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Provider 1457731242

NPI: 1457731242Share
Active Billing Period:2018-09→2024-12(76 months)

Total Paid

$10.5M

$10,460,417

Total Claims

167K

Beneficiaries

119K

1.4 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$92K
+850%
2019
$874K
+35%
2020
$1.2M
+38%
2021
$1.6M
+24%
2022
$2.0M
+37%
2023
$2.7M
-29%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 25% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$2.6M

49K claims · 24.8%

Your Cost: $52.55/claim|Median: $35.30
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.4M

13K claims · 13.8%

Your Cost: $109.72/claim|Median: $67.32
1.6× median
95816Normal range

$1.2M

12K claims · 11.8%

Your Cost: $102.67/claim|Median: $56.87
1.8× median
95886Top 25%

$1.2M

8,489 claims · 11.2%

Your Cost: $138.16/claim|Median: $67.70
2.0× median
99213Normal range

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

$747K

21K claims · 7.1%

Your Cost: $35.32/claim|Median: $37.81
0.9× median
95913Normal range

$741K

5,321 claims · 7.1%

Your Cost: $139.27/claim|Median: $166.25
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$309K

9,359 claims · 3.0%

Your Cost: $33.01/claim|Median: $23.99
1.4× median
64615Normal range

$302K

4,695 claims · 2.9%

Your Cost: $64.40/claim|Median: $82.82
0.8× median
99204Normal range

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

$285K

3,410 claims · 2.7%

Your Cost: $83.48/claim|Median: $84.03
1.0× median
95819Normal range

Electroencephalogram with sleep recording

$250K

9,129 claims · 2.4%

Your Cost: $27.43/claim|Median: $62.75
0.4× median
99214Normal range

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

$213K

4,552 claims · 2.0%

Your Cost: $46.71/claim|Median: $53.41
0.9× median
95911Normal range

$157K

1,358 claims · 1.5%

Your Cost: $115.56/claim|Median: $122.86
0.9× median
99203Normal range

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

$154K

2,142 claims · 1.5%

Your Cost: $71.73/claim|Median: $57.85
1.2× median
92546Normal range

$139K

2,837 claims · 1.3%

Your Cost: $49.10/claim|Median: $52.33
0.9× median
92540Normal range

$135K

2,635 claims · 1.3%

Your Cost: $51.08/claim|Median: $59.84
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$111K

1,417 claims · 1.1%

Your Cost: $78.37/claim|Median: $51.25
1.5× median
95923Normal range

$94K

1,338 claims · 0.9%

Your Cost: $69.91/claim|Median: $44.24
1.6× median
99291Normal range

Critical care, first 30-74 minutes

$86K

766 claims · 0.8%

Your Cost: $111.87/claim|Median: $101.24
1.1× median
92548Top 25%

$68K

1,315 claims · 0.7%

Your Cost: $51.82/claim|Median: $27.60
1.9× median
92537Normal range

$52K

2,542 claims · 0.5%

Your Cost: $20.64/claim|Median: $24.39
0.8× median
95700Normal range

$37K

404 claims · 0.4%

Your Cost: $92.07/claim|Median: $154.31
0.6× median
20553Normal range

$31K

1,474 claims · 0.3%

Your Cost: $21.25/claim|Median: $29.47
0.7× median
93886Top 10%

$23K

92 claims · 0.2%

Your Cost: $250.69/claim|Median: $83.25
3.0× median
95813Top 25%

$17K

58 claims · 0.2%

Your Cost: $287.06/claim|Median: $121.48
2.4× median
92547Normal range

$13K

2,901 claims · 0.1%

Your Cost: $4.50/claim|Median: $3.63
1.2× median
95724Normal range

$12K

98 claims · 0.1%

Your Cost: $121.93/claim|Median: $222.23
0.5× median
96138Normal range

$9K

1,347 claims · 0.1%

Your Cost: $7.04/claim|Median: $19.87
0.4× median
93922Top 25%

$5K

82 claims · 0.0%

Your Cost: $55.65/claim|Median: $26.06
2.1× median
J3490Normal range

Unclassified drugs

$4K

578 claims · 0.0%

Your Cost: $7.01/claim|Median: $5.70
1.2× median
95720Normal range

$3K

25 claims · 0.0%

Your Cost: $128.23/claim|Median: $120.95
1.1× median
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