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Provider 1467633867

NPI: 1467633867Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,148,613

Total Claims

205K

Beneficiaries

169K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$14K
+101%
2019
$28K
+816%
2020
$255K
+749%
2021
$2.2M
+10%
2022
$2.4M
-20%
2023
$1.9M
-27%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99243 (Office or other outpatient consultation, low complexity)) accounts for 11% of total spending.

99243Normal range

Office or other outpatient consultation, low complexity

$884K

11K claims · 10.8%

Your Cost: $81.62/claim|Median: $82.43
1.0× median
99214Normal range

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

$859K

26K claims · 10.5%

Your Cost: $33.14/claim|Median: $53.41
0.6× median
99213Normal range

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

$812K

29K claims · 10.0%

Your Cost: $27.91/claim|Median: $37.81
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$645K

5,664 claims · 7.9%

Your Cost: $113.94/claim|Median: $121.58
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$493K

11K claims · 6.1%

Your Cost: $44.34/claim|Median: $23.99
1.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$493K

4,117 claims · 6.1%

Your Cost: $119.82/claim|Median: $67.32
1.8× median
99284Normal range

Emergency dept visit, high complexity

$406K

7,554 claims · 5.0%

Your Cost: $53.80/claim|Median: $69.51
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$358K

5,617 claims · 4.4%

Your Cost: $63.80/claim|Median: $106.79
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$328K

13K claims · 4.0%

Your Cost: $25.84/claim|Median: $49.45
0.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$317K

11K claims · 3.9%

Your Cost: $28.65/claim|Median: $58.55
0.5× median
99283Normal range

Emergency dept visit, moderate complexity

$246K

5,649 claims · 3.0%

Your Cost: $43.53/claim|Median: $42.48
1.0× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$222K

3,892 claims · 2.7%

Your Cost: $57.06/claim|Median: $37.22
1.5× median
76820Normal range

$213K

13K claims · 2.6%

Your Cost: $16.96/claim|Median: $31.79
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$187K

5,889 claims · 2.3%

Your Cost: $31.69/claim|Median: $74.09
0.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$160K

4,431 claims · 2.0%

Your Cost: $36.11/claim|Median: $85.65
0.4× median
99204Normal range

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

$149K

2,423 claims · 1.8%

Your Cost: $61.46/claim|Median: $84.03
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$93K

2,535 claims · 1.1%

Your Cost: $36.55/claim|Median: $41.28
0.9× median
72082Normal range

$84K

1,733 claims · 1.0%

Your Cost: $48.72/claim|Median: $31.02
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$81K

1,681 claims · 1.0%

Your Cost: $48.41/claim|Median: $63.65
0.8× median
90833Normal range

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

$80K

1,753 claims · 1.0%

Your Cost: $45.90/claim|Median: $38.83
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$70K

603 claims · 0.9%

Your Cost: $116.35/claim|Median: $108.91
1.1× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$55K

2,690 claims · 0.7%

Your Cost: $20.32/claim|Median: $31.08
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$51K

2,053 claims · 0.6%

Your Cost: $24.95/claim|Median: $47.65
0.5× median
97110Normal range

Therapeutic exercises, each 15 min

$48K

1,465 claims · 0.6%

Your Cost: $32.49/claim|Median: $24.49
1.3× median
69436Normal range

Tympanostomy, general anesthesia

$46K

563 claims · 0.6%

Your Cost: $82.16/claim|Median: $205.50
0.4× median
29065Normal range

$44K

791 claims · 0.5%

Your Cost: $56.10/claim|Median: $76.33
0.7× median
94729Top 10%

$42K

912 claims · 0.5%

Your Cost: $45.77/claim|Median: $12.24
3.7× median
94375Top 25%

$37K

1,228 claims · 0.5%

Your Cost: $30.43/claim|Median: $17.23
1.8× median
76818Normal range

$36K

983 claims · 0.4%

Your Cost: $36.81/claim|Median: $68.15
0.5× median
92567Normal range

$36K

4,047 claims · 0.4%

Your Cost: $8.86/claim|Median: $11.50
0.8× median
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