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Provider 1528209681

NPI: 1528209681Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$17,002,793

Total Claims

2.5M

Beneficiaries

1.4M

1.8 claims/patient

Avg Cost/Claim

$7

Monthly Spending Trend

Yearly Spending

2018
$453K
+15%
2019
$522K
-41%
2020
$308K
+936%
2021
$3.2M
+63%
2022
$5.2M
+8%
2023
$5.6M
-69%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 80% of total spending.

99199Normal range

Unlisted special service, procedure, or report

$13.7M

2.4M claims · 80.3%

Your Cost: $5.67/claim|Median: $5.39
1.1× median
99213Normal range

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

$1.9M

41K claims · 11.2%

Your Cost: $46.64/claim|Median: $37.81
1.2× median
99214Normal range

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

$1.1M

16K claims · 6.4%

Your Cost: $67.05/claim|Median: $53.41
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$81K

17K claims · 0.5%

Your Cost: $4.92/claim|Median: $69.35
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$51K

2,299 claims · 0.3%

Your Cost: $22.24/claim|Median: $25.06
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$42K

14K claims · 0.2%

Your Cost: $3.00/claim|Median: $75.18
0.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$36K

515 claims · 0.2%

Your Cost: $70.56/claim|Median: $62.48
1.1× median
96161Normal range

$36K

22K claims · 0.2%

Your Cost: $1.67/claim|Median: $2.49
0.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$33K

462 claims · 0.2%

Your Cost: $72.33/claim|Median: $43.85
1.6× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$27K

471 claims · 0.2%

Your Cost: $56.51/claim|Median: $37.22
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$17K

5,917 claims · 0.1%

Your Cost: $2.91/claim|Median: $74.82
0.0× median
96160Normal range

Patient-focused health risk assessment

$5K

2,125 claims · 0.0%

Your Cost: $2.52/claim|Median: $2.10
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$4K

73 claims · 0.0%

Your Cost: $61.58/claim|Median: $74.09
0.8× median
99462Normal range

$4K

138 claims · 0.0%

Your Cost: $32.05/claim|Median: $27.49
1.2× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$4K

68 claims · 0.0%

Your Cost: $60.98/claim|Median: $23.99
2.5× median
G9919Normal range

$4K

4,350 claims · 0.0%

Your Cost: $0.91/claim|Median: $8.66
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3K

719 claims · 0.0%

Your Cost: $4.40/claim|Median: $80.15
0.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$3K

27 claims · 0.0%

Your Cost: $97.44/claim|Median: $51.25
1.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$2K

73 claims · 0.0%

Your Cost: $24.12/claim|Median: $22.44
1.1× median
99203Normal range

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

$709

18 claims · 0.0%

Your Cost: $39.37/claim|Median: $57.85
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$462

18 claims · 0.0%

Your Cost: $25.66/claim|Median: $39.70
0.6× median
99441Normal range

Telephone E/M by physician, 5-10 min

$272

38 claims · 0.0%

Your Cost: $7.15/claim|Median: $13.30
0.5× median
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