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Provider 1467649657

NPI: 1467649657Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.5M

$12,480,459

Total Claims

217K

Beneficiaries

208K

1.0 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+36%
2019
$1.5M
+10%
2020
$1.7M
+15%
2021
$1.9M
-0%
2022
$1.9M
+20%
2023
$2.3M
-8%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 70% of total spending.

99213Top 25%

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

$8.8M

152K claims · 70.5%

Your Cost: $57.98/claim|Median: $37.81
1.5× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$1.5M

7,906 claims · 12.1%

Your Cost: $191.43/claim|Median: $111.02
1.7× median
99204Top 25%

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

$1.2M

10K claims · 9.6%

Your Cost: $117.47/claim|Median: $84.03
1.4× median
62321Normal range

$216K

964 claims · 1.7%

Your Cost: $224.50/claim|Median: $132.67
1.7× median
64493Top 25%

$190K

896 claims · 1.5%

Your Cost: $211.82/claim|Median: $103.44
2.0× median
80305Top 25%

$142K

14K claims · 1.1%

Your Cost: $10.42/claim|Median: $7.44
1.4× median
64494Top 10%

$85K

758 claims · 0.7%

Your Cost: $111.95/claim|Median: $34.70
3.2× median
27096Top 25%

$75K

410 claims · 0.6%

Your Cost: $182.20/claim|Median: $89.16
2.0× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$62K

17K claims · 0.5%

Your Cost: $3.76/claim|Median: $2.91
1.3× median
99203Normal range

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

$51K

908 claims · 0.4%

Your Cost: $56.37/claim|Median: $57.85
1.0× median
99214Top 25%

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

$45K

519 claims · 0.4%

Your Cost: $86.49/claim|Median: $53.41
1.6× median
Q9965Normal range

$36K

12K claims · 0.3%

Your Cost: $3.04/claim|Median: $1.82
1.7× median
20553Top 25%

$24K

468 claims · 0.2%

Your Cost: $50.95/claim|Median: $29.47
1.7× median
64635Top 25%

$22K

53 claims · 0.2%

Your Cost: $418.64/claim|Median: $207.78
2.0× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$14K

220 claims · 0.1%

Your Cost: $61.53/claim|Median: $29.03
2.1× median
64636Top 25%

$8K

40 claims · 0.1%

Your Cost: $191.67/claim|Median: $63.60
3.0× median
95886Top 10%

$7K

38 claims · 0.1%

Your Cost: $179.64/claim|Median: $67.70
2.7× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$3K

13 claims · 0.0%

Your Cost: $216.00/claim|Median: $111.09
1.9× median
20611Top 10%

Aspiration or injection of intermediate joint or bursa

$2K

15 claims · 0.0%

Your Cost: $118.64/claim|Median: $42.51
2.8× median
99446Normal range

$96

199 claims · 0.0%

Your Cost: $0.48/claim|Median: $1.62
0.3× median
J1100Normal range

$34

43 claims · 0.0%

Your Cost: $0.79/claim|Median: $0.52
1.5× median
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