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Provider 1457851578

NPI: 1457851578Share
Active Billing Period:2019-022024-12(70 months)

Total Paid

$8.7M

$8,743,241

Total Claims

125K

Beneficiaries

108K

1.2 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2019
$1.1M
-18%
2020
$892K
+106%
2021
$1.8M
-3%
2022
$1.8M
-1%
2023
$1.8M
-21%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 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

$1.7M

39K claims · 19.6%

Your Cost: $43.82/claim|Median: $53.41
0.8× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$1.2M

14K claims · 13.7%

Your Cost: $88.26/claim|Median: $37.56
2.3× median
64635Normal range

$868K

3,529 claims · 9.9%

Your Cost: $246.09/claim|Median: $207.78
1.2× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$769K

16K claims · 8.8%

Your Cost: $48.33/claim|Median: $35.43
1.4× median
64636Normal range

$695K

7,020 claims · 7.9%

Your Cost: $98.97/claim|Median: $63.60
1.6× median
L0650Top 1%

$564K

507 claims · 6.4%

Your Cost: $1,111.48/claim|Median: $339.16
3.3× median
G0483Top 10%

Drug test, definitive, 22+ drug classes

$455K

2,490 claims · 5.2%

Your Cost: $182.63/claim|Median: $90.89
2.0× median
64493Normal range

$394K

3,916 claims · 4.5%

Your Cost: $100.54/claim|Median: $103.44
1.0× median
99204Normal range

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

$279K

3,350 claims · 3.2%

Your Cost: $83.42/claim|Median: $84.03
1.0× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$264K

1,983 claims · 3.0%

Your Cost: $133.08/claim|Median: $111.02
1.2× median
99213Normal range

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

$249K

8,297 claims · 2.9%

Your Cost: $30.04/claim|Median: $37.81
0.8× median
64494Normal range

$204K

4,125 claims · 2.3%

Your Cost: $49.56/claim|Median: $34.70
1.4× median
64495Normal range

$195K

4,124 claims · 2.2%

Your Cost: $47.36/claim|Median: $36.70
1.3× median
64633Normal range

$177K

718 claims · 2.0%

Your Cost: $246.81/claim|Median: $223.58
1.1× median
64634Normal range

$147K

1,397 claims · 1.7%

Your Cost: $105.24/claim|Median: $96.82
1.1× median
64490Normal range

$122K

1,101 claims · 1.4%

Your Cost: $111.01/claim|Median: $111.43
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$91K

2,687 claims · 1.0%

Your Cost: $33.97/claim|Median: $29.03
1.2× median
L1833Top 1%

$83K

122 claims · 1.0%

Your Cost: $682.52/claim|Median: $278.90
2.4× median
99152Top 25%

$71K

3,406 claims · 0.8%

Your Cost: $20.80/claim|Median: $7.34
2.8× median
64491Normal range

$62K

1,153 claims · 0.7%

Your Cost: $53.36/claim|Median: $40.21
1.3× median
64492Normal range

$60K

1,145 claims · 0.7%

Your Cost: $52.44/claim|Median: $38.45
1.4× median
77002Normal range

$58K

1,712 claims · 0.7%

Your Cost: $33.74/claim|Median: $23.55
1.4× median
G0659Normal range

$12K

442 claims · 0.1%

Your Cost: $27.56/claim|Median: $32.24
0.9× median
20553Normal range

$6K

160 claims · 0.1%

Your Cost: $35.62/claim|Median: $29.47
1.2× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$5K

2,762 claims · 0.1%

Your Cost: $1.98/claim|Median: $2.91
0.7× median
99153Normal range

$1K

189 claims · 0.0%

Your Cost: $5.88/claim|Median: $5.60
1.0× median
01938Normal range

$390

14 claims · 0.0%

Your Cost: $27.84/claim|Median: $46.15
0.6× median
J3010Normal range

$10

27 claims · 0.0%

Your Cost: $0.37/claim|Median: $0.55
0.7× median
J2250Normal range

Injection, midazolam HCl, per one milligram

$5

29 claims · 0.0%

Your Cost: $0.18/claim|Median: $0.32
0.6× median