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Provider 1508968751

NPI: 1508968751Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.5M

$15,527,198

Total Claims

451K

Beneficiaries

316K

1.4 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$906K
+55%
2019
$1.4M
+57%
2020
$2.2M
+29%
2021
$2.8M
-22%
2022
$2.2M
+48%
2023
$3.3M
-17%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 24% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$3.7M

95K claims · 23.7%

Your Cost: $38.72/claim|Median: $35.30
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.6M

83K claims · 16.5%

Your Cost: $31.05/claim|Median: $23.99
1.3× median
99214Normal range

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

$2.5M

69K claims · 15.9%

Your Cost: $35.89/claim|Median: $53.41
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$1.9M

40K claims · 12.4%

Your Cost: $48.16/claim|Median: $74.09
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.2M

18K claims · 8.0%

Your Cost: $67.44/claim|Median: $54.68
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$656K

10K claims · 4.2%

Your Cost: $65.05/claim|Median: $67.32
1.0× median
93010Top 10%

Electrocardiogram, interpretation and report only

$414K

38K claims · 2.7%

Your Cost: $10.97/claim|Median: $5.60
2.0× median
99291Normal range

Critical care, first 30-74 minutes

$251K

2,347 claims · 1.6%

Your Cost: $106.95/claim|Median: $101.24
1.1× median
99254Normal range

$153K

2,392 claims · 1.0%

Your Cost: $63.85/claim|Median: $81.43
0.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$123K

2,472 claims · 0.8%

Your Cost: $49.56/claim|Median: $35.80
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$111K

2,675 claims · 0.7%

Your Cost: $41.63/claim|Median: $43.85
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$92K

2,941 claims · 0.6%

Your Cost: $31.26/claim|Median: $37.22
0.8× median
99204Normal range

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

$91K

1,354 claims · 0.6%

Your Cost: $67.07/claim|Median: $84.03
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$89K

1,285 claims · 0.6%

Your Cost: $68.88/claim|Median: $65.76
1.0× median
36522Normal range

$82K

36 claims · 0.5%

Your Cost: $2,281.15/claim|Median: $2,281.15
1.0× median
31579Normal range

$77K

561 claims · 0.5%

Your Cost: $137.33/claim|Median: $120.24
1.1× median
71045Top 25%

Chest X-ray, single view

$76K

9,882 claims · 0.5%

Your Cost: $7.73/claim|Median: $4.93
1.6× median
99213Normal range

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

$74K

3,480 claims · 0.5%

Your Cost: $21.36/claim|Median: $37.81
0.6× median
99255Normal range

$69K

805 claims · 0.4%

Your Cost: $85.76/claim|Median: $90.45
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$57K

1,277 claims · 0.4%

Your Cost: $44.95/claim|Median: $51.25
0.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$51K

1,285 claims · 0.3%

Your Cost: $39.52/claim|Median: $33.85
1.2× median
94010Normal range

$51K

5,411 claims · 0.3%

Your Cost: $9.37/claim|Median: $18.11
0.5× median
86077Normal range

$49K

1,977 claims · 0.3%

Your Cost: $24.88/claim|Median: $28.77
0.9× median
93303Normal range

Echocardiography, transthoracic, limited

$48K

760 claims · 0.3%

Your Cost: $63.34/claim|Median: $112.83
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$43K

881 claims · 0.3%

Your Cost: $48.82/claim|Median: $63.63
0.8× median
78815Normal range

PET imaging for limited area

$41K

175 claims · 0.3%

Your Cost: $234.30/claim|Median: $325.10
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$40K

4,478 claims · 0.3%

Your Cost: $8.97/claim|Median: $12.93
0.7× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$40K

1,092 claims · 0.3%

Your Cost: $36.60/claim|Median: $25.93
1.4× median
93295Top 5%

$37K

852 claims · 0.2%

Your Cost: $43.55/claim|Median: $21.14
2.1× median
31231Normal range

Nasal endoscopy, diagnostic

$35K

690 claims · 0.2%

Your Cost: $50.54/claim|Median: $98.77
0.5× median