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Provider 1609206010

NPI: 1609206010Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$12.3M

$12,291,803

Total Claims

186K

Beneficiaries

166K

1.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$65K
+665%
2019
$497K
+114%
2020
$1.1M
+62%
2021
$1.7M
+56%
2022
$2.7M
+31%
2023
$3.5M
-24%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 31% of total spending.

99213Top 25%

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

$3.8M

54K claims · 30.8%

Your Cost: $70.76/claim|Median: $37.81
1.9× median
99203Top 25%

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

$2.8M

29K claims · 22.8%

Your Cost: $97.16/claim|Median: $57.85
1.7× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$1.2M

18K claims · 9.7%

Your Cost: $65.71/claim|Median: $40.11
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$882K

19K claims · 7.2%

Your Cost: $47.24/claim|Median: $25.06
1.9× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$535K

8,905 claims · 4.4%

Your Cost: $60.12/claim|Median: $22.44
2.7× median
L3000Normal range

Foot insert, removable, molded to patient model

$342K

1,597 claims · 2.8%

Your Cost: $214.40/claim|Median: $205.41
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$290K

2,076 claims · 2.4%

Your Cost: $139.80/claim|Median: $54.68
2.6× median
10060Normal range

Incision and drainage of abscess, simple

$177K

1,574 claims · 1.4%

Your Cost: $112.17/claim|Median: $75.72
1.5× median
99214Top 25%

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

$161K

1,868 claims · 1.3%

Your Cost: $86.41/claim|Median: $53.41
1.6× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$160K

1,473 claims · 1.3%

Your Cost: $108.45/claim|Median: $76.22
1.4× median
11721Top 5%

$146K

4,762 claims · 1.2%

Your Cost: $30.56/claim|Median: $8.56
3.6× median
99204Top 25%

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

$131K

1,154 claims · 1.1%

Your Cost: $113.93/claim|Median: $84.03
1.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$129K

2,979 claims · 1.1%

Your Cost: $43.41/claim|Median: $24.49
1.8× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$118K

1,124 claims · 1.0%

Your Cost: $105.13/claim|Median: $49.03
2.1× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$116K

3,382 claims · 0.9%

Your Cost: $34.18/claim|Median: $20.04
1.7× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$110K

894 claims · 0.9%

Your Cost: $122.75/claim|Median: $87.82
1.4× median
90791Top 25%

Psychiatric diagnostic evaluation

$85K

623 claims · 0.7%

Your Cost: $136.15/claim|Median: $99.21
1.4× median
17110Normal range

Destruction of benign lesions, up to fourteen

$82K

1,120 claims · 0.7%

Your Cost: $73.10/claim|Median: $59.25
1.2× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$77K

2,290 claims · 0.6%

Your Cost: $33.58/claim|Median: $13.30
2.5× median
10061Top 25%

$76K

402 claims · 0.6%

Your Cost: $189.76/claim|Median: $101.03
1.9× median
97530Normal range

Therapeutic activities, each 15 min

$61K

1,518 claims · 0.5%

Your Cost: $40.30/claim|Median: $33.11
1.2× median
11043Top 10%

$58K

275 claims · 0.5%

Your Cost: $212.63/claim|Median: $62.99
3.4× median
L1970Normal range

$58K

109 claims · 0.5%

Your Cost: $532.21/claim|Median: $447.43
1.2× median
11056Top 10%

Paring or cutting of benign hyperkeratotic lesions, two to four

$57K

1,306 claims · 0.5%

Your Cost: $43.50/claim|Median: $11.01
4.0× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$52K

659 claims · 0.4%

Your Cost: $78.56/claim|Median: $38.23
2.1× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$52K

1,858 claims · 0.4%

Your Cost: $27.77/claim|Median: $16.79
1.7× median
17111Top 25%

$51K

474 claims · 0.4%

Your Cost: $108.12/claim|Median: $80.28
1.3× median
93978Top 25%

$41K

381 claims · 0.3%

Your Cost: $108.74/claim|Median: $60.72
1.8× median
11730Top 5%

$39K

391 claims · 0.3%

Your Cost: $100.05/claim|Median: $24.59
4.1× median
93922Top 25%

$35K

583 claims · 0.3%

Your Cost: $59.73/claim|Median: $26.06
2.3× median
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