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Provider 1457306508

NPI: 1457306508Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,190,192

Total Claims

316K

Beneficiaries

287K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+1%
2019
$1.0M
-52%
2020
$498K
+224%
2021
$1.6M
-19%
2022
$1.3M
+12%
2023
$1.5M
-16%
2024
$1.2M

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 19% of total spending.

99214Normal range

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

$1.6M

44K claims · 19.2%

Your Cost: $35.46/claim|Median: $53.41
0.7× median
99213Normal range

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

$1.3M

78K claims · 16.2%

Your Cost: $17.05/claim|Median: $37.81
0.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$989K

13K claims · 12.1%

Your Cost: $78.32/claim|Median: $85.65
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$691K

15K claims · 8.4%

Your Cost: $45.42/claim|Median: $42.48
1.1× median
99284Normal range

Emergency dept visit, high complexity

$655K

11K claims · 8.0%

Your Cost: $60.45/claim|Median: $69.51
0.9× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$286K

8,305 claims · 3.5%

Your Cost: $34.50/claim|Median: $36.70
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$278K

8,643 claims · 3.4%

Your Cost: $32.13/claim|Median: $33.72
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$201K

38K claims · 2.5%

Your Cost: $5.35/claim|Median: $5.60
1.0× median
99203Normal range

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

$190K

3,749 claims · 2.3%

Your Cost: $50.71/claim|Median: $57.85
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$189K

6,182 claims · 2.3%

Your Cost: $30.54/claim|Median: $23.99
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$179K

4,868 claims · 2.2%

Your Cost: $36.84/claim|Median: $69.35
0.5× median
90833Normal range

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

$133K

4,252 claims · 1.6%

Your Cost: $31.28/claim|Median: $38.83
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$107K

4,533 claims · 1.3%

Your Cost: $23.51/claim|Median: $75.18
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$102K

3,199 claims · 1.2%

Your Cost: $31.90/claim|Median: $40.11
0.8× median
71045Normal range

Chest X-ray, single view

$97K

21K claims · 1.2%

Your Cost: $4.59/claim|Median: $4.93
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$78K

1,587 claims · 0.9%

Your Cost: $48.94/claim|Median: $35.30
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$73K

2,455 claims · 0.9%

Your Cost: $29.67/claim|Median: $54.68
0.5× median
0071ANormal range

$72K

2,042 claims · 0.9%

Your Cost: $35.09/claim|Median: $38.71
0.9× median
0072ANormal range

$67K

1,919 claims · 0.8%

Your Cost: $35.03/claim|Median: $39.57
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$56K

2,474 claims · 0.7%

Your Cost: $22.47/claim|Median: $39.70
0.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$53K

710 claims · 0.6%

Your Cost: $74.51/claim|Median: $91.47
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$51K

610 claims · 0.6%

Your Cost: $84.14/claim|Median: $67.32
1.2× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$44K

919 claims · 0.5%

Your Cost: $48.40/claim|Median: $56.18
0.9× median
70450Normal range

CT head/brain without contrast

$43K

1,811 claims · 0.5%

Your Cost: $23.98/claim|Median: $45.53
0.5× median
71046Normal range

Chest X-ray, 2 views

$39K

6,847 claims · 0.5%

Your Cost: $5.63/claim|Median: $8.92
0.6× median
0004ANormal range

$37K

1,215 claims · 0.5%

Your Cost: $30.72/claim|Median: $35.62
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$36K

715 claims · 0.4%

Your Cost: $49.89/claim|Median: $65.76
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$30K

254 claims · 0.4%

Your Cost: $119.11/claim|Median: $101.24
1.2× median
73721Normal range

MRI joint of lower extremity without contrast

$28K

694 claims · 0.3%

Your Cost: $39.98/claim|Median: $127.34
0.3× median
92015Normal range

Determination of refractive state

$25K

2,627 claims · 0.3%

Your Cost: $9.54/claim|Median: $10.36
0.9× median
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