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Provider 1538402458

NPI: 1538402458Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,855,195

Total Claims

159K

Beneficiaries

147K

1.1 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+13%
2019
$1.9M
-20%
2020
$1.5M
+20%
2021
$1.8M
-5%
2022
$1.7M
+5%
2023
$1.8M
-26%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (93303 (Echocardiography, transthoracic, limited)) accounts for 25% of total spending.

93303Normal range

Echocardiography, transthoracic, limited

$2.9M

22K claims · 24.6%

Your Cost: $134.71/claim|Median: $112.83
1.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$2.3M

11K claims · 19.6%

Your Cost: $208.30/claim|Median: $54.68
3.8× median
93320Top 25%

$1.5M

22K claims · 12.5%

Your Cost: $68.43/claim|Median: $28.68
2.4× median
93325Top 25%

$1.4M

27K claims · 11.8%

Your Cost: $51.69/claim|Median: $14.61
3.5× median
99215Normal range

Office/outpatient visit, high complexity

$1.2M

13K claims · 9.9%

Your Cost: $93.72/claim|Median: $74.09
1.3× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$618K

20K claims · 5.2%

Your Cost: $31.02/claim|Median: $9.70
3.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$412K

4,230 claims · 3.5%

Your Cost: $97.41/claim|Median: $121.58
0.8× median
93010Top 5%

Electrocardiogram, interpretation and report only

$363K

24K claims · 3.1%

Your Cost: $14.84/claim|Median: $5.60
2.7× median
99214Normal range

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

$271K

4,840 claims · 2.3%

Your Cost: $56.00/claim|Median: $53.41
1.0× median
99245Normal range

Office consultation, high complexity

$203K

1,405 claims · 1.7%

Your Cost: $144.74/claim|Median: $143.30
1.0× median
99291Top 10%

Critical care, first 30-74 minutes

$158K

635 claims · 1.3%

Your Cost: $249.53/claim|Median: $101.24
2.5× median
93224Top 5%

ECG monitoring, continuous, up to forty-eight hours, with analysis

$96K

626 claims · 0.8%

Your Cost: $153.10/claim|Median: $67.14
2.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$73K

1,127 claims · 0.6%

Your Cost: $64.50/claim|Median: $35.30
1.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$50K

574 claims · 0.4%

Your Cost: $87.49/claim|Median: $82.43
1.1× median
93321Top 25%

$46K

1,280 claims · 0.4%

Your Cost: $35.98/claim|Median: $9.69
3.7× median
99080Top 25%

$44K

915 claims · 0.4%

Your Cost: $47.65/claim|Median: $6.15
7.7× median
93241Normal range

$43K

592 claims · 0.4%

Your Cost: $72.37/claim|Median: $121.53
0.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$32K

779 claims · 0.3%

Your Cost: $41.33/claim|Median: $23.99
1.7× median
93304Normal range

$31K

336 claims · 0.3%

Your Cost: $91.03/claim|Median: $54.29
1.7× median
S0302Top 5%

$16K

257 claims · 0.1%

Your Cost: $62.18/claim|Median: $9.05
6.9× median
76825Normal range

$16K

108 claims · 0.1%

Your Cost: $145.97/claim|Median: $103.74
1.4× median
93308Normal range

$15K

243 claims · 0.1%

Your Cost: $60.78/claim|Median: $20.08
3.0× median
99213Normal range

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

$14K

380 claims · 0.1%

Your Cost: $36.34/claim|Median: $37.81
1.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$11K

514 claims · 0.1%

Your Cost: $22.31/claim|Median: $7.50
3.0× median
G9008Normal range

Coordination of long-term care services, per month

$8K

80 claims · 0.1%

Your Cost: $98.28/claim|Median: $66.78
1.5× median
76827Top 25%

$7K

105 claims · 0.1%

Your Cost: $65.75/claim|Median: $39.58
1.7× median
0450Normal range

Emergency room visit

$6K

261 claims · 0.1%

Your Cost: $23.05/claim|Median: $44.95
0.5× median
Z4303Normal range

$5K

174 claims · 0.0%

Your Cost: $29.66/claim|Median: $29.71
1.0× median
99242Top 25%

Office consultation, low complexity

$5K

66 claims · 0.0%

Your Cost: $71.19/claim|Median: $57.97
1.2× median
99255Normal range

$2K

17 claims · 0.0%

Your Cost: $120.75/claim|Median: $90.45
1.3× median
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