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Provider 1578598868

NPI: 1578598868Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.8M

$12,844,908

Total Claims

382K

Beneficiaries

281K

1.4 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-28%
2019
$1.7M
+44%
2020
$2.4M
-30%
2021
$1.7M
+8%
2022
$1.8M
-5%
2023
$1.7M
-23%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 33% of total spending.

99214Normal range

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

$4.3M

68K claims · 33.2%

Your Cost: $63.02/claim|Median: $53.41
1.2× median
99213Top 25%

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

$2.0M

37K claims · 15.9%

Your Cost: $55.10/claim|Median: $37.81
1.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$871K

29K claims · 6.8%

Your Cost: $29.73/claim|Median: $35.30
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$486K

7,830 claims · 3.8%

Your Cost: $62.02/claim|Median: $101.24
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$386K

14K claims · 3.0%

Your Cost: $27.04/claim|Median: $23.99
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$359K

7,672 claims · 2.8%

Your Cost: $46.76/claim|Median: $74.09
0.6× median
1123FTop 25%

$329K

20K claims · 2.6%

Your Cost: $16.70/claim|Median: $0.49
34.1× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$324K

3,039 claims · 2.5%

Your Cost: $106.50/claim|Median: $74.82
1.4× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$312K

2,913 claims · 2.4%

Your Cost: $107.18/claim|Median: $75.18
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$270K

8,068 claims · 2.1%

Your Cost: $33.42/claim|Median: $43.85
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$246K

6,231 claims · 1.9%

Your Cost: $39.40/claim|Median: $67.32
0.6× median
99220Normal range

$226K

3,075 claims · 1.8%

Your Cost: $73.56/claim|Median: $73.56
1.0× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$206K

2,111 claims · 1.6%

Your Cost: $97.48/claim|Median: $69.35
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$195K

1,689 claims · 1.5%

Your Cost: $115.28/claim|Median: $80.15
1.4× median
G8417Top 5%

$181K

5,007 claims · 1.4%

Your Cost: $36.18/claim|Median: $0.06
603.0× median
G8420Top 10%

$169K

6,733 claims · 1.3%

Your Cost: $25.15/claim|Median: $0.06
419.1× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$148K

6,977 claims · 1.2%

Your Cost: $21.22/claim|Median: $7.18
3.0× median
1124FTop 25%

$147K

6,030 claims · 1.1%

Your Cost: $24.42/claim|Median: $2.37
10.3× median
99292Normal range

$122K

2,404 claims · 0.9%

Your Cost: $50.60/claim|Median: $57.64
0.9× median
99496Normal range

Transitional care management, moderate complexity face-to-face visit

$109K

1,423 claims · 0.8%

Your Cost: $76.31/claim|Median: $54.66
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$95K

2,368 claims · 0.7%

Your Cost: $40.22/claim|Median: $54.68
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$92K

22K claims · 0.7%

Your Cost: $4.22/claim|Median: $5.60
0.8× median
99204Normal range

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

$89K

1,607 claims · 0.7%

Your Cost: $55.55/claim|Median: $84.03
0.7× median
99495Top 25%

$83K

726 claims · 0.6%

Your Cost: $114.62/claim|Median: $52.75
2.2× median
99203Normal range

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

$63K

1,433 claims · 0.5%

Your Cost: $43.68/claim|Median: $57.85
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$59K

5,950 claims · 0.5%

Your Cost: $9.90/claim|Median: $9.70
1.0× median
99219Top 25%

$57K

707 claims · 0.4%

Your Cost: $80.57/claim|Median: $63.35
1.3× median
36415Top 5%

Collection of venous blood by venipuncture

$53K

3,739 claims · 0.4%

Your Cost: $14.04/claim|Median: $1.57
8.9× median
90670Top 10%

$49K

1,682 claims · 0.4%

Your Cost: $29.27/claim|Median: $5.94
4.9× median
92551Normal range

Screening audiometry, pure tone, air only

$41K

4,408 claims · 0.3%

Your Cost: $9.38/claim|Median: $6.61
1.4× median
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