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Provider 1548567498

NPI: 1548567498Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,507,212

Total Claims

229K

Beneficiaries

214K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$997K
+46%
2019
$1.5M
-35%
2020
$951K
+57%
2021
$1.5M
+46%
2022
$2.2M
+44%
2023
$3.1M
-26%
2024
$2.3M

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 19% of total spending.

99214Top 25%

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

$2.4M

30K claims · 19.0%

Your Cost: $79.20/claim|Median: $53.41
1.5× median
99204Top 25%

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

$2.2M

17K claims · 17.8%

Your Cost: $127.73/claim|Median: $84.03
1.5× median
99213Top 25%

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

$1.8M

30K claims · 14.8%

Your Cost: $62.32/claim|Median: $37.81
1.6× median
G6015Top 25%

$1.1M

3,723 claims · 8.5%

Your Cost: $285.25/claim|Median: $146.54
1.9× median
52000Top 25%

$959K

5,228 claims · 7.7%

Your Cost: $183.51/claim|Median: $89.88
2.0× median
99203Top 25%

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

$636K

6,947 claims · 5.1%

Your Cost: $91.60/claim|Median: $57.85
1.6× median
51798Top 25%

$305K

21K claims · 2.4%

Your Cost: $14.40/claim|Median: $6.59
2.2× median
77014Top 10%

CT guidance for radiation therapy procedure

$305K

3,759 claims · 2.4%

Your Cost: $81.06/claim|Median: $26.94
3.0× median
43239Normal range

Upper GI endoscopy with biopsy

$181K

2,711 claims · 1.5%

Your Cost: $66.90/claim|Median: $151.68
0.4× median
99439Top 5%

$175K

4,092 claims · 1.4%

Your Cost: $42.75/claim|Median: $5.83
7.3× median
J9217Normal range

$173K

538 claims · 1.4%

Your Cost: $321.05/claim|Median: $211.50
1.5× median
99490Top 10%

Chronic care management services, 20 minutes per month

$168K

5,930 claims · 1.3%

Your Cost: $28.26/claim|Median: $6.31
4.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$157K

2,980 claims · 1.3%

Your Cost: $52.54/claim|Median: $35.80
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$155K

3,672 claims · 1.2%

Your Cost: $42.28/claim|Median: $25.06
1.7× median
51728Top 25%

$150K

749 claims · 1.2%

Your Cost: $200.93/claim|Median: $118.19
1.7× median
52442Top 1%

$145K

46 claims · 1.2%

Your Cost: $3,157.56/claim|Median: $779.27
4.1× median
76872Top 10%

$140K

1,184 claims · 1.1%

Your Cost: $118.59/claim|Median: $53.54
2.2× median
45380Normal range

Colonoscopy with biopsy

$122K

1,312 claims · 1.0%

Your Cost: $93.11/claim|Median: $200.68
0.5× median
81003Top 10%

Urinalysis, automated without microscopy

$120K

41K claims · 1.0%

Your Cost: $2.91/claim|Median: $1.48
2.0× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$113K

1,069 claims · 0.9%

Your Cost: $105.65/claim|Median: $255.17
0.4× median
88312Top 25%

$96K

1,527 claims · 0.8%

Your Cost: $62.57/claim|Median: $24.56
2.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$69K

668 claims · 0.6%

Your Cost: $103.76/claim|Median: $67.32
1.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$61K

989 claims · 0.5%

Your Cost: $61.66/claim|Median: $51.25
1.2× median
88313Normal range

$60K

1,578 claims · 0.5%

Your Cost: $37.93/claim|Median: $18.95
2.0× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$57K

679 claims · 0.5%

Your Cost: $84.02/claim|Median: $35.30
2.4× median
52441Top 1%

$54K

43 claims · 0.4%

Your Cost: $1,258.12/claim|Median: $281.97
4.5× median
81002Normal range

Urinalysis, non-automated without microscopy

$48K

20K claims · 0.4%

Your Cost: $2.42/claim|Median: $2.00
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$45K

1,198 claims · 0.4%

Your Cost: $37.61/claim|Median: $23.99
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$45K

391 claims · 0.4%

Your Cost: $114.75/claim|Median: $74.09
1.5× median
45378Normal range

Colonoscopy, diagnostic

$41K

319 claims · 0.3%

Your Cost: $129.09/claim|Median: $225.49
0.6× median
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