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Provider 1477068971

NPI: 1477068971Share
Active Billing Period:2018-12→2024-11(72 months)

Total Paid

$7.7M

$7,674,224

Total Claims

15K

Beneficiaries

14K

1.1 claims/patient

Avg Cost/Claim

$517

Monthly Spending Trend

Yearly Spending

2018
$128K
+1054%
2019
$1.5M
-27%
2020
$1.1M
+19%
2021
$1.3M
+3%
2022
$1.3M
-3%
2023
$1.3M
-15%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (01967 (Anesthesia, neuraxial labor analgesia/delivery)) accounts for 83% of total spending.

01967Top 1%

Anesthesia, neuraxial labor analgesia/delivery

$6.4M

4,978 claims · 83.4%

Your Cost: $1,285.58/claim|Median: $283.78
4.5× median
01922Top 5%

$299K

802 claims · 3.9%

Your Cost: $372.42/claim|Median: $166.77
2.2× median
00731Top 5%

$210K

1,145 claims · 2.7%

Your Cost: $183.68/claim|Median: $64.75
2.8× median
01961Top 5%

$165K

427 claims · 2.1%

Your Cost: $385.85/claim|Median: $156.02
2.5× median
99213Top 10%

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

$86K

1,141 claims · 1.1%

Your Cost: $75.55/claim|Median: $37.81
2.0× median
00170Top 10%

Anesthesia for intraoral procedures

$73K

209 claims · 1.0%

Your Cost: $349.53/claim|Median: $132.89
2.6× median
00840Top 5%

$58K

149 claims · 0.8%

Your Cost: $390.01/claim|Median: $96.47
4.0× median
00790Top 5%

$53K

116 claims · 0.7%

Your Cost: $453.57/claim|Median: $115.06
3.9× median
01968Top 10%

$50K

213 claims · 0.7%

Your Cost: $234.62/claim|Median: $72.10
3.3× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$45K

627 claims · 0.6%

Your Cost: $71.65/claim|Median: $23.99
3.0× median
00811Top 5%

$40K

242 claims · 0.5%

Your Cost: $167.03/claim|Median: $56.15
3.0× median
01926Top 1%

$22K

41 claims · 0.3%

Your Cost: $544.76/claim|Median: $153.13
3.6× median
00812Top 10%

$22K

138 claims · 0.3%

Your Cost: $159.91/claim|Median: $59.54
2.7× median
00813Top 5%

$21K

90 claims · 0.3%

Your Cost: $237.49/claim|Median: $71.82
3.3× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$21K

500 claims · 0.3%

Your Cost: $41.92/claim|Median: $16.77
2.5× median
00797Top 5%

$15K

26 claims · 0.2%

Your Cost: $571.93/claim|Median: $201.73
2.8× median
01920Top 5%

$15K

37 claims · 0.2%

Your Cost: $394.53/claim|Median: $172.45
2.3× median
99291Top 25%

Critical care, first 30-74 minutes

$13K

72 claims · 0.2%

Your Cost: $177.66/claim|Median: $101.24
1.8× median
00142Top 5%

$11K

75 claims · 0.1%

Your Cost: $149.49/claim|Median: $43.11
3.5× median
36620Top 10%

$11K

232 claims · 0.1%

Your Cost: $47.26/claim|Median: $23.48
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$8K

159 claims · 0.1%

Your Cost: $48.55/claim|Median: $25.06
1.9× median
00920Top 10%

$6K

26 claims · 0.1%

Your Cost: $225.96/claim|Median: $88.17
2.6× median
00300Top 5%

$5K

13 claims · 0.1%

Your Cost: $374.27/claim|Median: $66.59
5.6× median
00400Top 5%

$5K

22 claims · 0.1%

Your Cost: $218.20/claim|Median: $49.18
4.4× median
99204Top 10%

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

$4K

29 claims · 0.1%

Your Cost: $142.99/claim|Median: $84.03
1.7× median
00851Top 5%

$3K

12 claims · 0.0%

Your Cost: $289.01/claim|Median: $60.60
4.8× median
00532Top 5%

$3K

12 claims · 0.0%

Your Cost: $273.90/claim|Median: $47.70
5.7× median
00902Top 10%

$3K

12 claims · 0.0%

Your Cost: $248.02/claim|Median: $68.93
3.6× median
99203Normal range

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

$2K

32 claims · 0.0%

Your Cost: $72.99/claim|Median: $57.85
1.3× median
99214Top 25%

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

$2K

26 claims · 0.0%

Your Cost: $87.79/claim|Median: $53.41
1.6× median
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