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Provider 1467534636

NPI: 1467534636Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,798,336

Total Claims

409K

Beneficiaries

292K

1.4 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$199K
+346%
2019
$888K
+102%
2020
$1.8M
+1%
2021
$1.8M
-13%
2022
$1.6M
-2%
2023
$1.6M
-38%
2024
$955K

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 31% of total spending.

99214Normal range

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

$2.7M

60K claims · 30.9%

Your Cost: $45.19/claim|Median: $53.41
0.8× median
99213Normal range

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

$2.2M

69K claims · 24.5%

Your Cost: $31.37/claim|Median: $37.81
0.8× median
99204Normal range

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

$483K

6,576 claims · 5.5%

Your Cost: $73.49/claim|Median: $84.03
0.9× median
59409Normal range

Vaginal delivery only

$393K

1,009 claims · 4.5%

Your Cost: $389.81/claim|Median: $619.91
0.6× median
99203Normal range

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

$276K

6,069 claims · 3.1%

Your Cost: $45.48/claim|Median: $57.85
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$271K

13K claims · 3.1%

Your Cost: $20.22/claim|Median: $25.06
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$198K

3,381 claims · 2.3%

Your Cost: $58.61/claim|Median: $72.71
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$169K

2,728 claims · 1.9%

Your Cost: $62.03/claim|Median: $76.06
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$155K

6,830 claims · 1.8%

Your Cost: $22.65/claim|Median: $23.99
0.9× median
S0612Normal range

$140K

2,783 claims · 1.6%

Your Cost: $50.13/claim|Median: $37.12
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$139K

1,601 claims · 1.6%

Your Cost: $86.67/claim|Median: $151.68
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$128K

1,786 claims · 1.5%

Your Cost: $71.63/claim|Median: $74.09
1.0× median
45380Normal range

Colonoscopy with biopsy

$119K

799 claims · 1.4%

Your Cost: $148.67/claim|Median: $200.68
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$114K

1,746 claims · 1.3%

Your Cost: $65.50/claim|Median: $67.32
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$105K

2,041 claims · 1.2%

Your Cost: $51.56/claim|Median: $51.25
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$87K

2,851 claims · 1.0%

Your Cost: $30.54/claim|Median: $58.55
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$82K

2,416 claims · 0.9%

Your Cost: $34.01/claim|Median: $22.44
1.5× median
76819Normal range

Fetal biophysical profile with non-stress test

$76K

2,451 claims · 0.9%

Your Cost: $30.93/claim|Median: $49.45
0.6× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$51K

52 claims · 0.6%

Your Cost: $973.40/claim|Median: $1,482.45
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$48K

1,861 claims · 0.5%

Your Cost: $25.66/claim|Median: $29.03
0.9× median
59514Normal range

Cesarean delivery only

$46K

185 claims · 0.5%

Your Cost: $248.77/claim|Median: $452.80
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$46K

584 claims · 0.5%

Your Cost: $78.02/claim|Median: $80.15
1.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$43K

2,432 claims · 0.5%

Your Cost: $17.73/claim|Median: $24.33
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$39K

1,142 claims · 0.4%

Your Cost: $34.22/claim|Median: $35.30
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$38K

372 claims · 0.4%

Your Cost: $103.01/claim|Median: $111.09
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$36K

4,338 claims · 0.4%

Your Cost: $8.38/claim|Median: $9.56
0.9× median
59430Normal range

$36K

497 claims · 0.4%

Your Cost: $71.62/claim|Median: $80.32
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$35K

613 claims · 0.4%

Your Cost: $57.44/claim|Median: $74.82
0.8× median
59410Normal range

$33K

131 claims · 0.4%

Your Cost: $249.63/claim|Median: $781.64
0.3× median
99291Normal range

Critical care, first 30-74 minutes

$31K

442 claims · 0.4%

Your Cost: $69.71/claim|Median: $101.24
0.7× median
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