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Provider 1578513016

NPI: 1578513016Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,688,602

Total Claims

238K

Beneficiaries

204K

1.2 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$348K
-16%
2019
$291K
+140%
2020
$700K
+121%
2021
$1.5M
+54%
2022
$2.4M
+42%
2023
$3.4M
-10%
2024
$3.0M

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 28% of total spending.

99213Normal range

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

$3.3M

64K claims · 28.5%

Your Cost: $51.91/claim|Median: $37.81
1.4× median
99214Normal range

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

$2.9M

50K claims · 24.9%

Your Cost: $58.22/claim|Median: $53.41
1.1× median
99203Normal range

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

$425K

5,782 claims · 3.6%

Your Cost: $73.55/claim|Median: $57.85
1.3× median
99204Normal range

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

$423K

4,002 claims · 3.6%

Your Cost: $105.77/claim|Median: $84.03
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$322K

3,330 claims · 2.8%

Your Cost: $96.85/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$303K

3,524 claims · 2.6%

Your Cost: $85.94/claim|Median: $69.35
1.2× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$273K

655 claims · 2.3%

Your Cost: $416.84/claim|Median: $293.45
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$231K

5,717 claims · 2.0%

Your Cost: $40.42/claim|Median: $25.06
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$196K

1,437 claims · 1.7%

Your Cost: $136.49/claim|Median: $74.09
1.8× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$183K

1,672 claims · 1.6%

Your Cost: $109.42/claim|Median: $111.02
1.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$177K

3,605 claims · 1.5%

Your Cost: $48.96/claim|Median: $36.13
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$171K

6,391 claims · 1.5%

Your Cost: $26.75/claim|Median: $23.99
1.1× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$167K

1,542 claims · 1.4%

Your Cost: $108.58/claim|Median: $103.70
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$163K

2,324 claims · 1.4%

Your Cost: $70.26/claim|Median: $58.55
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$152K

4,507 claims · 1.3%

Your Cost: $33.65/claim|Median: $54.68
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$138K

1,007 claims · 1.2%

Your Cost: $137.18/claim|Median: $151.68
0.9× median
95886Normal range

$137K

1,912 claims · 1.2%

Your Cost: $71.56/claim|Median: $67.70
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$133K

1,619 claims · 1.1%

Your Cost: $81.97/claim|Median: $62.48
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$131K

2,202 claims · 1.1%

Your Cost: $59.52/claim|Median: $37.22
1.6× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$113K

1,000 claims · 1.0%

Your Cost: $113.17/claim|Median: $98.15
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$113K

5,027 claims · 1.0%

Your Cost: $22.38/claim|Median: $29.03
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$102K

748 claims · 0.9%

Your Cost: $135.72/claim|Median: $106.79
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$66K

1,189 claims · 0.6%

Your Cost: $55.26/claim|Median: $51.25
1.1× median
69436Normal range

Tympanostomy, general anesthesia

$62K

256 claims · 0.5%

Your Cost: $243.47/claim|Median: $205.50
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$61K

16K claims · 0.5%

Your Cost: $3.74/claim|Median: $5.60
0.7× median
99417Normal range

$52K

973 claims · 0.4%

Your Cost: $53.25/claim|Median: $34.90
1.5× median
45380Normal range

Colonoscopy with biopsy

$51K

252 claims · 0.4%

Your Cost: $200.79/claim|Median: $200.68
1.0× median
54150Top 25%

$47K

346 claims · 0.4%

Your Cost: $135.80/claim|Median: $84.60
1.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$44K

709 claims · 0.4%

Your Cost: $62.55/claim|Median: $49.45
1.3× median
11045Normal range

$41K

1,013 claims · 0.4%

Your Cost: $40.95/claim|Median: $27.04
1.5× median
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