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Provider 1578792271

NPI: 1578792271Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.8M

$15,808,976

Total Claims

164K

Beneficiaries

130K

1.3 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+97%
2019
$2.2M
-30%
2020
$1.5M
+72%
2021
$2.7M
+7%
2022
$2.8M
+13%
2023
$3.2M
-33%
2024
$2.2M

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 28% of total spending.

99214Top 25%

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

$4.4M

50K claims · 27.9%

Your Cost: $88.46/claim|Median: $53.41
1.7× median
95720Top 25%

$2.4M

14K claims · 15.3%

Your Cost: $178.45/claim|Median: $120.95
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$1.7M

14K claims · 11.1%

Your Cost: $127.01/claim|Median: $74.09
1.7× median
95951Normal range

$1.2M

6,288 claims · 7.4%

Your Cost: $185.08/claim|Median: $183.28
1.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.0M

3,607 claims · 6.5%

Your Cost: $283.11/claim|Median: $470.36
0.6× median
99213Top 25%

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

$942K

16K claims · 6.0%

Your Cost: $58.33/claim|Median: $37.81
1.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$658K

15K claims · 4.2%

Your Cost: $42.59/claim|Median: $23.99
1.8× median
99204Top 25%

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

$608K

4,865 claims · 3.8%

Your Cost: $125.06/claim|Median: $84.03
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$516K

3,638 claims · 3.3%

Your Cost: $141.75/claim|Median: $111.09
1.3× median
99223Top 25%

Initial hospital care, per day, high complexity

$454K

3,565 claims · 2.9%

Your Cost: $127.37/claim|Median: $67.32
1.9× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$329K

4,434 claims · 2.1%

Your Cost: $74.20/claim|Median: $35.30
2.1× median
95886Normal range

$188K

3,656 claims · 1.2%

Your Cost: $51.52/claim|Median: $67.70
0.8× median
95908Normal range

$175K

3,266 claims · 1.1%

Your Cost: $53.55/claim|Median: $58.63
0.9× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$153K

1,556 claims · 1.0%

Your Cost: $98.36/claim|Median: $51.25
1.9× median
92083Top 10%

Visual field exam, extended testing, bilateral

$132K

2,435 claims · 0.8%

Your Cost: $54.06/claim|Median: $29.82
1.8× median
95816Normal range

$130K

3,076 claims · 0.8%

Your Cost: $42.29/claim|Median: $56.87
0.7× median
95819Normal range

Electroencephalogram with sleep recording

$116K

2,401 claims · 0.7%

Your Cost: $48.29/claim|Median: $62.75
0.8× median
95909Normal range

$100K

1,606 claims · 0.6%

Your Cost: $62.11/claim|Median: $73.56
0.8× median
95718Normal range

$89K

846 claims · 0.6%

Your Cost: $105.34/claim|Median: $78.85
1.3× median
64615Normal range

$61K

757 claims · 0.4%

Your Cost: $80.10/claim|Median: $82.82
1.0× median
92133Top 10%

$57K

1,684 claims · 0.4%

Your Cost: $34.04/claim|Median: $19.09
1.8× median
99218Top 25%

$47K

626 claims · 0.3%

Your Cost: $74.95/claim|Median: $51.50
1.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$35K

144 claims · 0.2%

Your Cost: $243.61/claim|Median: $85.65
2.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$29K

1,472 claims · 0.2%

Your Cost: $19.72/claim|Median: $16.77
1.2× median
93886Top 5%

$29K

100 claims · 0.2%

Your Cost: $287.03/claim|Median: $83.25
3.4× median
95910Normal range

$20K

313 claims · 0.1%

Your Cost: $64.90/claim|Median: $97.13
0.7× median
64642Normal range

$18K

244 claims · 0.1%

Your Cost: $74.71/claim|Median: $81.85
0.9× median
99284Top 25%

Emergency dept visit, high complexity

$17K

146 claims · 0.1%

Your Cost: $117.77/claim|Median: $69.51
1.7× median
96040Normal range

$17K

617 claims · 0.1%

Your Cost: $27.68/claim|Median: $32.05
0.9× median
95885Normal range

$15K

828 claims · 0.1%

Your Cost: $18.22/claim|Median: $39.97
0.5× median
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