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Provider 1598755605

NPI: 1598755605Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,244,202

Total Claims

757K

Beneficiaries

692K

1.1 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+12%
2019
$1.4M
-6%
2020
$1.3M
+26%
2021
$1.7M
+12%
2022
$1.9M
+10%
2023
$2.0M
-14%
2024
$1.8M

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 44% of total spending.

99214Normal range

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

$5.0M

72K claims · 44.1%

Your Cost: $69.35/claim|Median: $53.41
1.3× median
99213Normal range

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

$2.5M

50K claims · 22.6%

Your Cost: $50.95/claim|Median: $37.81
1.3× median
99204Normal range

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

$796K

8,683 claims · 7.1%

Your Cost: $91.66/claim|Median: $84.03
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$270K

13K claims · 2.4%

Your Cost: $20.45/claim|Median: $23.99
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$215K

7,514 claims · 1.9%

Your Cost: $28.61/claim|Median: $35.30
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$207K

2,686 claims · 1.8%

Your Cost: $77.14/claim|Median: $74.09
1.0× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$193K

1,734 claims · 1.7%

Your Cost: $111.24/claim|Median: $76.06
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$166K

1,857 claims · 1.5%

Your Cost: $89.19/claim|Median: $72.71
1.2× median
76830Normal range

Ultrasound, transvaginal

$156K

2,833 claims · 1.4%

Your Cost: $55.18/claim|Median: $57.47
1.0× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$134K

7,276 claims · 1.2%

Your Cost: $18.35/claim|Median: $3.67
5.0× median
99223Normal range

Initial hospital care, per day, high complexity

$111K

1,904 claims · 1.0%

Your Cost: $58.12/claim|Median: $67.32
0.9× median
99490Top 25%

Chronic care management services, 20 minutes per month

$107K

7,271 claims · 1.0%

Your Cost: $14.70/claim|Median: $6.31
2.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$92K

776 claims · 0.8%

Your Cost: $117.96/claim|Median: $121.58
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$83K

691 claims · 0.7%

Your Cost: $120.43/claim|Median: $111.09
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$81K

8,444 claims · 0.7%

Your Cost: $9.60/claim|Median: $9.70
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$78K

1,960 claims · 0.7%

Your Cost: $39.75/claim|Median: $63.65
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$74K

1,327 claims · 0.7%

Your Cost: $56.07/claim|Median: $151.68
0.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$73K

2,354 claims · 0.6%

Your Cost: $30.93/claim|Median: $43.85
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$58K

24K claims · 0.5%

Your Cost: $2.38/claim|Median: $1.57
1.5× median
99203Normal range

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

$57K

904 claims · 0.5%

Your Cost: $63.05/claim|Median: $57.85
1.1× median
45380Normal range

Colonoscopy with biopsy

$54K

593 claims · 0.5%

Your Cost: $91.87/claim|Median: $200.68
0.5× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$46K

619 claims · 0.4%

Your Cost: $74.32/claim|Median: $47.65
1.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$45K

1,121 claims · 0.4%

Your Cost: $40.05/claim|Median: $51.25
0.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$41K

1,272 claims · 0.4%

Your Cost: $32.59/claim|Median: $22.44
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$41K

1,118 claims · 0.4%

Your Cost: $36.99/claim|Median: $25.06
1.5× median
76856Normal range

Ultrasound, pelvic, complete

$38K

740 claims · 0.3%

Your Cost: $51.79/claim|Median: $47.58
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$34K

1,422 claims · 0.3%

Your Cost: $23.74/claim|Median: $37.22
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$30K

569 claims · 0.3%

Your Cost: $52.67/claim|Median: $58.55
0.9× median
G2066Top 10%

$27K

371 claims · 0.2%

Your Cost: $73.25/claim|Median: $14.66
5.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$27K

5,600 claims · 0.2%

Your Cost: $4.83/claim|Median: $5.50
0.9× median
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