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Provider 1598710147

NPI: 1598710147Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,926,612

Total Claims

372K

Beneficiaries

305K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$588K
-2%
2019
$578K
+32%
2020
$764K
+41%
2021
$1.1M
+68%
2022
$1.8M
+55%
2023
$2.8M
-17%
2024
$2.3M

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 22% of total spending.

99214Normal range

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

$2.1M

40K claims · 21.5%

Your Cost: $53.99/claim|Median: $53.41
1.0× median
99213Normal range

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

$1.6M

46K claims · 16.3%

Your Cost: $35.23/claim|Median: $37.81
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$821K

25K claims · 8.3%

Your Cost: $33.14/claim|Median: $23.99
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$668K

5,897 claims · 6.7%

Your Cost: $113.21/claim|Median: $108.91
1.0× median
99204Normal range

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

$545K

6,385 claims · 5.5%

Your Cost: $85.36/claim|Median: $84.03
1.0× median
43249Normal range

Upper GI endoscopy with balloon dilation of esophagus

$544K

1,835 claims · 5.5%

Your Cost: $296.26/claim|Median: $153.37
1.9× median
43239Normal range

Upper GI endoscopy with biopsy

$521K

4,436 claims · 5.2%

Your Cost: $117.42/claim|Median: $151.68
0.8× median
45380Normal range

Colonoscopy with biopsy

$433K

1,981 claims · 4.4%

Your Cost: $218.64/claim|Median: $200.68
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$356K

6,921 claims · 3.6%

Your Cost: $51.37/claim|Median: $54.68
0.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$286K

5,236 claims · 2.9%

Your Cost: $54.57/claim|Median: $35.30
1.5× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$271K

1,380 claims · 2.7%

Your Cost: $196.06/claim|Median: $255.17
0.8× median
99203Normal range

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

$264K

4,571 claims · 2.7%

Your Cost: $57.67/claim|Median: $57.85
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$248K

6,110 claims · 2.5%

Your Cost: $40.66/claim|Median: $37.22
1.1× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$234K

5,570 claims · 2.4%

Your Cost: $42.08/claim|Median: $36.13
1.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$185K

7,867 claims · 1.9%

Your Cost: $23.49/claim|Median: $16.77
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$113K

6,138 claims · 1.1%

Your Cost: $18.42/claim|Median: $25.06
0.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$100K

1,540 claims · 1.0%

Your Cost: $65.00/claim|Median: $43.85
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$80K

1,235 claims · 0.8%

Your Cost: $64.53/claim|Median: $62.48
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$79K

2,823 claims · 0.8%

Your Cost: $27.88/claim|Median: $29.03
1.0× median
11045Normal range

$46K

705 claims · 0.5%

Your Cost: $65.87/claim|Median: $27.04
2.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$45K

1,340 claims · 0.5%

Your Cost: $33.71/claim|Median: $40.11
0.8× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$40K

736 claims · 0.4%

Your Cost: $53.86/claim|Median: $106.14
0.5× median
11043Normal range

$34K

494 claims · 0.3%

Your Cost: $69.06/claim|Median: $62.99
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$32K

291 claims · 0.3%

Your Cost: $111.64/claim|Median: $111.09
1.0× median
31575Normal range

$31K

612 claims · 0.3%

Your Cost: $49.99/claim|Median: $68.78
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$23K

557 claims · 0.2%

Your Cost: $40.89/claim|Median: $51.25
0.8× median
99291Top 25%

Critical care, first 30-74 minutes

$19K

125 claims · 0.2%

Your Cost: $155.18/claim|Median: $101.24
1.5× median
91200Top 5%

$18K

108 claims · 0.2%

Your Cost: $167.03/claim|Median: $17.80
9.4× median
45378Normal range

Colonoscopy, diagnostic

$11K

60 claims · 0.1%

Your Cost: $188.23/claim|Median: $225.49
0.8× median
92567Normal range

$11K

1,168 claims · 0.1%

Your Cost: $9.58/claim|Median: $11.50
0.8× median
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