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Provider 1598852717

NPI: 1598852717Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,375,785

Total Claims

354K

Beneficiaries

203K

1.7 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-15%
2019
$2.3M
-39%
2020
$1.4M
+10%
2021
$1.5M
+1%
2022
$1.5M
+35%
2023
$2.1M
+37%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 30% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$4.4M

137K claims · 30.3%

Your Cost: $31.89/claim|Median: $35.30
0.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$2.4M

23K claims · 16.6%

Your Cost: $105.41/claim|Median: $67.32
1.6× median
99291Normal range

Critical care, first 30-74 minutes

$1.7M

19K claims · 11.5%

Your Cost: $85.75/claim|Median: $101.24
0.8× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$1.0M

14K claims · 7.2%

Your Cost: $76.17/claim|Median: $51.25
1.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$780K

13K claims · 5.4%

Your Cost: $58.23/claim|Median: $37.22
1.6× median
99214Normal range

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

$730K

16K claims · 5.1%

Your Cost: $46.33/claim|Median: $53.41
0.9× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$705K

10K claims · 4.9%

Your Cost: $69.98/claim|Median: $43.85
1.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$602K

24K claims · 4.2%

Your Cost: $24.91/claim|Median: $23.99
1.0× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$347K

1,107 claims · 2.4%

Your Cost: $313.71/claim|Median: $255.03
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$226K

724 claims · 1.6%

Your Cost: $311.83/claim|Median: $233.73
1.3× median
99204Normal range

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

$223K

3,250 claims · 1.5%

Your Cost: $68.52/claim|Median: $84.03
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$185K

8,869 claims · 1.3%

Your Cost: $20.86/claim|Median: $14.00
1.5× median
99213Normal range

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

$174K

7,319 claims · 1.2%

Your Cost: $23.75/claim|Median: $37.81
0.6× median
99221Normal range

Initial hospital care, straightforward/low

$150K

2,560 claims · 1.0%

Your Cost: $58.58/claim|Median: $39.96
1.5× median
94060Top 25%

$126K

1,980 claims · 0.9%

Your Cost: $63.53/claim|Median: $25.18
2.5× median
99215Normal range

Office/outpatient visit, high complexity

$84K

816 claims · 0.6%

Your Cost: $102.50/claim|Median: $74.09
1.4× median
94727Top 10%

$56K

1,335 claims · 0.4%

Your Cost: $42.28/claim|Median: $14.31
3.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$56K

5,025 claims · 0.4%

Your Cost: $11.17/claim|Median: $9.79
1.1× median
94726Top 25%

$53K

973 claims · 0.4%

Your Cost: $54.97/claim|Median: $13.41
4.1× median
94729Top 25%

$52K

1,531 claims · 0.4%

Your Cost: $34.24/claim|Median: $12.24
2.8× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$50K

15K claims · 0.3%

Your Cost: $3.40/claim|Median: $0.79
4.3× median
99306Normal range

$42K

996 claims · 0.3%

Your Cost: $42.53/claim|Median: $29.97
1.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$42K

296 claims · 0.3%

Your Cost: $140.64/claim|Median: $85.65
1.6× median
99203Normal range

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

$39K

906 claims · 0.3%

Your Cost: $43.43/claim|Median: $57.85
0.8× median
99310Normal range

$37K

1,410 claims · 0.3%

Your Cost: $25.91/claim|Median: $21.82
1.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$30K

248 claims · 0.2%

Your Cost: $119.84/claim|Median: $42.48
2.8× median
G2012Normal range

Brief communication technology-based service

$25K

3,223 claims · 0.2%

Your Cost: $7.88/claim|Median: $8.79
0.9× median
94664Top 25%

$16K

1,217 claims · 0.1%

Your Cost: $12.89/claim|Median: $8.88
1.5× median
99235Normal range

$14K

119 claims · 0.1%

Your Cost: $117.44/claim|Median: $110.13
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$11K

992 claims · 0.1%

Your Cost: $10.98/claim|Median: $9.80
1.1× median
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