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Provider 1609362375

NPI: 1609362375Share
Active Billing Period:2019-08→2024-12(65 months)

Total Paid

$9.7M

$9,721,913

Total Claims

462K

Beneficiaries

246K

1.9 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2019
$7K
+7517%
2020
$506K
+202%
2021
$1.5M
+45%
2022
$2.2M
+9%
2023
$2.4M
+27%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 44% of total spending.

99309Normal range

Nursing facility care, subsequent, low complexity

$4.3M

194K claims · 44.1%

Your Cost: $22.09/claim|Median: $14.00
1.6× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$3.2M

175K claims · 32.7%

Your Cost: $18.21/claim|Median: $9.79
1.9× median
99306Normal range

$565K

11K claims · 5.8%

Your Cost: $49.35/claim|Median: $29.97
1.6× median
99310Normal range

$518K

19K claims · 5.3%

Your Cost: $27.35/claim|Median: $21.82
1.3× median
99305Top 25%

$383K

8,904 claims · 3.9%

Your Cost: $43.01/claim|Median: $19.28
2.2× median
99497Normal range

$225K

12K claims · 2.3%

Your Cost: $18.31/claim|Median: $10.99
1.7× median
99307Normal range

$222K

22K claims · 2.3%

Your Cost: $10.30/claim|Median: $6.57
1.6× median
99316Top 25%

$142K

2,691 claims · 1.5%

Your Cost: $52.60/claim|Median: $25.78
2.0× median
99490Normal range

Chronic care management services, 20 minutes per month

$53K

7,309 claims · 0.5%

Your Cost: $7.30/claim|Median: $6.31
1.2× median
99315Top 25%

$36K

1,255 claims · 0.4%

Your Cost: $28.69/claim|Median: $14.17
2.0× median
99304Top 25%

$27K

1,029 claims · 0.3%

Your Cost: $26.62/claim|Median: $13.51
2.0× median
99318Top 25%

$27K

739 claims · 0.3%

Your Cost: $36.06/claim|Median: $15.64
2.3× median
99439Normal range

$22K

3,839 claims · 0.2%

Your Cost: $5.66/claim|Median: $5.83
1.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$10K

335 claims · 0.1%

Your Cost: $30.65/claim|Median: $36.13
0.8× median
G0180Normal range

$5K

922 claims · 0.1%

Your Cost: $5.73/claim|Median: $8.31
0.7× median
99356Normal range

$5K

241 claims · 0.0%

Your Cost: $19.16/claim|Median: $22.76
0.8× median
17250Normal range

$5K

245 claims · 0.0%

Your Cost: $18.59/claim|Median: $19.69
0.9× median
99487Normal range

$4K

296 claims · 0.0%

Your Cost: $13.90/claim|Median: $14.74
0.9× median
99491Normal range

$816

263 claims · 0.0%

Your Cost: $3.10/claim|Median: $9.86
0.3× median
99489Normal range

$517

84 claims · 0.0%

Your Cost: $6.16/claim|Median: $9.86
0.6× median
99406Normal range

$383

170 claims · 0.0%

Your Cost: $2.25/claim|Median: $6.53
0.3× median
97597Normal range

$317

87 claims · 0.0%

Your Cost: $3.65/claim|Median: $21.22
0.2× median
99422Normal range

Online digital E/M, 11-20 min

$272

20 claims · 0.0%

Your Cost: $13.61/claim|Median: $17.90
0.8× median
G0317Top 25%

$218

19 claims · 0.0%

Your Cost: $11.48/claim|Median: $3.67
3.1× median
99358Normal range

$126

243 claims · 0.0%

Your Cost: $0.52/claim|Median: $14.34
0.0× median
80050Normal range

General health panel

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.59
1101FNormal range

$0

155 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$0

72 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
G9717

$0

16 claims · 0.0%

G8482Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
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