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Provider 1437529245

NPI: 1437529245Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,927,524

Total Claims

247K

Beneficiaries

188K

1.3 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+3%
2019
$2.3M
-21%
2020
$1.9M
+38%
2021
$2.6M
-15%
2022
$2.2M
+31%
2023
$2.8M
+2%
2024
$2.9M

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 13% of total spending.

99214Normal range

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

$2.1M

33K claims · 12.6%

Your Cost: $65.27/claim|Median: $53.41
1.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$2.0M

40K claims · 12.0%

Your Cost: $50.17/claim|Median: $23.99
2.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.6M

22K claims · 9.2%

Your Cost: $70.50/claim|Median: $35.30
2.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.5M

22K claims · 8.7%

Your Cost: $67.23/claim|Median: $54.68
1.2× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.3M

3,432 claims · 7.7%

Your Cost: $378.65/claim|Median: $470.36
0.8× median
99204Normal range

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

$1.2M

11K claims · 6.9%

Your Cost: $102.06/claim|Median: $84.03
1.2× median
99291Top 25%

Critical care, first 30-74 minutes

$1.1M

7,609 claims · 6.6%

Your Cost: $146.87/claim|Median: $101.24
1.5× median
99213Normal range

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

$701K

16K claims · 4.1%

Your Cost: $44.89/claim|Median: $37.81
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$585K

7,009 claims · 3.5%

Your Cost: $83.45/claim|Median: $74.09
1.1× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$445K

8,764 claims · 2.6%

Your Cost: $50.76/claim|Median: $24.33
2.1× median
95720Normal range

$407K

2,664 claims · 2.4%

Your Cost: $152.87/claim|Median: $120.95
1.3× median
99203Normal range

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

$340K

4,699 claims · 2.0%

Your Cost: $72.25/claim|Median: $57.85
1.2× median
95951Normal range

$321K

1,131 claims · 1.9%

Your Cost: $283.64/claim|Median: $183.28
1.5× median
99223Top 10%

Initial hospital care, per day, high complexity

$312K

2,335 claims · 1.8%

Your Cost: $133.69/claim|Median: $67.32
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$204K

1,566 claims · 1.2%

Your Cost: $130.49/claim|Median: $111.09
1.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$180K

1,347 claims · 1.1%

Your Cost: $133.87/claim|Median: $99.21
1.3× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$175K

1,934 claims · 1.0%

Your Cost: $90.68/claim|Median: $51.25
1.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$162K

2,050 claims · 1.0%

Your Cost: $78.91/claim|Median: $58.55
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$103K

1,969 claims · 0.6%

Your Cost: $52.44/claim|Median: $41.28
1.3× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$98K

3,299 claims · 0.6%

Your Cost: $29.83/claim|Median: $16.77
1.8× median
43239Normal range

Upper GI endoscopy with biopsy

$88K

953 claims · 0.5%

Your Cost: $92.19/claim|Median: $151.68
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$87K

1,964 claims · 0.5%

Your Cost: $44.47/claim|Median: $49.45
0.9× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$86K

1,599 claims · 0.5%

Your Cost: $53.82/claim|Median: $29.03
1.9× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$85K

1,065 claims · 0.5%

Your Cost: $79.88/claim|Median: $12.70
6.3× median
93356Normal range

$77K

4,184 claims · 0.5%

Your Cost: $18.36/claim|Median: $9.51
1.9× median
45378Normal range

Colonoscopy, diagnostic

$76K

451 claims · 0.4%

Your Cost: $168.30/claim|Median: $225.49
0.7× median
94060Normal range

$63K

2,010 claims · 0.4%

Your Cost: $31.32/claim|Median: $25.18
1.2× median
94729Top 25%

$62K

1,614 claims · 0.4%

Your Cost: $38.59/claim|Median: $12.24
3.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$62K

1,125 claims · 0.4%

Your Cost: $54.99/claim|Median: $32.55
1.7× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$56K

1,085 claims · 0.3%

Your Cost: $51.68/claim|Median: $37.22
1.4× median
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