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Provider 1568415412

NPI: 1568415412Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.9M

$12,939,012

Total Claims

194K

Beneficiaries

178K

1.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$981K
+51%
2019
$1.5M
-1%
2020
$1.5M
+36%
2021
$2.0M
+23%
2022
$2.5M
+14%
2023
$2.8M
-39%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 45% of total spending.

99213Top 25%

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

$5.8M

83K claims · 45.1%

Your Cost: $70.06/claim|Median: $37.81
1.9× median
99214Top 25%

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

$3.3M

33K claims · 25.4%

Your Cost: $99.22/claim|Median: $53.41
1.9× median
99203Top 25%

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

$1.5M

15K claims · 11.3%

Your Cost: $96.24/claim|Median: $57.85
1.7× median
99204Top 25%

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

$446K

3,199 claims · 3.5%

Your Cost: $139.55/claim|Median: $84.03
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$289K

6,557 claims · 2.2%

Your Cost: $44.10/claim|Median: $25.06
1.8× median
97110Normal range

Therapeutic exercises, each 15 min

$232K

8,598 claims · 1.8%

Your Cost: $27.00/claim|Median: $24.49
1.1× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$227K

4,201 claims · 1.8%

Your Cost: $53.94/claim|Median: $29.03
1.9× median
72148Top 25%

MRI lumbar spine without contrast

$122K

521 claims · 0.9%

Your Cost: $234.00/claim|Median: $101.03
2.3× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$117K

5,394 claims · 0.9%

Your Cost: $21.66/claim|Median: $12.06
1.8× median
73721Top 25%

MRI joint of lower extremity without contrast

$105K

460 claims · 0.8%

Your Cost: $228.03/claim|Median: $127.34
1.8× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$93K

3,944 claims · 0.7%

Your Cost: $23.47/claim|Median: $13.55
1.7× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$77K

2,998 claims · 0.6%

Your Cost: $25.71/claim|Median: $12.64
2.0× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$74K

380 claims · 0.6%

Your Cost: $194.67/claim|Median: $111.02
1.8× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$67K

949 claims · 0.5%

Your Cost: $70.16/claim|Median: $40.11
1.7× median
L4361Normal range

$51K

279 claims · 0.4%

Your Cost: $183.21/claim|Median: $161.24
1.1× median
73562Top 25%

$50K

1,918 claims · 0.4%

Your Cost: $26.06/claim|Median: $12.28
2.1× median
L1902Top 25%

$45K

741 claims · 0.3%

Your Cost: $60.61/claim|Median: $46.30
1.3× median
73130Top 25%

$44K

1,971 claims · 0.3%

Your Cost: $22.46/claim|Median: $10.69
2.1× median
97530Normal range

Therapeutic activities, each 15 min

$31K

759 claims · 0.2%

Your Cost: $41.00/claim|Median: $33.11
1.2× median
72100Top 25%

$29K

1,110 claims · 0.2%

Your Cost: $26.48/claim|Median: $15.14
1.7× median
L3908Top 25%

$23K

479 claims · 0.2%

Your Cost: $48.14/claim|Median: $35.79
1.3× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$23K

5,305 claims · 0.2%

Your Cost: $4.25/claim|Median: $2.91
1.5× median
73030Top 25%

$21K

978 claims · 0.2%

Your Cost: $21.36/claim|Median: $10.94
2.0× median
J0702Top 10%

$21K

926 claims · 0.2%

Your Cost: $22.33/claim|Median: $7.64
2.9× median
73140Top 25%

$19K

780 claims · 0.1%

Your Cost: $24.26/claim|Median: $11.18
2.2× median
L1812Normal range

$17K

255 claims · 0.1%

Your Cost: $67.61/claim|Median: $57.48
1.2× median
73564Top 25%

$12K

405 claims · 0.1%

Your Cost: $29.98/claim|Median: $15.00
2.0× median
73560Top 25%

$11K

493 claims · 0.1%

Your Cost: $21.96/claim|Median: $10.28
2.1× median
72110Normal range

$10K

307 claims · 0.1%

Your Cost: $33.17/claim|Median: $21.02
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$9K

66 claims · 0.1%

Your Cost: $130.11/claim|Median: $74.09
1.8× median
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