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Provider 1578709515

NPI: 1578709515Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,880,141

Total Claims

131K

Beneficiaries

73K

1.8 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+10%
2019
$1.7M
+10%
2020
$1.9M
+3%
2021
$2.0M
-16%
2022
$1.7M
+6%
2023
$1.8M
+28%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 64% of total spending.

99309Top 1%

Nursing facility care, subsequent, low complexity

$8.2M

86K claims · 63.9%

Your Cost: $95.28/claim|Median: $14.00
6.8× median
99305Top 1%

$1.1M

6,563 claims · 8.8%

Your Cost: $172.75/claim|Median: $19.28
9.0× median
99310Top 1%

$870K

5,989 claims · 6.8%

Your Cost: $145.23/claim|Median: $21.82
6.7× median
99304Top 5%

$865K

9,575 claims · 6.7%

Your Cost: $90.34/claim|Median: $13.51
6.7× median
99315Top 5%

$592K

6,781 claims · 4.6%

Your Cost: $87.37/claim|Median: $14.17
6.2× median
99336Top 5%

$466K

5,166 claims · 3.6%

Your Cost: $90.21/claim|Median: $20.35
4.4× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$397K

4,439 claims · 3.1%

Your Cost: $89.54/claim|Median: $35.30
2.5× median
99349Top 5%

$251K

2,381 claims · 1.9%

Your Cost: $105.33/claim|Median: $24.29
4.3× median
99308Normal range

Nursing facility care, subsequent, straightforward

$38K

3,398 claims · 0.3%

Your Cost: $11.26/claim|Median: $9.79
1.2× median
99318Top 1%

$36K

201 claims · 0.3%

Your Cost: $179.14/claim|Median: $15.64
11.5× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$4K

45 claims · 0.0%

Your Cost: $93.24/claim|Median: $23.99
3.9× median
99335Normal range

$1K

76 claims · 0.0%

Your Cost: $15.28/claim|Median: $14.90
1.0× median
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