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Provider 1558688754

NPI: 1558688754Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.3M

$9,349,633

Total Claims

102K

Beneficiaries

99K

1.0 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$899K
+51%
2019
$1.4M
-18%
2020
$1.1M
+32%
2021
$1.5M
+26%
2022
$1.9M
-23%
2023
$1.4M
-14%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (95819 (Electroencephalogram with sleep recording)) accounts for 22% of total spending.

95819Top 25%

Electroencephalogram with sleep recording

$2.0M

6,967 claims · 21.7%

Your Cost: $291.72/claim|Median: $62.75
4.6× median
99214Normal range

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

$1.5M

21K claims · 16.3%

Your Cost: $70.74/claim|Median: $53.41
1.3× median
99204Top 25%

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

$1.3M

11K claims · 13.5%

Your Cost: $118.64/claim|Median: $84.03
1.4× median
99213Top 25%

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

$1.2M

20K claims · 12.6%

Your Cost: $57.55/claim|Median: $37.81
1.5× median
95886Top 25%

$591K

5,019 claims · 6.3%

Your Cost: $117.74/claim|Median: $67.70
1.7× median
95923Normal range

$541K

7,271 claims · 5.8%

Your Cost: $74.40/claim|Median: $44.24
1.7× median
95913Normal range

$391K

2,043 claims · 4.2%

Your Cost: $191.54/claim|Median: $166.25
1.2× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$361K

6,339 claims · 3.9%

Your Cost: $57.00/claim|Median: $22.44
2.5× median
95921Normal range

$360K

7,267 claims · 3.9%

Your Cost: $49.57/claim|Median: $31.18
1.6× median
95912Normal range

$335K

2,419 claims · 3.6%

Your Cost: $138.36/claim|Median: $141.23
1.0× median
93922Normal range

$276K

7,299 claims · 3.0%

Your Cost: $37.81/claim|Median: $26.06
1.5× median
99203Top 25%

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

$189K

2,041 claims · 2.0%

Your Cost: $92.55/claim|Median: $57.85
1.6× median
93886Normal range

$168K

1,124 claims · 1.8%

Your Cost: $149.59/claim|Median: $83.25
1.8× median
99483Top 25%

$47K

569 claims · 0.5%

Your Cost: $83.20/claim|Median: $34.89
2.4× median
93888Normal range

$31K

460 claims · 0.3%

Your Cost: $67.16/claim|Median: $38.86
1.7× median
95911Normal range

$19K

136 claims · 0.2%

Your Cost: $142.55/claim|Median: $122.86
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$19K

136 claims · 0.2%

Your Cost: $138.93/claim|Median: $111.09
1.3× median
95813Top 25%

$15K

57 claims · 0.2%

Your Cost: $260.21/claim|Median: $121.48
2.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$9K

354 claims · 0.1%

Your Cost: $25.79/claim|Median: $13.30
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$8K

100 claims · 0.1%

Your Cost: $83.39/claim|Median: $74.09
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$852

20 claims · 0.0%

Your Cost: $42.60/claim|Median: $25.06
1.7× median
99072Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
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