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Provider 1487693586

NPI: 1487693586Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,290,215

Total Claims

250K

Beneficiaries

187K

1.3 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+17%
2019
$1.8M
-48%
2020
$940K
+129%
2021
$2.2M
-4%
2022
$2.1M
-56%
2023
$909K
-6%
2024
$856K

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 26% of total spending.

99214Normal range

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

$2.6M

50K claims · 25.7%

Your Cost: $53.14/claim|Median: $53.41
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.2M

45K claims · 20.9%

Your Cost: $47.78/claim|Median: $35.30
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$862K

7,216 claims · 8.4%

Your Cost: $119.50/claim|Median: $101.24
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$739K

18K claims · 7.2%

Your Cost: $40.58/claim|Median: $54.68
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$625K

6,663 claims · 6.1%

Your Cost: $93.84/claim|Median: $74.09
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$519K

15K claims · 5.0%

Your Cost: $33.68/claim|Median: $23.99
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$461K

4,879 claims · 4.5%

Your Cost: $94.52/claim|Median: $67.32
1.4× median
99213Normal range

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

$373K

8,714 claims · 3.6%

Your Cost: $42.85/claim|Median: $37.81
1.1× median
99203Normal range

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

$284K

4,622 claims · 2.8%

Your Cost: $61.35/claim|Median: $57.85
1.1× median
99204Normal range

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

$180K

2,142 claims · 1.7%

Your Cost: $83.89/claim|Median: $84.03
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$158K

3,574 claims · 1.5%

Your Cost: $44.12/claim|Median: $63.65
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$125K

2,463 claims · 1.2%

Your Cost: $50.56/claim|Median: $43.85
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$124K

1,532 claims · 1.2%

Your Cost: $80.63/claim|Median: $108.91
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$105K

2,590 claims · 1.0%

Your Cost: $40.58/claim|Median: $41.28
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$83K

1,133 claims · 0.8%

Your Cost: $73.60/claim|Median: $85.66
0.9× median
62321Normal range

$73K

953 claims · 0.7%

Your Cost: $76.92/claim|Median: $132.67
0.6× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$69K

2,798 claims · 0.7%

Your Cost: $24.51/claim|Median: $24.33
1.0× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$65K

1,215 claims · 0.6%

Your Cost: $53.89/claim|Median: $111.02
0.5× median
S9088Normal range

Services provided in an urgent care center

$60K

4,339 claims · 0.6%

Your Cost: $13.72/claim|Median: $28.22
0.5× median
99292Normal range

$44K

593 claims · 0.4%

Your Cost: $74.67/claim|Median: $57.64
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$37K

405 claims · 0.4%

Your Cost: $90.39/claim|Median: $151.68
0.6× median
99152Normal range

$31K

2,241 claims · 0.3%

Your Cost: $13.90/claim|Median: $7.34
1.9× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$30K

870 claims · 0.3%

Your Cost: $34.85/claim|Median: $56.18
0.6× median
64483Normal range

$30K

226 claims · 0.3%

Your Cost: $134.04/claim|Median: $124.24
1.1× median
45380Normal range

Colonoscopy with biopsy

$27K

167 claims · 0.3%

Your Cost: $164.54/claim|Median: $200.68
0.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$22K

836 claims · 0.2%

Your Cost: $26.02/claim|Median: $38.83
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$21K

489 claims · 0.2%

Your Cost: $43.75/claim|Median: $40.11
1.1× median
75574Normal range

$21K

331 claims · 0.2%

Your Cost: $63.46/claim|Median: $102.06
0.6× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$19K

146 claims · 0.2%

Your Cost: $126.90/claim|Median: $121.58
1.0× median
G0101Top 25%

Cervical/vaginal cancer screening; pelvic exam

$16K

448 claims · 0.2%

Your Cost: $35.15/claim|Median: $21.28
1.7× median
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