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Provider 1518913656

NPI: 1518913656Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,012,589

Total Claims

176K

Beneficiaries

85K

2.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$795K
+8%
2019
$855K
+33%
2020
$1.1M
+20%
2021
$1.4M
+1%
2022
$1.4M
-10%
2023
$1.2M
-3%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (J0585 (Injection, onabotulinumtoxinA, 1 unit)) accounts for 34% of total spending.

J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$2.8M

2,836 claims · 34.5%

Your Cost: $973.67/claim|Median: $470.36
2.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.5M

59K claims · 30.6%

Your Cost: $41.55/claim|Median: $23.99
1.7× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$1.9M

92K claims · 23.8%

Your Cost: $20.74/claim|Median: $9.79
2.1× median
J0475Normal range

Injection, baclofen, ten milligrams

$183K

509 claims · 2.3%

Your Cost: $360.50/claim|Median: $384.42
0.9× median
99306Normal range

$157K

4,944 claims · 2.0%

Your Cost: $31.69/claim|Median: $29.97
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$106K

1,087 claims · 1.3%

Your Cost: $97.55/claim|Median: $67.32
1.4× median
64643Normal range

$85K

1,850 claims · 1.1%

Your Cost: $46.13/claim|Median: $58.21
0.8× median
64642Normal range

$77K

1,249 claims · 1.0%

Your Cost: $61.51/claim|Median: $81.85
0.8× median
99307Normal range

$68K

5,962 claims · 0.9%

Your Cost: $11.44/claim|Median: $6.57
1.7× median
64644Normal range

$65K

1,198 claims · 0.8%

Your Cost: $54.16/claim|Median: $54.92
1.0× median
99213Normal range

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

$60K

1,616 claims · 0.7%

Your Cost: $36.90/claim|Median: $37.81
1.0× median
95874Normal range

$38K

2,734 claims · 0.5%

Your Cost: $14.00/claim|Median: $11.29
1.2× median
62370Normal range

$27K

709 claims · 0.3%

Your Cost: $37.72/claim|Median: $30.01
1.3× median
99204Normal range

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

$13K

166 claims · 0.2%

Your Cost: $75.86/claim|Median: $84.03
0.9× median
J3490Top 25%

Unclassified drugs

$7K

97 claims · 0.1%

Your Cost: $69.09/claim|Median: $5.70
12.1× median
99203Normal range

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

$3K

67 claims · 0.0%

Your Cost: $50.55/claim|Median: $57.85
0.9× median
95886Normal range

$3K

65 claims · 0.0%

Your Cost: $50.13/claim|Median: $67.70
0.7× median
99315Top 10%

$2K

54 claims · 0.0%

Your Cost: $40.61/claim|Median: $14.17
2.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$2K

36 claims · 0.0%

Your Cost: $60.60/claim|Median: $43.85
1.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$569

149 claims · 0.0%

Your Cost: $3.82/claim|Median: $16.77
0.2× median
J7999Normal range

$172

12 claims · 0.0%

Your Cost: $14.33/claim|Median: $6.94
2.1× median
G9717

$0

28 claims · 0.0%

G8433Normal range

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G8510Normal range

$0

104 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
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