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Unknown Provider 1528238276

NPI: 1528238276Share
Active Billing Period:2018-01→2023-04(64 months)
Billing appears to have stoppedLast active: 2023-04

Total Paid

$53.5M

$53,548,303

Total Claims

452K

Beneficiaries

332K

1.4 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+435%
2019
$12.4M
-11%
2020
$11.0M
+26%
2021
$13.9M
-9%
2022
$12.7M
-90%
2023
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 30% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$16.3M

50K claims · 30.5%

Your Cost: $326.73/claim|Median: $293.45
1.1× median
99472Normal range

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

$7.5M

21K claims · 14.0%

Your Cost: $360.40/claim|Median: $307.98
1.2× median
99214Top 10%

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

$5.5M

49K claims · 10.3%

Your Cost: $113.39/claim|Median: $53.41
2.1× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$3.9M

52K claims · 7.2%

Your Cost: $74.68/claim|Median: $35.30
2.1× median
99223Top 5%

Initial hospital care, per day, high complexity

$3.0M

14K claims · 5.6%

Your Cost: $213.03/claim|Median: $67.32
3.2× median
92586Normal range

$2.2M

40K claims · 4.0%

Your Cost: $54.58/claim|Median: $51.18
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.9M

36K claims · 3.6%

Your Cost: $52.57/claim|Median: $43.85
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$1.9M

15K claims · 3.5%

Your Cost: $125.27/claim|Median: $74.09
1.7× median
92650Top 25%

$1.7M

31K claims · 3.2%

Your Cost: $54.00/claim|Median: $31.90
1.7× median
99464Top 5%

$1.5M

17K claims · 2.8%

Your Cost: $88.26/claim|Median: $59.94
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

14K claims · 2.0%

Your Cost: $78.57/claim|Median: $54.68
1.4× median
99204Top 25%

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

$1.0M

8,323 claims · 2.0%

Your Cost: $125.78/claim|Median: $84.03
1.5× median
99213Top 25%

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

$869K

13K claims · 1.6%

Your Cost: $68.36/claim|Median: $37.81
1.8× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$844K

5,589 claims · 1.6%

Your Cost: $151.08/claim|Median: $51.25
2.9× median
99244Top 1%

Office or other outpatient consultation, moderate complexity

$777K

2,376 claims · 1.5%

Your Cost: $327.16/claim|Median: $121.58
2.7× median
99291Top 10%

Critical care, first 30-74 minutes

$470K

1,919 claims · 0.9%

Your Cost: $244.82/claim|Median: $101.24
2.4× median
99468Normal range

$433K

575 claims · 0.8%

Your Cost: $752.18/claim|Median: $679.18
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$392K

9,107 claims · 0.7%

Your Cost: $43.01/claim|Median: $23.99
1.8× median
99292Top 10%

$253K

1,924 claims · 0.5%

Your Cost: $131.51/claim|Median: $57.64
2.3× median
99255Top 5%

$192K

629 claims · 0.4%

Your Cost: $304.84/claim|Median: $90.45
3.4× median
99243Top 5%

Office or other outpatient consultation, low complexity

$189K

1,348 claims · 0.4%

Your Cost: $140.30/claim|Median: $82.43
1.7× median
93303Normal range

Echocardiography, transthoracic, limited

$182K

2,001 claims · 0.3%

Your Cost: $90.75/claim|Median: $112.83
0.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$159K

1,960 claims · 0.3%

Your Cost: $80.91/claim|Median: $98.15
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$156K

25K claims · 0.3%

Your Cost: $6.18/claim|Median: $4.71
1.3× median
76825Normal range

$141K

929 claims · 0.3%

Your Cost: $152.14/claim|Median: $103.74
1.5× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$124K

1,581 claims · 0.2%

Your Cost: $78.70/claim|Median: $62.48
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$92K

736 claims · 0.2%

Your Cost: $124.32/claim|Median: $85.65
1.5× median
93304Normal range

$91K

1,127 claims · 0.2%

Your Cost: $80.80/claim|Median: $54.29
1.5× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$89K

547 claims · 0.2%

Your Cost: $162.69/claim|Median: $111.09
1.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$89K

14K claims · 0.2%

Your Cost: $6.19/claim|Median: $9.70
0.6× median
99203Normal range

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

$72K

1,185 claims · 0.1%

Your Cost: $60.34/claim|Median: $57.85
1.0× median
99254Top 5%

$49K

237 claims · 0.1%

Your Cost: $208.78/claim|Median: $81.43
2.6× median
99245Top 5%

Office consultation, high complexity

$43K

171 claims · 0.1%

Your Cost: $251.75/claim|Median: $143.30
1.8× median
99462Normal range

$27K

1,723 claims · 0.0%

Your Cost: $15.41/claim|Median: $27.49
0.6× median
99479Normal range

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

$19K

209 claims · 0.0%

Your Cost: $90.16/claim|Median: $103.70
0.9× median
76827Normal range

$18K

931 claims · 0.0%

Your Cost: $19.47/claim|Median: $39.58
0.5× median
69436Normal range

Tympanostomy, general anesthesia

$14K

71 claims · 0.0%

Your Cost: $194.55/claim|Median: $205.50
0.9× median
85060Top 25%

$14K

790 claims · 0.0%

Your Cost: $17.11/claim|Median: $10.92
1.6× median
99219Top 10%

$13K

116 claims · 0.0%

Your Cost: $115.47/claim|Median: $63.35
1.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$13K

1,721 claims · 0.0%

Your Cost: $7.60/claim|Median: $5.60
1.4× median
36415Top 10%

Collection of venous blood by venipuncture

$13K

2,216 claims · 0.0%

Your Cost: $5.69/claim|Median: $1.57
3.6× median
59410Normal range

$12K

14 claims · 0.0%

Your Cost: $845.95/claim|Median: $781.64
1.1× median
76770Normal range

Ultrasound, retroperitoneal, complete

$12K

241 claims · 0.0%

Your Cost: $48.75/claim|Median: $37.35
1.3× median
76775Top 25%

$11K

198 claims · 0.0%

Your Cost: $56.07/claim|Median: $28.03
2.0× median
54161Normal range

$10K

63 claims · 0.0%

Your Cost: $159.96/claim|Median: $252.63
0.6× median
99471Normal range

$10K

14 claims · 0.0%

Your Cost: $714.12/claim|Median: $680.99
1.0× median
93325Normal range

$10K

1,300 claims · 0.0%

Your Cost: $7.33/claim|Median: $14.61
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$9K

516 claims · 0.0%

Your Cost: $17.75/claim|Median: $37.22
0.5× median
92587Normal range

$9K

756 claims · 0.0%

Your Cost: $12.09/claim|Median: $19.24
0.6× median
94010Normal range

$9K

596 claims · 0.0%

Your Cost: $15.33/claim|Median: $18.11
0.8× median
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