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Provider 1558546374

NPI: 1558546374Share
Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$8.3M

$8,288,937

Total Claims

45K

Beneficiaries

16K

2.8 claims/patient

Avg Cost/Claim

$185

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-29%
2019
$1.8M
-47%
2020
$943K
-4%
2021
$901K
-72%
2022
$248K
+290%
2023
$969K
+1%
2024
$979K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 52% of total spending.

99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$4.3M

22K claims · 52.3%

Your Cost: $196.36/claim|Median: $307.98
0.6× median
Z0102Normal range

$2.9M

15K claims · 35.2%

Your Cost: $195.09/claim|Median: $193.72
1.0× median
Z0104Normal range

$360K

2,527 claims · 4.3%

Your Cost: $142.46/claim|Median: $141.22
1.0× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$333K

1,743 claims · 4.0%

Your Cost: $191.07/claim|Median: $293.45
0.7× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$155K

1,228 claims · 1.9%

Your Cost: $126.44/claim|Median: $98.15
1.3× median
Z4305Normal range

$137K

1,382 claims · 1.7%

Your Cost: $99.09/claim|Median: $99.36
1.0× median
Z4303Normal range

$16K

543 claims · 0.2%

Your Cost: $29.77/claim|Median: $29.71
1.0× median
99214Top 10%

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

$10K

92 claims · 0.1%

Your Cost: $112.46/claim|Median: $53.41
2.1× median
Z0106Normal range

$6K

75 claims · 0.1%

Your Cost: $76.43/claim|Median: $76.54
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$5K

39 claims · 0.1%

Your Cost: $135.47/claim|Median: $121.58
1.1× median
99468Normal range

$5K

13 claims · 0.1%

Your Cost: $404.48/claim|Median: $679.18
0.6× median
Z0100Normal range

$5K

14 claims · 0.1%

Your Cost: $371.55/claim|Median: $387.19
1.0× median
99245Normal range

Office consultation, high complexity

$1K

12 claims · 0.0%

Your Cost: $123.36/claim|Median: $143.30
0.9× median
Z4304Top 25%

$1K

24 claims · 0.0%

Your Cost: $53.46/claim|Median: $53.44
1.0× median
Z4309Top 10%

$1K

32 claims · 0.0%

Your Cost: $39.38/claim|Median: $24.80
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$1K

12 claims · 0.0%

Your Cost: $94.05/claim|Median: $74.09
1.3× median
T1014Normal range

$990

117 claims · 0.0%

Your Cost: $8.46/claim|Median: $12.88
0.7× median
Z0108Normal range

$729

26 claims · 0.0%

Your Cost: $28.02/claim|Median: $29.86
0.9× median
Z4306Top 10%

$697

14 claims · 0.0%

Your Cost: $49.79/claim|Median: $49.73
1.0× median
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