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Provider 1518991413

NPI: 1518991413Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.9M

$12,927,686

Total Claims

54K

Beneficiaries

11K

5.1 claims/patient

Avg Cost/Claim

$239

Monthly Spending Trend

Yearly Spending

2018
$918K
+18%
2019
$1.1M
+29%
2020
$1.4M
+63%
2021
$2.3M
-4%
2022
$2.2M
+32%
2023
$2.9M
-27%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 44% of total spending.

99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$5.6M

16K claims · 43.5%

Your Cost: $355.50/claim|Median: $307.98
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$3.9M

11K claims · 29.9%

Your Cost: $348.75/claim|Median: $293.45
1.2× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.2M

12K claims · 9.6%

Your Cost: $102.35/claim|Median: $98.15
1.0× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$1.1M

11K claims · 8.6%

Your Cost: $105.61/claim|Median: $103.70
1.0× median
99468Normal range

$888K

1,154 claims · 6.9%

Your Cost: $769.25/claim|Median: $679.18
1.1× median
99464Normal range

$117K

2,774 claims · 0.9%

Your Cost: $42.17/claim|Median: $59.94
0.7× median
99477Normal range

$39K

160 claims · 0.3%

Your Cost: $246.32/claim|Median: $276.41
0.9× median
99465Normal range

$20K

244 claims · 0.2%

Your Cost: $81.10/claim|Median: $99.16
0.8× median
99478Normal range

$10K

86 claims · 0.1%

Your Cost: $112.56/claim|Median: $106.11
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$6K

151 claims · 0.0%

Your Cost: $39.59/claim|Median: $37.22
1.1× median
31500Top 25%

$4K

54 claims · 0.0%

Your Cost: $80.61/claim|Median: $62.71
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$2K

41 claims · 0.0%

Your Cost: $57.11/claim|Median: $43.85
1.3× median
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