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Provider 1548212939

NPI: 1548212939Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,128,535

Total Claims

490K

Beneficiaries

445K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+25%
2019
$1.9M
-6%
2020
$1.8M
+9%
2021
$1.9M
+22%
2022
$2.4M
-9%
2023
$2.1M
-31%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 40% of total spending.

99214Normal range

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

$5.3M

150K claims · 40.4%

Your Cost: $35.46/claim|Median: $53.41
0.7× median
99213Normal range

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

$2.7M

85K claims · 20.3%

Your Cost: $31.12/claim|Median: $37.81
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$598K

14K claims · 4.6%

Your Cost: $43.02/claim|Median: $74.09
0.6× median
99291Normal range

Critical care, first 30-74 minutes

$360K

4,616 claims · 2.7%

Your Cost: $77.98/claim|Median: $101.24
0.8× median
98929Normal range

$326K

9,790 claims · 2.5%

Your Cost: $33.28/claim|Median: $37.08
0.9× median
64405Normal range

$317K

12K claims · 2.4%

Your Cost: $25.99/claim|Median: $48.36
0.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$262K

9,337 claims · 2.0%

Your Cost: $28.06/claim|Median: $23.99
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$258K

5,922 claims · 2.0%

Your Cost: $43.53/claim|Median: $39.70
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$240K

9,541 claims · 1.8%

Your Cost: $25.12/claim|Median: $54.68
0.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$234K

62K claims · 1.8%

Your Cost: $3.76/claim|Median: $5.60
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$171K

2,514 claims · 1.3%

Your Cost: $68.11/claim|Median: $65.64
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$142K

1,918 claims · 1.1%

Your Cost: $74.21/claim|Median: $76.06
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$138K

8,272 claims · 1.0%

Your Cost: $16.62/claim|Median: $14.00
1.2× median
64450Normal range

$131K

6,341 claims · 1.0%

Your Cost: $20.72/claim|Median: $33.48
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$124K

1,946 claims · 0.9%

Your Cost: $63.76/claim|Median: $72.71
0.9× median
99203Normal range

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

$121K

2,026 claims · 0.9%

Your Cost: $59.58/claim|Median: $57.85
1.0× median
20552Normal range

$113K

11K claims · 0.9%

Your Cost: $10.35/claim|Median: $23.11
0.4× median
90960Normal range

End-stage renal disease services, per month, age 20+

$104K

2,214 claims · 0.8%

Your Cost: $46.97/claim|Median: $52.76
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$85K

4,192 claims · 0.6%

Your Cost: $20.17/claim|Median: $17.85
1.1× median
99308Normal range

Nursing facility care, subsequent, straightforward

$84K

7,778 claims · 0.6%

Your Cost: $10.74/claim|Median: $9.79
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$82K

1,814 claims · 0.6%

Your Cost: $44.98/claim|Median: $151.68
0.3× median
99204Normal range

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

$68K

1,019 claims · 0.5%

Your Cost: $66.35/claim|Median: $84.03
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$65K

834 claims · 0.5%

Your Cost: $78.30/claim|Median: $67.32
1.2× median
99408Normal range

$53K

3,122 claims · 0.4%

Your Cost: $17.00/claim|Median: $9.32
1.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$52K

1,073 claims · 0.4%

Your Cost: $48.68/claim|Median: $51.25
0.9× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$52K

1,366 claims · 0.4%

Your Cost: $38.04/claim|Median: $111.02
0.3× median
45380Normal range

Colonoscopy with biopsy

$51K

916 claims · 0.4%

Your Cost: $55.69/claim|Median: $200.68
0.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$51K

1,398 claims · 0.4%

Your Cost: $36.19/claim|Median: $35.30
1.0× median
20553Normal range

$49K

4,448 claims · 0.4%

Your Cost: $11.01/claim|Median: $29.47
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$47K

3,855 claims · 0.4%

Your Cost: $12.30/claim|Median: $11.48
1.1× median
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