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Provider 1437193265

NPI: 1437193265Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,200,269

Total Claims

253K

Beneficiaries

191K

1.3 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$899K
+27%
2019
$1.1M
+25%
2020
$1.4M
+17%
2021
$1.7M
-2%
2022
$1.6M
+8%
2023
$1.8M
-7%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 25% of total spending.

99213Normal range

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

$2.5M

57K claims · 25.0%

Your Cost: $44.80/claim|Median: $37.81
1.2× median
99203Normal range

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

$1.6M

24K claims · 15.5%

Your Cost: $65.69/claim|Median: $57.85
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$793K

25K claims · 7.8%

Your Cost: $31.13/claim|Median: $33.11
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$687K

28K claims · 6.7%

Your Cost: $24.67/claim|Median: $24.49
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$624K

22K claims · 6.1%

Your Cost: $28.01/claim|Median: $20.04
1.4× median
99214Normal range

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

$586K

9,257 claims · 5.7%

Your Cost: $63.27/claim|Median: $53.41
1.2× median
99204Normal range

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

$485K

5,203 claims · 4.8%

Your Cost: $93.18/claim|Median: $84.03
1.1× median
95886Top 25%

$295K

2,462 claims · 2.9%

Your Cost: $119.97/claim|Median: $67.70
1.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$235K

12K claims · 2.3%

Your Cost: $18.80/claim|Median: $16.79
1.1× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$194K

7,866 claims · 1.9%

Your Cost: $24.70/claim|Median: $12.06
2.0× median
95911Top 25%

$164K

904 claims · 1.6%

Your Cost: $181.95/claim|Median: $122.86
1.5× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$153K

3,922 claims · 1.5%

Your Cost: $38.99/claim|Median: $29.03
1.3× median
64483Normal range

$148K

883 claims · 1.5%

Your Cost: $167.62/claim|Median: $124.24
1.3× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$110K

3,986 claims · 1.1%

Your Cost: $27.69/claim|Median: $13.55
2.0× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$107K

3,692 claims · 1.0%

Your Cost: $28.91/claim|Median: $12.64
2.3× median
L3020Top 25%

Foot insert, removable, longitudinal arch support, each

$103K

546 claims · 1.0%

Your Cost: $189.32/claim|Median: $127.94
1.5× median
95909Top 25%

$100K

861 claims · 1.0%

Your Cost: $116.04/claim|Median: $73.56
1.6× median
L4361Top 10%

$93K

371 claims · 0.9%

Your Cost: $249.49/claim|Median: $161.24
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$79K

3,196 claims · 0.8%

Your Cost: $24.78/claim|Median: $25.06
1.0× median
73564Top 25%

$72K

2,446 claims · 0.7%

Your Cost: $29.40/claim|Median: $15.00
2.0× median
29075Normal range

$68K

964 claims · 0.7%

Your Cost: $70.83/claim|Median: $64.43
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$68K

1,616 claims · 0.7%

Your Cost: $42.02/claim|Median: $40.11
1.0× median
L3908Top 10%

$67K

1,205 claims · 0.7%

Your Cost: $55.67/claim|Median: $35.79
1.6× median
99243Top 25%

Office or other outpatient consultation, low complexity

$66K

616 claims · 0.6%

Your Cost: $107.58/claim|Median: $82.43
1.3× median
73130Top 25%

$66K

2,310 claims · 0.6%

Your Cost: $28.38/claim|Median: $10.69
2.7× median
73562Top 25%

$60K

2,284 claims · 0.6%

Your Cost: $26.20/claim|Median: $12.28
2.1× median
72082Top 25%

$57K

921 claims · 0.6%

Your Cost: $61.77/claim|Median: $31.02
2.0× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$52K

820 claims · 0.5%

Your Cost: $63.07/claim|Median: $42.51
1.5× median
73030Top 25%

$49K

2,331 claims · 0.5%

Your Cost: $21.05/claim|Median: $10.94
1.9× median
73100Top 25%

$47K

1,707 claims · 0.5%

Your Cost: $27.79/claim|Median: $13.37
2.1× median
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