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Provider 1538409081

NPI: 1538409081Share
Active Billing Period:2018-012024-06(76 months)

Extreme procedure concentration — 56% of $15.7M billed through just 2 codes

Total Paid

$15.7M

$15,679,145

Total Claims

116K

Beneficiaries

30K

3.8 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+4%
2019
$2.7M
-24%
2020
$2.0M
+9%
2021
$2.2M
+6%
2022
$2.4M
+2%
2023
$2.4M
-43%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (99361 (Physician direction of emergency medical systems, online)) accounts for 56% of total spending.

99361Top 1%

Physician direction of emergency medical systems, online

$8.8M

4,912 claims · 56.0%

Your Cost: $1,788.55/claim|Median: $1,788.55
1.0× median
T1018Top 25%

School-based IEP services, per encounter

$6.9M

111K claims · 44.0%

Your Cost: $61.98/claim|Median: $39.53
1.6× median