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Provider 1578959318

NPI: 1578959318Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$16.6M

$16,561,422

Total Claims

232K

Beneficiaries

147K

1.6 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$804K
+174%
2019
$2.2M
+4%
2020
$2.3M
+18%
2021
$2.7M
-6%
2022
$2.5M
+36%
2023
$3.4M
-25%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (99223 (Initial hospital care, per day, high complexity)) accounts for 74% of total spending.

99223Top 5%

Initial hospital care, per day, high complexity

$12.3M

57K claims · 74.3%

Your Cost: $215.55/claim|Median: $67.32
3.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.2M

98K claims · 13.0%

Your Cost: $22.02/claim|Median: $35.30
0.6× median
99497Normal range

$583K

24K claims · 3.5%

Your Cost: $24.05/claim|Median: $10.99
2.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$557K

25K claims · 3.4%

Your Cost: $21.96/claim|Median: $43.85
0.5× median
99291Normal range

Critical care, first 30-74 minutes

$463K

5,278 claims · 2.8%

Your Cost: $87.72/claim|Median: $101.24
0.9× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$183K

6,444 claims · 1.1%

Your Cost: $28.46/claim|Median: $14.00
2.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$161K

10K claims · 1.0%

Your Cost: $15.61/claim|Median: $23.99
0.7× median
99306Top 10%

$59K

754 claims · 0.4%

Your Cost: $78.77/claim|Median: $29.97
2.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$40K

872 claims · 0.2%

Your Cost: $45.57/claim|Median: $51.25
0.9× median
99214Normal range

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

$24K

852 claims · 0.1%

Your Cost: $28.43/claim|Median: $53.41
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$10K

566 claims · 0.1%

Your Cost: $17.56/claim|Median: $37.22
0.5× median
99308Normal range

Nursing facility care, subsequent, straightforward

$8K

2,062 claims · 0.0%

Your Cost: $3.93/claim|Median: $9.79
0.4× median
99483Top 10%

$5K

41 claims · 0.0%

Your Cost: $120.06/claim|Median: $34.89
3.4× median
99310Normal range

$4K

145 claims · 0.0%

Your Cost: $27.75/claim|Median: $21.82
1.3× median
99213Normal range

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

$2K

111 claims · 0.0%

Your Cost: $21.51/claim|Median: $37.81
0.6× median
99220Normal range

$1K

45 claims · 0.0%

Your Cost: $27.98/claim|Median: $73.56
0.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$683

37 claims · 0.0%

Your Cost: $18.46/claim|Median: $32.55
0.6× median
99305Normal range

$186

13 claims · 0.0%

Your Cost: $14.29/claim|Median: $19.28
0.7× median
99358Normal range

$42

20 claims · 0.0%

Your Cost: $2.09/claim|Median: $14.34
0.1× median
G0180Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.31
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