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Provider 1497748743

NPI: 1497748743Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,085,756

Total Claims

680K

Beneficiaries

516K

1.3 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$54K
+2472%
2019
$1.4M
+22%
2020
$1.7M
+37%
2021
$2.3M
+13%
2022
$2.6M
+9%
2023
$2.9M
-58%
2024
$1.2M

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 12% of total spending.

99213Normal range

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

$1.4M

37K claims · 11.9%

Your Cost: $38.89/claim|Median: $37.81
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.3M

33K claims · 10.5%

Your Cost: $38.40/claim|Median: $35.30
1.1× median
99214Normal range

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

$1.1M

26K claims · 9.0%

Your Cost: $41.90/claim|Median: $53.41
0.8× median
H1000Normal range

Prenatal care, at-risk assessment

$1.0M

21K claims · 8.5%

Your Cost: $48.76/claim|Median: $50.36
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$960K

39K claims · 7.9%

Your Cost: $24.86/claim|Median: $23.99
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$623K

7,638 claims · 5.2%

Your Cost: $81.57/claim|Median: $67.32
1.2× median
99220Normal range

$613K

7,407 claims · 5.1%

Your Cost: $82.78/claim|Median: $73.56
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$610K

8,537 claims · 5.1%

Your Cost: $71.49/claim|Median: $101.24
0.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$523K

5,478 claims · 4.3%

Your Cost: $95.40/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$490K

5,757 claims · 4.1%

Your Cost: $85.15/claim|Median: $69.35
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$357K

11K claims · 3.0%

Your Cost: $33.46/claim|Median: $17.85
1.9× median
99204Normal range

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

$326K

4,672 claims · 2.7%

Your Cost: $69.68/claim|Median: $84.03
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$303K

5,071 claims · 2.5%

Your Cost: $59.77/claim|Median: $108.91
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$267K

5,186 claims · 2.2%

Your Cost: $51.46/claim|Median: $43.85
1.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$205K

3,887 claims · 1.7%

Your Cost: $52.74/claim|Median: $106.79
0.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$199K

5,386 claims · 1.6%

Your Cost: $36.89/claim|Median: $54.68
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$187K

3,888 claims · 1.5%

Your Cost: $48.10/claim|Median: $51.25
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$148K

5,740 claims · 1.2%

Your Cost: $25.73/claim|Median: $58.55
0.4× median
H1001Top 25%

$135K

1,254 claims · 1.1%

Your Cost: $108.03/claim|Median: $60.48
1.8× median
99203Normal range

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

$134K

2,087 claims · 1.1%

Your Cost: $64.05/claim|Median: $57.85
1.1× median
99254Normal range

$85K

990 claims · 0.7%

Your Cost: $85.59/claim|Median: $81.43
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$79K

1,548 claims · 0.7%

Your Cost: $51.10/claim|Median: $151.68
0.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$62K

675 claims · 0.5%

Your Cost: $91.65/claim|Median: $74.82
1.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$56K

4,217 claims · 0.5%

Your Cost: $13.27/claim|Median: $16.77
0.8× median
90461Normal range

Immunization admin, additional vaccine, counseling

$53K

3,961 claims · 0.4%

Your Cost: $13.46/claim|Median: $6.93
1.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$52K

1,806 claims · 0.4%

Your Cost: $29.07/claim|Median: $37.22
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$47K

749 claims · 0.4%

Your Cost: $62.22/claim|Median: $74.09
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$44K

14K claims · 0.4%

Your Cost: $3.25/claim|Median: $5.60
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$44K

1,288 claims · 0.4%

Your Cost: $34.06/claim|Median: $25.06
1.4× median
99242Normal range

Office consultation, low complexity

$38K

910 claims · 0.3%

Your Cost: $41.30/claim|Median: $57.97
0.7× median
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