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Provider 1477027381

NPI: 1477027381Share
Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$8.7M

$8,675,495

Total Claims

363K

Beneficiaries

242K

1.5 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2019
$61K
+1266%
2020
$834K
+56%
2021
$1.3M
+71%
2022
$2.2M
+1%
2023
$2.3M
-11%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99310) accounts for 46% of total spending.

99310Normal range

$4.0M

130K claims · 46.0%

Your Cost: $30.69/claim|Median: $21.82
1.4× median
99309Normal range

Nursing facility care, subsequent, low complexity

$2.8M

116K claims · 32.1%

Your Cost: $24.04/claim|Median: $14.00
1.7× median
99306Normal range

$424K

8,611 claims · 4.9%

Your Cost: $49.20/claim|Median: $29.97
1.6× median
99441Normal range

Telephone E/M by physician, 5-10 min

$306K

27K claims · 3.5%

Your Cost: $11.47/claim|Median: $13.30
0.9× median
99308Normal range

Nursing facility care, subsequent, straightforward

$262K

19K claims · 3.0%

Your Cost: $13.92/claim|Median: $9.79
1.4× median
99490Normal range

Chronic care management services, 20 minutes per month

$242K

25K claims · 2.8%

Your Cost: $9.68/claim|Median: $6.31
1.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$107K

5,821 claims · 1.2%

Your Cost: $18.30/claim|Median: $22.44
0.8× median
99358Normal range

$96K

3,540 claims · 1.1%

Your Cost: $27.04/claim|Median: $14.34
1.9× median
99497Normal range

$95K

5,926 claims · 1.1%

Your Cost: $16.09/claim|Median: $10.99
1.5× median
99439Top 25%

$66K

4,340 claims · 0.8%

Your Cost: $15.30/claim|Median: $5.83
2.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$64K

1,415 claims · 0.7%

Your Cost: $45.24/claim|Median: $23.99
1.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$50K

396 claims · 0.6%

Your Cost: $127.14/claim|Median: $67.32
1.9× median
99356Normal range

$40K

3,273 claims · 0.5%

Your Cost: $12.18/claim|Median: $22.76
0.5× median
99305Normal range

$22K

768 claims · 0.3%

Your Cost: $28.47/claim|Median: $19.28
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$19K

288 claims · 0.2%

Your Cost: $65.77/claim|Median: $35.30
1.9× median
99491Normal range

$17K

1,093 claims · 0.2%

Your Cost: $15.69/claim|Median: $9.86
1.6× median
99349Normal range

$9K

295 claims · 0.1%

Your Cost: $31.33/claim|Median: $24.29
1.3× median
99335Normal range

$8K

330 claims · 0.1%

Your Cost: $22.86/claim|Median: $14.90
1.5× median
99418Normal range

$7K

309 claims · 0.1%

Your Cost: $23.44/claim|Median: $38.93
0.6× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$7K

74 claims · 0.1%

Your Cost: $95.77/claim|Median: $43.85
2.2× median
99348Normal range

$7K

350 claims · 0.1%

Your Cost: $19.16/claim|Median: $17.17
1.1× median
99336Top 25%

$6K

159 claims · 0.1%

Your Cost: $39.17/claim|Median: $20.35
1.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$5K

389 claims · 0.1%

Your Cost: $13.11/claim|Median: $32.55
0.4× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$4K

122 claims · 0.1%

Your Cost: $36.67/claim|Median: $16.77
2.2× median
G0506Normal range

Comprehensive assessment of chronic care management

$4K

561 claims · 0.1%

Your Cost: $7.89/claim|Median: $7.41
1.1× median
11721Normal range

$4K

1,353 claims · 0.1%

Your Cost: $3.27/claim|Median: $8.56
0.4× median
G2058Normal range

$4K

814 claims · 0.1%

Your Cost: $5.42/claim|Median: $5.40
1.0× median
99359Normal range

$4K

352 claims · 0.0%

Your Cost: $10.39/claim|Median: $10.39
1.0× median
99307Normal range

$3K

438 claims · 0.0%

Your Cost: $7.26/claim|Median: $6.57
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$3K

90 claims · 0.0%

Your Cost: $33.81/claim|Median: $41.28
0.8× median
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