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Provider 1518137520

NPI: 1518137520Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$10.7M

$10,731,046

Total Claims

226K

Beneficiaries

170K

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-8%
2019
$1.7M
-8%
2020
$1.6M
+52%
2021
$2.4M
-27%
2022
$1.7M
-46%
2023
$923K
-28%
2024
$663K

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 16% of total spending.

99214Normal range

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

$1.7M

31K claims · 15.8%

Your Cost: $55.61/claim|Median: $53.41
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.4M

31K claims · 12.8%

Your Cost: $44.37/claim|Median: $23.99
1.8× median
99213Normal range

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

$1.3M

42K claims · 12.4%

Your Cost: $31.68/claim|Median: $37.81
0.8× median
99204Normal range

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

$849K

9,424 claims · 7.9%

Your Cost: $90.07/claim|Median: $84.03
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$521K

5,258 claims · 4.9%

Your Cost: $99.15/claim|Median: $108.91
0.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$469K

7,042 claims · 4.4%

Your Cost: $66.65/claim|Median: $35.30
1.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$450K

4,610 claims · 4.2%

Your Cost: $97.58/claim|Median: $54.68
1.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$348K

5,104 claims · 3.2%

Your Cost: $68.27/claim|Median: $43.85
1.6× median
99203Normal range

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

$258K

4,263 claims · 2.4%

Your Cost: $60.53/claim|Median: $57.85
1.0× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$212K

2,659 claims · 2.0%

Your Cost: $79.61/claim|Median: $58.55
1.4× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$201K

1,535 claims · 1.9%

Your Cost: $131.09/claim|Median: $106.14
1.2× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$180K

2,684 claims · 1.7%

Your Cost: $67.09/claim|Median: $32.55
2.1× median
76830Top 25%

Ultrasound, transvaginal

$170K

1,844 claims · 1.6%

Your Cost: $92.07/claim|Median: $57.47
1.6× median
90870Normal range

$163K

2,640 claims · 1.5%

Your Cost: $61.58/claim|Median: $68.07
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$150K

1,911 claims · 1.4%

Your Cost: $78.43/claim|Median: $51.25
1.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$145K

1,240 claims · 1.4%

Your Cost: $116.86/claim|Median: $106.79
1.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$131K

2,207 claims · 1.2%

Your Cost: $59.22/claim|Median: $49.45
1.2× median
64483Normal range

$99K

1,154 claims · 0.9%

Your Cost: $86.19/claim|Median: $124.24
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$98K

2,572 claims · 0.9%

Your Cost: $37.98/claim|Median: $29.03
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$97K

936 claims · 0.9%

Your Cost: $104.00/claim|Median: $151.68
0.7× median
76856Normal range

Ultrasound, pelvic, complete

$94K

1,271 claims · 0.9%

Your Cost: $73.90/claim|Median: $47.58
1.6× median
93015Normal range

$92K

2,194 claims · 0.9%

Your Cost: $41.86/claim|Median: $41.12
1.0× median
64635Normal range

$91K

1,054 claims · 0.8%

Your Cost: $86.47/claim|Median: $207.78
0.4× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$78K

3,039 claims · 0.7%

Your Cost: $25.53/claim|Median: $16.77
1.5× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$77K

1,505 claims · 0.7%

Your Cost: $50.97/claim|Median: $64.30
0.8× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$75K

1,654 claims · 0.7%

Your Cost: $45.48/claim|Median: $22.44
2.0× median
99223Top 25%

Initial hospital care, per day, high complexity

$72K

627 claims · 0.7%

Your Cost: $114.48/claim|Median: $67.32
1.7× median
59409Top 25%

Vaginal delivery only

$70K

83 claims · 0.7%

Your Cost: $840.47/claim|Median: $619.91
1.4× median
J2785Normal range

$61K

727 claims · 0.6%

Your Cost: $83.66/claim|Median: $61.83
1.4× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$58K

2,504 claims · 0.5%

Your Cost: $23.07/claim|Median: $12.06
1.9× median
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