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Provider 1538528682

NPI: 1538528682Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.2M

$15,201,162

Total Claims

63K

Beneficiaries

63K

1.0 claims/patient

Avg Cost/Claim

$240

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+1%
2019
$1.8M
-1%
2020
$1.8M
+27%
2021
$2.2M
+7%
2022
$2.4M
+11%
2023
$2.6M
-2%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (D9223 (Deep sedation/general anesthesia, each additional 15 min)) accounts for 47% of total spending.

D9223Top 10%

Deep sedation/general anesthesia, each additional 15 min

$7.2M

19K claims · 47.1%

Your Cost: $370.32/claim|Median: $107.14
3.5× median
T2035Top 25%

$6.3M

20K claims · 41.3%

Your Cost: $309.90/claim|Median: $295.07
1.1× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$1.6M

19K claims · 10.5%

Your Cost: $85.12/claim|Median: $90.28
0.9× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$161K

4,882 claims · 1.1%

Your Cost: $33.06/claim|Median: $27.38
1.2× median