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Provider 1497747356

NPI: 1497747356Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.8M

$12,790,142

Total Claims

334K

Beneficiaries

306K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+60%
2019
$1.7M
+12%
2020
$2.0M
-6%
2021
$1.8M
+10%
2022
$2.0M
+15%
2023
$2.3M
-22%
2024
$1.8M

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 43% of total spending.

99214Normal range

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

$5.5M

129K claims · 42.8%

Your Cost: $42.40/claim|Median: $53.41
0.8× median
99213Normal range

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

$2.4M

70K claims · 19.0%

Your Cost: $34.66/claim|Median: $37.81
0.9× median
99204Normal range

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

$1.5M

24K claims · 12.1%

Your Cost: $64.00/claim|Median: $84.03
0.8× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$674K

4,858 claims · 5.3%

Your Cost: $138.70/claim|Median: $111.02
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$446K

16K claims · 3.5%

Your Cost: $27.44/claim|Median: $24.49
1.1× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$366K

22K claims · 2.9%

Your Cost: $16.53/claim|Median: $30.49
0.5× median
99203Normal range

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

$190K

4,073 claims · 1.5%

Your Cost: $46.58/claim|Median: $57.85
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$120K

4,041 claims · 0.9%

Your Cost: $29.58/claim|Median: $33.11
0.9× median
64493Normal range

$118K

1,151 claims · 0.9%

Your Cost: $102.49/claim|Median: $103.44
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$116K

3,168 claims · 0.9%

Your Cost: $36.67/claim|Median: $25.06
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$103K

2,649 claims · 0.8%

Your Cost: $38.88/claim|Median: $74.09
0.5× median
64483Normal range

$102K

966 claims · 0.8%

Your Cost: $105.36/claim|Median: $124.24
0.8× median
72275Normal range

$95K

4,050 claims · 0.7%

Your Cost: $23.52/claim|Median: $29.71
0.8× median
97813Normal range

$86K

4,676 claims · 0.7%

Your Cost: $18.30/claim|Median: $26.35
0.7× median
20553Normal range

$85K

1,983 claims · 0.7%

Your Cost: $42.85/claim|Median: $29.47
1.5× median
97814Normal range

$68K

2,234 claims · 0.5%

Your Cost: $30.58/claim|Median: $22.43
1.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$68K

2,528 claims · 0.5%

Your Cost: $26.75/claim|Median: $35.43
0.8× median
77003Normal range

$67K

3,251 claims · 0.5%

Your Cost: $20.55/claim|Median: $11.36
1.8× median
20552Top 25%

$66K

1,549 claims · 0.5%

Your Cost: $42.61/claim|Median: $23.11
1.8× median
97163Normal range

PT evaluation, high complexity

$51K

1,203 claims · 0.4%

Your Cost: $42.28/claim|Median: $50.34
0.8× median
62321Normal range

$42K

397 claims · 0.3%

Your Cost: $105.76/claim|Median: $132.67
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$41K

2,730 claims · 0.3%

Your Cost: $15.14/claim|Median: $16.79
0.9× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$36K

520 claims · 0.3%

Your Cost: $69.82/claim|Median: $29.03
2.4× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$36K

1,509 claims · 0.3%

Your Cost: $24.05/claim|Median: $20.04
1.2× median
64494Normal range

$33K

980 claims · 0.3%

Your Cost: $33.37/claim|Median: $34.70
1.0× median
J1100Top 10%

$31K

3,125 claims · 0.2%

Your Cost: $9.93/claim|Median: $0.52
19.1× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$27K

3,285 claims · 0.2%

Your Cost: $8.07/claim|Median: $2.91
2.8× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$20K

230 claims · 0.2%

Your Cost: $88.66/claim|Median: $42.51
2.1× median
96130Normal range

Psychological testing evaluation by professional, first hour

$19K

503 claims · 0.2%

Your Cost: $38.77/claim|Median: $79.21
0.5× median
97026Normal range

$19K

2,479 claims · 0.1%

Your Cost: $7.55/claim|Median: $4.04
1.9× median
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