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Provider 1558469403

NPI: 1558469403Share
Active Billing Period:2018-012024-11(83 months)

Extreme procedure concentration — 100% of $12.0M billed through just 2 codes

Total Paid

$12.0M

$11,996,801

Total Claims

6,130

Beneficiaries

5,314

1.2 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-9%
2019
$1.6M
-13%
2020
$1.4M
+8%
2021
$1.5M
-9%
2022
$1.4M
+57%
2023
$2.2M
-6%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (L8699 (Prosthetic implant, not otherwise classified)) accounts for 100% of total spending.

L8699Top 25%

Prosthetic implant, not otherwise classified

$12.0M

6,024 claims · 99.9%

Your Cost: $1,988.64/claim|Median: $389.88
5.1× median
L9900Normal range

$17K

106 claims · 0.1%

Your Cost: $162.45/claim|Median: $162.45
1.0× median