 claims · 0.0%

Your Cost: $6.87/claim|Median: $5.18
1.3× median
87081Normal range

Culture screening for pathogenic organisms

$229

53 claims · 0.0%

Your Cost: $4.32/claim|Median: $5.09
0.8× median
99000Normal range

$0

204 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
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