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Provider 1437111028

NPI: 1437111028Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,685,117

Total Claims

574K

Beneficiaries

507K

1.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+44%
2019
$1.9M
-7%
2020
$1.7M
-20%
2021
$1.4M
+20%
2022
$1.7M
+29%
2023
$2.2M
-26%
2024
$1.6M

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 23% of total spending.

99214Normal range

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

$2.7M

55K claims · 23.0%

Your Cost: $49.11/claim|Median: $53.41
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$2.4M

26K claims · 20.2%

Your Cost: $91.88/claim|Median: $101.24
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$1.6M

17K claims · 13.9%

Your Cost: $94.58/claim|Median: $74.09
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$885K

13K claims · 7.6%

Your Cost: $69.28/claim|Median: $54.68
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$775K

25K claims · 6.6%

Your Cost: $31.16/claim|Median: $35.30
0.9× median
36478Top 10%

$682K

454 claims · 5.8%

Your Cost: $1,501.58/claim|Median: $864.49
1.7× median
99204Normal range

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

$473K

9,324 claims · 4.1%

Your Cost: $50.76/claim|Median: $84.03
0.6× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$256K

1,886 claims · 2.2%

Your Cost: $135.64/claim|Median: $52.76
2.6× median
99213Normal range

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

$247K

26K claims · 2.1%

Your Cost: $9.57/claim|Median: $37.81
0.3× median
36475Top 25%

$186K

125 claims · 1.6%

Your Cost: $1,490.33/claim|Median: $902.80
1.7× median
99223Normal range

Initial hospital care, per day, high complexity

$186K

3,146 claims · 1.6%

Your Cost: $58.98/claim|Median: $67.32
0.9× median
G0108Normal range

Diabetes self-management training, individual

$117K

3,349 claims · 1.0%

Your Cost: $34.94/claim|Median: $35.89
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$102K

16K claims · 0.9%

Your Cost: $6.55/claim|Median: $5.60
1.2× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$101K

4,787 claims · 0.9%

Your Cost: $21.07/claim|Median: $9.70
2.2× median
76536Normal range

$92K

1,276 claims · 0.8%

Your Cost: $72.47/claim|Median: $44.06
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$90K

893 claims · 0.8%

Your Cost: $100.73/claim|Median: $111.09
0.9× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$89K

4,178 claims · 0.8%

Your Cost: $21.31/claim|Median: $9.79
2.2× median
17110Normal range

Destruction of benign lesions, up to fourteen

$66K

994 claims · 0.6%

Your Cost: $66.13/claim|Median: $59.25
1.1× median
99203Normal range

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

$46K

1,902 claims · 0.4%

Your Cost: $24.21/claim|Median: $57.85
0.4× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$40K

1,441 claims · 0.3%

Your Cost: $27.99/claim|Median: $14.00
2.0× median
93297Top 25%

$40K

2,617 claims · 0.3%

Your Cost: $15.18/claim|Median: $8.99
1.7× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$37K

256 claims · 0.3%

Your Cost: $143.80/claim|Median: $43.07
3.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$35K

251 claims · 0.3%

Your Cost: $137.74/claim|Median: $233.73
0.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$34K

379 claims · 0.3%

Your Cost: $90.53/claim|Median: $106.14
0.9× median
93296Top 25%

Remote monitoring of cardiac device, single or dual lead

$34K

1,722 claims · 0.3%

Your Cost: $19.83/claim|Median: $10.24
1.9× median
93295Top 10%

$25K

723 claims · 0.2%

Your Cost: $34.89/claim|Median: $21.14
1.7× median
G9012Normal range

Other specified case management service, per 15 minutes

$25K

1,578 claims · 0.2%

Your Cost: $15.62/claim|Median: $137.85
0.1× median
36471Normal range

$24K

316 claims · 0.2%

Your Cost: $76.31/claim|Median: $105.39
0.7× median
77003Normal range

$21K

1,148 claims · 0.2%

Your Cost: $18.39/claim|Median: $11.36
1.6× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$20K

337 claims · 0.2%

Your Cost: $59.68/claim|Median: $29.03
2.1× median
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