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Provider 1497704217

NPI: 1497704217Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,354,984

Total Claims

322K

Beneficiaries

228K

1.4 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+25%
2019
$1.6M
-33%
2020
$1.1M
+57%
2021
$1.7M
+38%
2022
$2.3M
-2%
2023
$2.2M
+4%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 27% of total spending.

99213Normal range

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

$3.4M

84K claims · 27.3%

Your Cost: $39.95/claim|Median: $37.81
1.1× median
99214Normal range

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

$2.1M

44K claims · 16.8%

Your Cost: $47.37/claim|Median: $53.41
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$1.4M

59K claims · 11.1%

Your Cost: $23.40/claim|Median: $24.49
1.0× median
99204Normal range

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

$1.3M

13K claims · 10.2%

Your Cost: $95.42/claim|Median: $84.03
1.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$1.0M

11K claims · 8.3%

Your Cost: $90.03/claim|Median: $82.43
1.1× median
99203Normal range

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

$611K

9,033 claims · 4.9%

Your Cost: $67.67/claim|Median: $57.85
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$479K

3,713 claims · 3.9%

Your Cost: $129.08/claim|Median: $121.58
1.1× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$429K

21K claims · 3.5%

Your Cost: $20.69/claim|Median: $20.04
1.0× median
64483Normal range

$386K

4,811 claims · 3.1%

Your Cost: $80.14/claim|Median: $124.24
0.6× median
64635Normal range

$108K

1,568 claims · 0.9%

Your Cost: $69.08/claim|Median: $207.78
0.3× median
72082Normal range

$96K

2,094 claims · 0.8%

Your Cost: $46.00/claim|Median: $31.02
1.5× median
99051Top 25%

$93K

4,268 claims · 0.8%

Your Cost: $21.90/claim|Median: $7.89
2.8× median
A4590Normal range

$85K

5,097 claims · 0.7%

Your Cost: $16.62/claim|Median: $18.45
0.9× median
64636Normal range

$83K

1,687 claims · 0.7%

Your Cost: $49.27/claim|Median: $63.60
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$81K

3,237 claims · 0.7%

Your Cost: $24.98/claim|Median: $29.03
0.9× median
95910Normal range

$69K

1,368 claims · 0.6%

Your Cost: $50.73/claim|Median: $97.13
0.5× median
97161Normal range

Physical therapy evaluation, low complexity

$57K

1,217 claims · 0.5%

Your Cost: $47.02/claim|Median: $47.89
1.0× median
95886Normal range

$45K

1,411 claims · 0.4%

Your Cost: $32.17/claim|Median: $67.70
0.5× median
72170Top 25%

$44K

2,419 claims · 0.4%

Your Cost: $18.37/claim|Median: $7.99
2.3× median
64633Normal range

$39K

835 claims · 0.3%

Your Cost: $47.08/claim|Median: $223.58
0.2× median
64634Normal range

$32K

903 claims · 0.3%

Your Cost: $35.81/claim|Median: $96.82
0.4× median
97162Normal range

PT evaluation, moderate complexity

$32K

776 claims · 0.3%

Your Cost: $40.86/claim|Median: $46.10
0.9× median
99242Normal range

Office consultation, low complexity

$31K

468 claims · 0.3%

Your Cost: $67.21/claim|Median: $57.97
1.2× median
97140Normal range

Manual therapy techniques, per 15 minutes

$30K

2,373 claims · 0.2%

Your Cost: $12.70/claim|Median: $16.79
0.8× median
64493Normal range

$29K

571 claims · 0.2%

Your Cost: $50.64/claim|Median: $103.44
0.5× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$28K

1,628 claims · 0.2%

Your Cost: $17.29/claim|Median: $12.06
1.4× median
64479Normal range

$26K

303 claims · 0.2%

Your Cost: $86.27/claim|Median: $133.50
0.6× median
97530Normal range

Therapeutic activities, each 15 min

$23K

1,305 claims · 0.2%

Your Cost: $17.56/claim|Median: $33.11
0.5× median
73100Normal range

$22K

1,133 claims · 0.2%

Your Cost: $19.67/claim|Median: $13.37
1.5× median
77077Normal range

$22K

707 claims · 0.2%

Your Cost: $30.94/claim|Median: $21.49
1.4× median
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