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Provider 1518916451

NPI: 1518916451Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,591,781

Total Claims

146K

Beneficiaries

101K

1.4 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$511K
+174%
2019
$1.4M
-4%
2020
$1.3M
+11%
2021
$1.5M
+1%
2022
$1.5M
-2%
2023
$1.5M
-42%
2024
$861K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 32% of total spending.

99214Top 25%

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

$2.8M

35K claims · 32.5%

Your Cost: $79.32/claim|Median: $53.41
1.5× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$2.6M

43K claims · 30.7%

Your Cost: $61.51/claim|Median: $23.99
2.6× median
95782Normal range

$926K

1,315 claims · 10.8%

Your Cost: $704.05/claim|Median: $216.35
3.3× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$597K

3,998 claims · 6.9%

Your Cost: $149.29/claim|Median: $121.58
1.2× median
94010Top 25%

$483K

18K claims · 5.6%

Your Cost: $26.52/claim|Median: $18.11
1.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$399K

1,666 claims · 4.6%

Your Cost: $239.40/claim|Median: $233.73
1.0× median
99252Top 25%

$171K

2,880 claims · 2.0%

Your Cost: $59.38/claim|Median: $38.63
1.5× median
31624Normal range

$131K

923 claims · 1.5%

Your Cost: $141.75/claim|Median: $98.81
1.4× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$111K

4,492 claims · 1.3%

Your Cost: $24.63/claim|Median: $9.56
2.6× median
99213Top 25%

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

$80K

1,382 claims · 0.9%

Your Cost: $57.98/claim|Median: $37.81
1.5× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$78K

1,013 claims · 0.9%

Your Cost: $76.99/claim|Median: $14.00
5.5× median
99245Top 25%

Office consultation, high complexity

$49K

249 claims · 0.6%

Your Cost: $197.97/claim|Median: $143.30
1.4× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$28K

25K claims · 0.3%

Your Cost: $1.11/claim|Median: $0.79
1.4× median
99204Top 25%

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

$25K

208 claims · 0.3%

Your Cost: $118.65/claim|Median: $84.03
1.4× median
94060Normal range

$19K

454 claims · 0.2%

Your Cost: $42.31/claim|Median: $25.18
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$18K

1,256 claims · 0.2%

Your Cost: $13.94/claim|Median: $12.93
1.1× median
31720Normal range

$16K

451 claims · 0.2%

Your Cost: $34.67/claim|Median: $39.83
0.9× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$12K

361 claims · 0.1%

Your Cost: $32.39/claim|Median: $16.77
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$7K

93 claims · 0.1%

Your Cost: $80.00/claim|Median: $74.09
1.1× median
94664Top 25%

$7K

522 claims · 0.1%

Your Cost: $13.73/claim|Median: $8.88
1.5× median
99203Normal range

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

$5K

77 claims · 0.1%

Your Cost: $59.69/claim|Median: $57.85
1.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$597

44 claims · 0.0%

Your Cost: $13.56/claim|Median: $12.70
1.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$412

76 claims · 0.0%

Your Cost: $5.43/claim|Median: $24.33
0.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$180

25 claims · 0.0%

Your Cost: $7.21/claim|Median: $10.88
0.7× median
J2182Normal range

Injection, mepolizumab, one milligram

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $1,614.23
90381Normal range

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.69
J3490Normal range

Unclassified drugs

$0

3,142 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.70
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