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Provider 1437675980

NPI: 1437675980Share
Active Billing Period:2018-03→2024-12(73 months)

Total Paid

$10.2M

$10,248,150

Total Claims

136K

Beneficiaries

55K

2.4 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$3K
+884%
2019
$27K
+1853%
2020
$520K
+125%
2021
$1.2M
+53%
2022
$1.8M
+196%
2023
$5.3M
-72%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (Q4236) accounts for 37% of total spending.

Q4236Normal range

$3.8M

1,010 claims · 37.0%

Your Cost: $3,759.17/claim|Median: $4,838.39
0.8× median
99349Top 25%

$2.0M

35K claims · 19.6%

Your Cost: $56.92/claim|Median: $24.29
2.3× median
11043Normal range

$1.4M

25K claims · 13.4%

Your Cost: $54.48/claim|Median: $62.99
0.9× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$570K

21K claims · 5.6%

Your Cost: $27.57/claim|Median: $14.00
2.0× median
Q4188Normal range

$568K

489 claims · 5.5%

Your Cost: $1,162.00/claim|Median: $1,162.00
1.0× median
97610Top 10%

$329K

2,893 claims · 3.2%

Your Cost: $113.69/claim|Median: $17.44
6.5× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$286K

9,549 claims · 2.8%

Your Cost: $29.91/claim|Median: $36.13
0.8× median
Q4271Normal range

$202K

93 claims · 2.0%

Your Cost: $2,176.37/claim|Median: $2,176.37
1.0× median
99336Top 25%

$188K

4,054 claims · 1.8%

Your Cost: $46.39/claim|Median: $20.35
2.3× median
99348Normal range

$163K

7,241 claims · 1.6%

Your Cost: $22.48/claim|Median: $17.17
1.3× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$156K

8,520 claims · 1.5%

Your Cost: $18.35/claim|Median: $9.79
1.9× median
29581Normal range

$93K

2,987 claims · 0.9%

Your Cost: $31.05/claim|Median: $41.19
0.8× median
99335Top 10%

$66K

1,415 claims · 0.6%

Your Cost: $46.70/claim|Median: $14.90
3.1× median
11044Normal range

$63K

703 claims · 0.6%

Your Cost: $89.06/claim|Median: $62.94
1.4× median
15271Normal range

Skin substitute graft, first twenty-five square centimeters

$60K

2,326 claims · 0.6%

Your Cost: $25.67/claim|Median: $33.75
0.8× median
11046Normal range

$58K

1,712 claims · 0.6%

Your Cost: $33.94/claim|Median: $28.70
1.2× median
99358Normal range

$58K

1,770 claims · 0.6%

Your Cost: $32.77/claim|Median: $14.34
2.3× median
99497Top 10%

$46K

899 claims · 0.4%

Your Cost: $51.04/claim|Median: $10.99
4.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$41K

900 claims · 0.4%

Your Cost: $45.23/claim|Median: $35.30
1.3× median
17250Normal range

$24K

3,777 claims · 0.2%

Your Cost: $6.34/claim|Median: $19.69
0.3× median
99223Normal range

Initial hospital care, per day, high complexity

$20K

258 claims · 0.2%

Your Cost: $79.02/claim|Median: $67.32
1.2× median
99498Top 25%

$18K

317 claims · 0.2%

Your Cost: $57.82/claim|Median: $15.46
3.7× median
99344Normal range

$14K

385 claims · 0.1%

Your Cost: $35.13/claim|Median: $50.43
0.7× median
99305Normal range

$13K

564 claims · 0.1%

Your Cost: $22.51/claim|Median: $19.28
1.2× median
99306Top 25%

$10K

171 claims · 0.1%

Your Cost: $58.18/claim|Median: $29.97
1.9× median
99304Normal range

$9K

449 claims · 0.1%

Your Cost: $20.69/claim|Median: $13.51
1.5× median
99342Normal range

$4K

245 claims · 0.0%

Your Cost: $16.73/claim|Median: $32.19
0.5× median
11047Normal range

$3K

53 claims · 0.0%

Your Cost: $52.32/claim|Median: $28.87
1.8× median
99325Normal range

$2K

101 claims · 0.0%

Your Cost: $24.32/claim|Median: $13.55
1.8× median
15275Normal range

$2K

235 claims · 0.0%

Your Cost: $9.77/claim|Median: $51.83
0.2× median
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