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Provider 1598784555

NPI: 1598784555Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.2M

$15,166,723

Total Claims

744K

Beneficiaries

637K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+7%
2019
$1.6M
-7%
2020
$1.5M
+44%
2021
$2.1M
+4%
2022
$2.2M
+39%
2023
$3.1M
+1%
2024
$3.1M

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 17% of total spending.

99214Normal range

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

$2.5M

81K claims · 16.7%

Your Cost: $31.40/claim|Median: $53.41
0.6× median
99213Normal range

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

$2.2M

113K claims · 14.7%

Your Cost: $19.71/claim|Median: $37.81
0.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.1M

31K claims · 7.3%

Your Cost: $36.17/claim|Median: $85.65
0.4× median
99284Normal range

Emergency dept visit, high complexity

$899K

29K claims · 5.9%

Your Cost: $31.07/claim|Median: $69.51
0.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$628K

17K claims · 4.1%

Your Cost: $36.65/claim|Median: $35.80
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$554K

14K claims · 3.7%

Your Cost: $39.30/claim|Median: $65.76
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$515K

97K claims · 3.4%

Your Cost: $5.30/claim|Median: $5.60
0.9× median
70553Normal range

MRI brain without contrast, then with contrast

$498K

5,453 claims · 3.3%

Your Cost: $91.42/claim|Median: $133.68
0.7× median
70450Normal range

CT head/brain without contrast

$389K

14K claims · 2.6%

Your Cost: $28.24/claim|Median: $45.53
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$352K

6,270 claims · 2.3%

Your Cost: $56.10/claim|Median: $74.09
0.8× median
71045Normal range

Chest X-ray, single view

$345K

76K claims · 2.3%

Your Cost: $4.51/claim|Median: $4.93
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$337K

12K claims · 2.2%

Your Cost: $28.81/claim|Median: $54.68
0.5× median
90378Normal range

$306K

125 claims · 2.0%

Your Cost: $2,451.77/claim|Median: $1,627.19
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$248K

19K claims · 1.6%

Your Cost: $13.17/claim|Median: $23.99
0.5× median
71046Normal range

Chest X-ray, 2 views

$245K

36K claims · 1.6%

Your Cost: $6.76/claim|Median: $8.92
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$221K

10K claims · 1.5%

Your Cost: $21.70/claim|Median: $42.48
0.5× median
71250Normal range

CT scan of chest without contrast

$218K

4,951 claims · 1.4%

Your Cost: $44.11/claim|Median: $39.11
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$152K

6,572 claims · 1.0%

Your Cost: $23.16/claim|Median: $58.55
0.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$152K

6,260 claims · 1.0%

Your Cost: $24.31/claim|Median: $47.08
0.5× median
59025Normal range

Fetal non-stress test

$141K

8,180 claims · 0.9%

Your Cost: $17.24/claim|Median: $26.45
0.7× median
71275Normal range

CT angiography, chest, with contrast

$133K

3,144 claims · 0.9%

Your Cost: $42.24/claim|Median: $92.96
0.5× median
92015Normal range

Determination of refractive state

$120K

21K claims · 0.8%

Your Cost: $5.71/claim|Median: $10.36
0.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$111K

1,727 claims · 0.7%

Your Cost: $64.20/claim|Median: $106.79
0.6× median
90960Normal range

End-stage renal disease services, per month, age 20+

$105K

1,493 claims · 0.7%

Your Cost: $70.58/claim|Median: $52.76
1.3× median
95720Normal range

$103K

873 claims · 0.7%

Your Cost: $118.17/claim|Median: $120.95
1.0× median
99203Normal range

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

$99K

2,289 claims · 0.7%

Your Cost: $43.14/claim|Median: $57.85
0.7× median
99243Normal range

Office or other outpatient consultation, low complexity

$93K

2,194 claims · 0.6%

Your Cost: $42.27/claim|Median: $82.43
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$91K

1,270 claims · 0.6%

Your Cost: $71.55/claim|Median: $108.91
0.7× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$89K

2,650 claims · 0.6%

Your Cost: $33.44/claim|Median: $38.83
0.9× median
74018Normal range

$85K

17K claims · 0.6%

Your Cost: $5.08/claim|Median: $7.00
0.7× median