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Provider 1568534766

NPI: 1568534766Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.7M

$12,679,585

Total Claims

233K

Beneficiaries

199K

1.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$877K
+38%
2019
$1.2M
+20%
2020
$1.4M
+64%
2021
$2.4M
+5%
2022
$2.5M
+7%
2023
$2.7M
-40%
2024
$1.6M

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 35% of total spending.

99213Top 25%

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

$4.5M

63K claims · 35.1%

Your Cost: $70.29/claim|Median: $37.81
1.9× median
99214Top 25%

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

$1.0M

11K claims · 8.3%

Your Cost: $91.14/claim|Median: $53.41
1.7× median
99203Top 25%

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

$845K

8,748 claims · 6.7%

Your Cost: $96.60/claim|Median: $57.85
1.7× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$694K

12K claims · 5.5%

Your Cost: $57.40/claim|Median: $22.44
2.6× median
31231Top 25%

Nasal endoscopy, diagnostic

$626K

3,621 claims · 4.9%

Your Cost: $172.74/claim|Median: $98.77
1.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$458K

9,982 claims · 3.6%

Your Cost: $45.92/claim|Median: $24.49
1.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$335K

2,040 claims · 2.6%

Your Cost: $164.43/claim|Median: $54.68
3.0× median
95165Top 5%

Professional services for allergen immunotherapy, per injection

$317K

705 claims · 2.5%

Your Cost: $449.40/claim|Median: $144.04
3.1× median
99204Top 25%

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

$277K

2,131 claims · 2.2%

Your Cost: $130.17/claim|Median: $84.03
1.5× median
95912Normal range

$263K

1,378 claims · 2.1%

Your Cost: $191.20/claim|Median: $141.23
1.4× median
93880Top 10%

Duplex ultrasound scan of carotid arteries, bilateral

$237K

1,555 claims · 1.9%

Your Cost: $152.23/claim|Median: $49.03
3.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$234K

11K claims · 1.8%

Your Cost: $21.96/claim|Median: $16.79
1.3× median
92552Top 25%

Pure tone audiometry, air only, each ear

$229K

9,195 claims · 1.8%

Your Cost: $24.89/claim|Median: $12.63
2.0× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$195K

5,922 claims · 1.5%

Your Cost: $32.99/claim|Median: $13.30
2.5× median
95886Top 25%

$183K

1,363 claims · 1.4%

Your Cost: $134.14/claim|Median: $67.70
2.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$169K

1,773 claims · 1.3%

Your Cost: $95.32/claim|Median: $76.06
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$158K

1,765 claims · 1.2%

Your Cost: $89.34/claim|Median: $72.71
1.2× median
97162Top 25%

PT evaluation, moderate complexity

$128K

1,517 claims · 1.0%

Your Cost: $84.67/claim|Median: $46.10
1.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$111K

8,500 claims · 0.9%

Your Cost: $13.11/claim|Median: $9.70
1.4× median
95816Top 10%

$102K

364 claims · 0.8%

Your Cost: $280.72/claim|Median: $56.87
4.9× median
93978Top 25%

$91K

683 claims · 0.7%

Your Cost: $133.11/claim|Median: $60.72
2.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$86K

4,651 claims · 0.7%

Your Cost: $18.56/claim|Median: $17.85
1.0× median
97014Normal range

Electrical stimulation, unattended

$75K

9,410 claims · 0.6%

Your Cost: $7.98/claim|Median: $8.83
0.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$69K

2,421 claims · 0.5%

Your Cost: $28.33/claim|Median: $30.04
0.9× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$68K

202 claims · 0.5%

Your Cost: $338.71/claim|Median: $106.14
3.2× median
93015Normal range

$65K

1,164 claims · 0.5%

Your Cost: $55.49/claim|Median: $41.12
1.3× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$56K

1,086 claims · 0.4%

Your Cost: $51.43/claim|Median: $38.83
1.3× median
93886Top 10%

$55K

235 claims · 0.4%

Your Cost: $236.04/claim|Median: $83.25
2.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$55K

749 claims · 0.4%

Your Cost: $73.56/claim|Median: $80.15
0.9× median
93890Top 10%

$54K

234 claims · 0.4%

Your Cost: $230.49/claim|Median: $94.81
2.4× median
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