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Provider 1508891508

NPI: 1508891508Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.8M

$13,839,799

Total Claims

87K

Beneficiaries

80K

1.1 claims/patient

Avg Cost/Claim

$159

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+19%
2019
$1.8M
-19%
2020
$1.4M
+76%
2021
$2.5M
+1%
2022
$2.5M
-6%
2023
$2.4M
-28%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 35% of total spending.

43239Top 25%

Upper GI endoscopy with biopsy

$4.8M

13K claims · 34.8%

Your Cost: $382.03/claim|Median: $151.68
2.5× median
99213Top 5%

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

$3.3M

37K claims · 23.8%

Your Cost: $88.65/claim|Median: $37.81
2.3× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$1.6M

3,441 claims · 11.7%

Your Cost: $471.79/claim|Median: $255.17
1.8× median
45378Normal range

Colonoscopy, diagnostic

$1.5M

4,266 claims · 11.1%

Your Cost: $359.37/claim|Median: $225.49
1.6× median
99203Top 5%

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

$1.2M

10K claims · 8.9%

Your Cost: $118.90/claim|Median: $57.85
2.1× median
45380Top 25%

Colonoscopy with biopsy

$626K

1,703 claims · 4.5%

Your Cost: $367.65/claim|Median: $200.68
1.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$306K

5,900 claims · 2.2%

Your Cost: $51.92/claim|Median: $35.80
1.5× median
99243Top 25%

Office or other outpatient consultation, low complexity

$108K

951 claims · 0.8%

Your Cost: $113.13/claim|Median: $82.43
1.4× median
88312Normal range

$101K

4,235 claims · 0.7%

Your Cost: $23.90/claim|Median: $24.56
1.0× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$94K

988 claims · 0.7%

Your Cost: $94.95/claim|Median: $22.44
4.2× median
88313Normal range

$76K

4,230 claims · 0.5%

Your Cost: $17.89/claim|Median: $18.95
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$7K

152 claims · 0.1%

Your Cost: $48.53/claim|Median: $25.06
1.9× median
43251Top 25%

$7K

13 claims · 0.0%

Your Cost: $507.05/claim|Median: $170.26
3.0× median
99051Normal range

$4K

932 claims · 0.0%

Your Cost: $4.50/claim|Median: $7.89
0.6× median
83013Normal range

$565

12 claims · 0.0%

Your Cost: $47.12/claim|Median: $46.17
1.0× median
83014Normal range

$66

12 claims · 0.0%

Your Cost: $5.50/claim|Median: $5.23
1.1× median
3008FNormal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
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