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Provider 1518303288

NPI: 1518303288Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,616,639

Total Claims

305K

Beneficiaries

253K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-42%
2019
$721K
+49%
2020
$1.1M
+2%
2021
$1.1M
+18%
2022
$1.3M
-5%
2023
$1.2M
-21%
2024
$964K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 43% of total spending.

99213Normal range

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

$3.2M

74K claims · 42.6%

Your Cost: $43.69/claim|Median: $37.81
1.2× median
99214Normal range

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

$1.5M

27K claims · 20.3%

Your Cost: $57.64/claim|Median: $53.41
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$481K

18K claims · 6.3%

Your Cost: $26.93/claim|Median: $23.99
1.1× median
99203Normal range

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

$222K

3,735 claims · 2.9%

Your Cost: $59.42/claim|Median: $57.85
1.0× median
99204Normal range

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

$177K

2,046 claims · 2.3%

Your Cost: $86.75/claim|Median: $84.03
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$137K

2,378 claims · 1.8%

Your Cost: $57.46/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$125K

1,851 claims · 1.6%

Your Cost: $67.48/claim|Median: $75.18
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$115K

1,643 claims · 1.5%

Your Cost: $70.20/claim|Median: $74.09
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$103K

1,597 claims · 1.4%

Your Cost: $64.43/claim|Median: $51.25
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$93K

15K claims · 1.2%

Your Cost: $6.16/claim|Median: $5.60
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$90K

1,075 claims · 1.2%

Your Cost: $83.56/claim|Median: $151.68
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$78K

1,077 claims · 1.0%

Your Cost: $72.32/claim|Median: $72.71
1.0× median
90471Top 25%

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

$76K

5,109 claims · 1.0%

Your Cost: $14.78/claim|Median: $9.80
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$74K

2,166 claims · 1.0%

Your Cost: $34.14/claim|Median: $54.68
0.6× median
99308Normal range

Nursing facility care, subsequent, straightforward

$71K

11K claims · 0.9%

Your Cost: $6.22/claim|Median: $9.79
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$65K

3,048 claims · 0.9%

Your Cost: $21.36/claim|Median: $25.06
0.9× median
90472Top 25%

Immunization administration, each additional vaccine

$57K

2,259 claims · 0.7%

Your Cost: $25.21/claim|Median: $11.79
2.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$43K

1,048 claims · 0.6%

Your Cost: $40.60/claim|Median: $37.22
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$42K

513 claims · 0.5%

Your Cost: $80.90/claim|Median: $76.06
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$38K

534 claims · 0.5%

Your Cost: $71.41/claim|Median: $74.82
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$38K

1,014 claims · 0.5%

Your Cost: $37.34/claim|Median: $29.03
1.3× median
G0444Normal range

Annual depression screening, fifteen minutes

$30K

3,640 claims · 0.4%

Your Cost: $8.21/claim|Median: $4.23
1.9× median
81025Top 5%

Urine pregnancy test

$29K

2,442 claims · 0.4%

Your Cost: $11.81/claim|Median: $4.81
2.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$26K

481 claims · 0.3%

Your Cost: $53.98/claim|Median: $62.48
0.9× median
51798Top 25%

$25K

2,219 claims · 0.3%

Your Cost: $11.20/claim|Median: $6.59
1.7× median
90670Top 25%

$25K

1,426 claims · 0.3%

Your Cost: $17.25/claim|Median: $5.94
2.9× median
G8754Top 25%

$24K

12K claims · 0.3%

Your Cost: $1.98/claim|Median: $0.01
197.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$24K

300 claims · 0.3%

Your Cost: $79.77/claim|Median: $80.15
1.0× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$24K

1,304 claims · 0.3%

Your Cost: $18.31/claim|Median: $21.28
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$23K

2,139 claims · 0.3%

Your Cost: $10.88/claim|Median: $9.56
1.1× median
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