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LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC

Physical Medicine & Rehabilitation, Pain Medicine·SANTA MARIA, CA·NPI: 1447244256Share
Active Billing Period:2018-01→2021-05(41 months)
Billing appears to have stoppedLast active: 2021-05

Total Paid

$33.4M

$33,418,969

Total Claims

984K

Beneficiaries

891K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$9.2M
+31%
2019
$12.1M
-21%
2020
$9.5M
-72%
2021
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 20% of total spending.

99214Normal range

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

$6.6M

250K claims · 19.6%

Your Cost: $26.21/claim|Median: $53.41
0.5× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$5.5M

46K claims · 16.6%

Your Cost: $119.45/claim|Median: $90.89
1.3× median
99213Normal range

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

$3.1M

74K claims · 9.4%

Your Cost: $42.68/claim|Median: $37.81
1.1× median
88356Normal range

$1.8M

13K claims · 5.5%

Your Cost: $139.69/claim|Median: $118.78
1.2× median
95886Normal range

$1.3M

17K claims · 4.0%

Your Cost: $78.48/claim|Median: $67.70
1.2× median
99490Top 25%

Chronic care management services, 20 minutes per month

$1.3M

77K claims · 3.9%

Your Cost: $16.93/claim|Median: $6.31
2.7× median
88360Top 10%

$1.2M

7,887 claims · 3.6%

Your Cost: $153.43/claim|Median: $40.50
3.8× median
64493Normal range

$978K

15K claims · 2.9%

Your Cost: $65.12/claim|Median: $103.44
0.6× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$824K

8,852 claims · 2.5%

Your Cost: $93.04/claim|Median: $35.80
2.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$819K

48K claims · 2.5%

Your Cost: $17.11/claim|Median: $35.43
0.5× median
95911Normal range

$742K

8,412 claims · 2.2%

Your Cost: $88.16/claim|Median: $122.86
0.7× median
88319Normal range

$717K

7,948 claims · 2.1%

Your Cost: $90.18/claim|Median: $50.50
1.8× median
64483Normal range

$610K

8,967 claims · 1.8%

Your Cost: $68.04/claim|Median: $124.24
0.5× median
64635Normal range

$540K

4,792 claims · 1.6%

Your Cost: $112.63/claim|Median: $207.78
0.5× median
G0481Top 25%

Drug test, definitive, 8-14 drug classes

$511K

4,698 claims · 1.5%

Your Cost: $108.75/claim|Median: $64.72
1.7× median
88314Normal range

$508K

8,819 claims · 1.5%

Your Cost: $57.60/claim|Median: $34.10
1.7× median
95913Normal range

$466K

3,553 claims · 1.4%

Your Cost: $131.30/claim|Median: $166.25
0.8× median
99204Normal range

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

$465K

9,882 claims · 1.4%

Your Cost: $47.08/claim|Median: $84.03
0.6× median
Q3014Normal range

Telehealth originating site facility fee

$378K

19K claims · 1.1%

Your Cost: $19.61/claim|Median: $15.37
1.3× median
96138Normal range

$327K

25K claims · 1.0%

Your Cost: $13.31/claim|Median: $19.87
0.7× median
64494Normal range

$291K

14K claims · 0.9%

Your Cost: $20.74/claim|Median: $34.70
0.6× median
64636Normal range

$288K

4,716 claims · 0.9%

Your Cost: $61.15/claim|Median: $63.60
1.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$262K

1,636 claims · 0.8%

Your Cost: $160.35/claim|Median: $111.09
1.4× median
J3490Normal range

Unclassified drugs

$262K

26K claims · 0.8%

Your Cost: $10.27/claim|Median: $5.70
1.8× median
99203Normal range

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

$258K

5,965 claims · 0.8%

Your Cost: $43.17/claim|Median: $57.85
0.7× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$235K

7,370 claims · 0.7%

Your Cost: $31.85/claim|Median: $38.83
0.8× median
64490Normal range

$230K

2,898 claims · 0.7%

Your Cost: $79.36/claim|Median: $111.43
0.7× median
11104Normal range

$227K

4,185 claims · 0.7%

Your Cost: $54.32/claim|Median: $76.74
0.7× median
64484Normal range

$187K

3,532 claims · 0.6%

Your Cost: $52.88/claim|Median: $47.83
1.1× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$176K

8,007 claims · 0.5%

Your Cost: $22.04/claim|Median: $42.51
0.5× median
99000Normal range

$156K

97K claims · 0.5%

Your Cost: $1.61/claim|Median: $2.30
0.7× median
11105Normal range

$132K

4,144 claims · 0.4%

Your Cost: $31.84/claim|Median: $36.75
0.9× median
J1100Top 5%

$125K

11K claims · 0.4%

Your Cost: $11.58/claim|Median: $0.52
22.3× median
96103Normal range

$115K

11K claims · 0.3%

Your Cost: $10.18/claim|Median: $5.95
1.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$112K

1,880 claims · 0.3%

Your Cost: $59.34/claim|Median: $37.56
1.6× median
64495Normal range

$111K

5,056 claims · 0.3%

Your Cost: $22.05/claim|Median: $36.70
0.6× median
76942Normal range

$107K

3,952 claims · 0.3%

Your Cost: $27.06/claim|Median: $24.73
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$105K

952 claims · 0.3%

Your Cost: $110.20/claim|Median: $108.91
1.0× median
S0020Normal range

$67K

8,146 claims · 0.2%

Your Cost: $8.26/claim|Median: $2.57
3.2× median
95910Normal range

$67K

941 claims · 0.2%

Your Cost: $71.35/claim|Median: $97.13
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$67K

7,287 claims · 0.2%

Your Cost: $9.16/claim|Median: $12.93
0.7× median
11100Normal range

$63K

2,622 claims · 0.2%

Your Cost: $24.04/claim|Median: $44.58
0.5× median
64491Normal range

$62K

2,639 claims · 0.2%

Your Cost: $23.43/claim|Median: $40.21
0.6× median
64633Normal range

$61K

392 claims · 0.2%

Your Cost: $155.79/claim|Median: $223.58
0.7× median
20553Top 25%

$61K

1,347 claims · 0.2%

Your Cost: $45.09/claim|Median: $29.47
1.5× median
95912Normal range

$59K

489 claims · 0.2%

Your Cost: $120.49/claim|Median: $141.23
0.9× median
64479Normal range

$57K

643 claims · 0.2%

Your Cost: $89.14/claim|Median: $133.50
0.7× median
T1014Normal range

$55K

18K claims · 0.2%

Your Cost: $3.01/claim|Median: $12.88
0.2× median
99152Normal range

$53K

11K claims · 0.2%

Your Cost: $4.95/claim|Median: $7.34
0.7× median
11101Normal range

$52K

2,572 claims · 0.2%

Your Cost: $20.08/claim|Median: $23.72
0.8× median

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