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Provider 1508815358

NPI: 1508815358Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,880,172

Total Claims

234K

Beneficiaries

179K

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$10K
+9515%
2019
$982K
+16%
2020
$1.1M
-32%
2021
$773K
+371%
2022
$3.6M
+0%
2023
$3.7M
-54%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99203 (Office/outpatient visit, new patient, low-mod complexity)) accounts for 43% of total spending.

99203Top 1%

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

$5.1M

21K claims · 42.7%

Your Cost: $240.31/claim|Median: $57.85
4.2× median
99349Normal range

$2.1M

50K claims · 17.9%

Your Cost: $42.77/claim|Median: $24.29
1.8× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$1.6M

5,555 claims · 13.1%

Your Cost: $279.87/claim|Median: $40.11
7.0× median
99342Top 25%

$797K

2,656 claims · 6.7%

Your Cost: $300.22/claim|Median: $32.19
9.3× median
99213Top 1%

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

$710K

4,508 claims · 6.0%

Your Cost: $157.52/claim|Median: $37.81
4.2× median
99343Normal range

$642K

2,216 claims · 5.4%

Your Cost: $289.55/claim|Median: $121.04
2.4× median
99214Normal range

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

$292K

4,262 claims · 2.5%

Your Cost: $68.60/claim|Median: $53.41
1.3× median
99350Top 25%

$283K

3,989 claims · 2.4%

Your Cost: $70.86/claim|Median: $35.62
2.0× median
99347Top 5%

$74K

439 claims · 0.6%

Your Cost: $168.07/claim|Median: $11.74
14.3× median
99348Normal range

$71K

3,588 claims · 0.6%

Your Cost: $19.85/claim|Median: $17.17
1.2× median
99336Normal range

$69K

2,501 claims · 0.6%

Your Cost: $27.43/claim|Median: $20.35
1.3× median
99386Top 5%

Preventive visit, new patient, 40-64 yr

$46K

148 claims · 0.4%

Your Cost: $307.43/claim|Median: $87.82
3.5× median
99443Normal range

Telephone E/M by physician, 21-30 min

$24K

1,062 claims · 0.2%

Your Cost: $22.84/claim|Median: $32.55
0.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$22K

1,294 claims · 0.2%

Your Cost: $16.64/claim|Median: $22.44
0.7× median
99385Top 1%

Preventive visit, new patient, 18-39 yr

$9K

30 claims · 0.1%

Your Cost: $303.33/claim|Median: $76.22
4.0× median
99490Normal range

Chronic care management services, 20 minutes per month

$8K

4,870 claims · 0.1%

Your Cost: $1.66/claim|Median: $6.31
0.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$8K

236 claims · 0.1%

Your Cost: $33.98/claim|Median: $76.06
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$8K

128 claims · 0.1%

Your Cost: $59.67/claim|Median: $74.09
0.8× median
90674Normal range

$7K

1,722 claims · 0.1%

Your Cost: $4.26/claim|Median: $15.16
0.3× median
99345Top 25%

$7K

53 claims · 0.1%

Your Cost: $128.79/claim|Median: $56.78
2.3× median
90471Normal range

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

$6K

490 claims · 0.1%

Your Cost: $13.11/claim|Median: $9.80
1.3× median
99407Top 25%

$6K

296 claims · 0.1%

Your Cost: $20.62/claim|Median: $13.29
1.6× median
99497Normal range

$5K

316 claims · 0.0%

Your Cost: $17.14/claim|Median: $10.99
1.6× median
99344Normal range

$4K

51 claims · 0.0%

Your Cost: $87.61/claim|Median: $50.43
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$4K

223 claims · 0.0%

Your Cost: $18.97/claim|Median: $54.68
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$4K

147 claims · 0.0%

Your Cost: $28.35/claim|Median: $25.06
1.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$4K

464 claims · 0.0%

Your Cost: $8.92/claim|Median: $13.30
0.7× median
99335Normal range

$3K

328 claims · 0.0%

Your Cost: $8.24/claim|Median: $14.90
0.6× median
G0181Normal range

$2K

419 claims · 0.0%

Your Cost: $5.68/claim|Median: $15.69
0.4× median
G0179Normal range

Physician recertification for home health plan of care

$2K

870 claims · 0.0%

Your Cost: $2.72/claim|Median: $6.63
0.4× median
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