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Provider 1457685398

NPI: 1457685398Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,761,833

Total Claims

41K

Beneficiaries

30K

1.3 claims/patient

Avg Cost/Claim

$240

Monthly Spending Trend

Yearly Spending

2018
$476K
+10%
2019
$524K
+111%
2020
$1.1M
+39%
2021
$1.5M
+22%
2022
$1.9M
+44%
2023
$2.7M
-42%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (36475) accounts for 60% of total spending.

36475Top 25%

$5.8M

4,089 claims · 59.8%

Your Cost: $1,426.96/claim|Median: $902.80
1.6× median
36478Top 25%

$850K

618 claims · 8.7%

Your Cost: $1,375.90/claim|Median: $864.49
1.6× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$814K

6,814 claims · 8.3%

Your Cost: $119.45/claim|Median: $43.07
2.8× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$610K

7,693 claims · 6.3%

Your Cost: $79.33/claim|Median: $25.43
3.1× median
36471Normal range

$542K

5,146 claims · 5.6%

Your Cost: $105.39/claim|Median: $105.39
1.0× median
99213Normal range

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

$370K

6,904 claims · 3.8%

Your Cost: $53.59/claim|Median: $37.81
1.4× median
76942Top 25%

$285K

4,244 claims · 2.9%

Your Cost: $67.12/claim|Median: $24.73
2.7× median
99214Top 25%

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

$126K

1,560 claims · 1.3%

Your Cost: $80.56/claim|Median: $53.41
1.5× median
99204Normal range

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

$121K

1,145 claims · 1.2%

Your Cost: $105.59/claim|Median: $84.03
1.3× median
93925Top 25%

$98K

874 claims · 1.0%

Your Cost: $111.88/claim|Median: $54.12
2.1× median
36465Normal range

$40K

91 claims · 0.4%

Your Cost: $442.37/claim|Median: $792.14
0.6× median
93922Normal range

$35K

837 claims · 0.4%

Your Cost: $41.81/claim|Median: $26.06
1.6× median
99203Normal range

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

$27K

372 claims · 0.3%

Your Cost: $71.80/claim|Median: $57.85
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$6K

185 claims · 0.1%

Your Cost: $31.15/claim|Median: $25.06
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1K

29 claims · 0.0%

Your Cost: $42.64/claim|Median: $54.68
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$1K

51 claims · 0.0%

Your Cost: $22.62/claim|Median: $23.81
1.0× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$780

12 claims · 0.0%

Your Cost: $64.96/claim|Median: $49.03
1.3× median
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