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Provider 1477876639

NPI: 1477876639Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$13,044,416

Total Claims

152K

Beneficiaries

131K

1.2 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+13%
2019
$1.5M
+7%
2020
$1.6M
+74%
2021
$2.8M
-11%
2022
$2.5M
-17%
2023
$2.1M
-42%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 30% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$3.9M

38K claims · 30.1%

Your Cost: $104.25/claim|Median: $26.41
3.9× median
Q3014Top 1%

Telehealth originating site facility fee

$2.3M

4,181 claims · 17.6%

Your Cost: $550.23/claim|Median: $15.37
35.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.1M

32K claims · 15.8%

Your Cost: $63.98/claim|Median: $42.48
1.5× median
99282Normal range

Emergency dept visit, low complexity

$1.3M

29K claims · 10.1%

Your Cost: $45.75/claim|Median: $37.72
1.2× median
51900Top 1%

$391K

696 claims · 3.0%

Your Cost: $562.04/claim|Median: $277.53
2.0× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$226K

4,271 claims · 1.7%

Your Cost: $52.97/claim|Median: $37.22
1.4× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$212K

450 claims · 1.6%

Your Cost: $470.82/claim|Median: $36.70
12.8× median
97602Normal range

$196K

2,181 claims · 1.5%

Your Cost: $89.85/claim|Median: $51.00
1.8× median
42700Normal range

$195K

479 claims · 1.5%

Your Cost: $406.56/claim|Median: $361.34
1.1× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$176K

358 claims · 1.3%

Your Cost: $491.07/claim|Median: $33.72
14.6× median
0003ATop 1%

COVID-19 vaccine admin, Pfizer, 3rd dose

$176K

363 claims · 1.3%

Your Cost: $483.99/claim|Median: $36.49
13.3× median
45500Top 25%

$169K

440 claims · 1.3%

Your Cost: $384.81/claim|Median: $306.59
1.3× median
0071ATop 1%

$132K

250 claims · 1.0%

Your Cost: $526.29/claim|Median: $38.71
13.6× median
99213Normal range

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

$121K

7,239 claims · 0.9%

Your Cost: $16.75/claim|Median: $37.81
0.4× median
S0215Top 5%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$119K

631 claims · 0.9%

Your Cost: $189.22/claim|Median: $21.33
8.9× median
99284Top 25%

Emergency dept visit, high complexity

$118K

1,211 claims · 0.9%

Your Cost: $97.52/claim|Median: $69.51
1.4× median
0013ATop 1%

$116K

237 claims · 0.9%

Your Cost: $488.83/claim|Median: $35.38
13.8× median
0072ATop 1%

$114K

213 claims · 0.9%

Your Cost: $534.16/claim|Median: $39.57
13.5× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$110K

1,509 claims · 0.8%

Your Cost: $73.18/claim|Median: $47.08
1.6× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$90K

1,010 claims · 0.7%

Your Cost: $89.01/claim|Median: $51.25
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$85K

1,222 claims · 0.7%

Your Cost: $69.60/claim|Median: $65.76
1.1× median
90832Top 1%

Psychotherapy, 30 minutes

$77K

177 claims · 0.6%

Your Cost: $432.38/claim|Median: $41.28
10.5× median
99281Normal range

Emergency dept visit, minimal complexity

$52K

821 claims · 0.4%

Your Cost: $63.23/claim|Median: $52.03
1.2× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$52K

1,925 claims · 0.4%

Your Cost: $26.87/claim|Median: $16.77
1.6× median
65400Top 25%

$47K

127 claims · 0.4%

Your Cost: $370.77/claim|Median: $192.12
1.9× median
70450Normal range

CT head/brain without contrast

$42K

1,410 claims · 0.3%

Your Cost: $30.06/claim|Median: $45.53
0.7× median
71046Normal range

Chest X-ray, 2 views

$42K

5,131 claims · 0.3%

Your Cost: $8.14/claim|Median: $8.92
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$41K

893 claims · 0.3%

Your Cost: $45.62/claim|Median: $23.99
1.9× median
99214Normal range

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

$33K

1,338 claims · 0.2%

Your Cost: $24.34/claim|Median: $53.41
0.5× median
G2023Top 1%

Specimen collection for COVID-19 testing

$30K

129 claims · 0.2%

Your Cost: $235.26/claim|Median: $17.15
13.7× median
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