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Provider 1477112225

NPI: 1477112225Share
Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$12.9M

$12,862,582

Total Claims

234K

Beneficiaries

184K

1.3 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2020
$1.4M
+54%
2021
$2.2M
+32%
2022
$2.9M
+8%
2023
$3.2M
-0%
2024
$3.1M

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

$4.0M

59K claims · 31.3%

Your Cost: $67.95/claim|Median: $53.41
1.3× median
99213Normal range

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

$1.5M

33K claims · 12.0%

Your Cost: $47.27/claim|Median: $37.81
1.3× median
99204Normal range

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

$1.5M

16K claims · 11.8%

Your Cost: $97.23/claim|Median: $84.03
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$1.2M

12K claims · 9.0%

Your Cost: $99.09/claim|Median: $74.09
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$828K

26K claims · 6.4%

Your Cost: $31.79/claim|Median: $23.99
1.3× median
99203Normal range

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

$660K

10K claims · 5.1%

Your Cost: $65.76/claim|Median: $57.85
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$338K

3,771 claims · 2.6%

Your Cost: $89.76/claim|Median: $67.32
1.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$222K

1,748 claims · 1.7%

Your Cost: $126.93/claim|Median: $99.21
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$189K

2,486 claims · 1.5%

Your Cost: $75.89/claim|Median: $72.71
1.0× median
96139Normal range

$182K

2,260 claims · 1.4%

Your Cost: $80.35/claim|Median: $97.14
0.8× median
G0108Normal range

Diabetes self-management training, individual

$152K

4,951 claims · 1.2%

Your Cost: $30.80/claim|Median: $35.89
0.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$149K

3,063 claims · 1.2%

Your Cost: $48.77/claim|Median: $24.49
2.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$123K

2,676 claims · 1.0%

Your Cost: $45.97/claim|Median: $35.30
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$106K

1,932 claims · 0.8%

Your Cost: $54.75/claim|Median: $51.25
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$101K

1,755 claims · 0.8%

Your Cost: $57.50/claim|Median: $43.85
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$92K

1,194 claims · 0.7%

Your Cost: $77.33/claim|Median: $151.68
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$79K

2,776 claims · 0.6%

Your Cost: $28.64/claim|Median: $25.06
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$75K

618 claims · 0.6%

Your Cost: $120.71/claim|Median: $111.09
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$73K

1,007 claims · 0.6%

Your Cost: $72.63/claim|Median: $233.73
0.3× median
95816Normal range

$64K

468 claims · 0.5%

Your Cost: $136.34/claim|Median: $56.87
2.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$63K

3,546 claims · 0.5%

Your Cost: $17.76/claim|Median: $16.77
1.1× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$57K

1,265 claims · 0.4%

Your Cost: $44.74/claim|Median: $29.03
1.5× median
96130Normal range

Psychological testing evaluation by professional, first hour

$54K

674 claims · 0.4%

Your Cost: $80.48/claim|Median: $79.21
1.0× median
96132Normal range

$50K

623 claims · 0.4%

Your Cost: $80.74/claim|Median: $70.53
1.1× median
96131Normal range

Psychological testing evaluation, each additional hour

$49K

666 claims · 0.4%

Your Cost: $73.48/claim|Median: $133.38
0.6× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$45K

810 claims · 0.3%

Your Cost: $54.96/claim|Median: $49.03
1.1× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$44K

660 claims · 0.3%

Your Cost: $66.43/claim|Median: $255.03
0.3× median
76830Normal range

Ultrasound, transvaginal

$43K

550 claims · 0.3%

Your Cost: $77.29/claim|Median: $57.47
1.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$40K

6,321 claims · 0.3%

Your Cost: $6.28/claim|Median: $5.50
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$38K

1,622 claims · 0.3%

Your Cost: $23.35/claim|Median: $16.79
1.4× median
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