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Provider 1508131087

NPI: 1508131087Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,344,679

Total Claims

234K

Beneficiaries

195K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+17%
2019
$1.5M
-18%
2020
$1.2M
+9%
2021
$1.4M
-2%
2022
$1.3M
+8%
2023
$1.4M
-18%
2024
$1.2M

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 17% of total spending.

99214Normal range

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

$1.6M

30K claims · 17.2%

Your Cost: $54.11/claim|Median: $53.41
1.0× median
99213Normal range

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

$1.6M

40K claims · 16.6%

Your Cost: $38.41/claim|Median: $37.81
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$823K

23K claims · 8.8%

Your Cost: $35.59/claim|Median: $23.99
1.5× median
99223Normal range

Initial hospital care, per day, high complexity

$495K

5,255 claims · 5.3%

Your Cost: $94.12/claim|Median: $67.32
1.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$364K

3,999 claims · 3.9%

Your Cost: $90.93/claim|Median: $75.18
1.2× median
99204Normal range

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

$360K

4,579 claims · 3.9%

Your Cost: $78.65/claim|Median: $84.03
0.9× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$324K

3,442 claims · 3.5%

Your Cost: $94.18/claim|Median: $74.82
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$292K

4,591 claims · 3.1%

Your Cost: $63.53/claim|Median: $51.25
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$271K

5,041 claims · 2.9%

Your Cost: $53.84/claim|Median: $35.30
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$258K

4,445 claims · 2.8%

Your Cost: $58.15/claim|Median: $69.35
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$235K

3,195 claims · 2.5%

Your Cost: $73.70/claim|Median: $74.09
1.0× median
99203Normal range

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

$235K

4,643 claims · 2.5%

Your Cost: $50.58/claim|Median: $57.85
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$233K

4,160 claims · 2.5%

Your Cost: $55.96/claim|Median: $43.85
1.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$195K

2,368 claims · 2.1%

Your Cost: $82.44/claim|Median: $76.06
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$173K

2,119 claims · 1.9%

Your Cost: $81.79/claim|Median: $80.15
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$150K

2,060 claims · 1.6%

Your Cost: $72.62/claim|Median: $72.71
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$148K

4,235 claims · 1.6%

Your Cost: $34.95/claim|Median: $54.68
0.6× median
93458Normal range

Left heart catheterization with imaging

$137K

1,000 claims · 1.5%

Your Cost: $137.31/claim|Median: $183.33
0.7× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$126K

343 claims · 1.3%

Your Cost: $366.16/claim|Median: $470.36
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$118K

1,007 claims · 1.3%

Your Cost: $117.38/claim|Median: $101.24
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$100K

3,447 claims · 1.1%

Your Cost: $28.93/claim|Median: $29.03
1.0× median
99221Normal range

Initial hospital care, straightforward/low

$91K

2,037 claims · 1.0%

Your Cost: $44.60/claim|Median: $39.96
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$89K

3,794 claims · 1.0%

Your Cost: $23.51/claim|Median: $25.06
0.9× median
99417Normal range

$80K

1,686 claims · 0.9%

Your Cost: $47.19/claim|Median: $34.90
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$73K

1,915 claims · 0.8%

Your Cost: $38.29/claim|Median: $40.11
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$73K

1,966 claims · 0.8%

Your Cost: $36.99/claim|Median: $37.22
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$47K

11K claims · 0.5%

Your Cost: $4.07/claim|Median: $5.60
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$45K

1,006 claims · 0.5%

Your Cost: $45.14/claim|Median: $36.13
1.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$42K

2,312 claims · 0.4%

Your Cost: $18.06/claim|Median: $16.77
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$39K

5,075 claims · 0.4%

Your Cost: $7.76/claim|Median: $9.80
0.8× median
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