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Provider 1609907138

NPI: 1609907138Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,821,692

Total Claims

206K

Beneficiaries

173K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+16%
2019
$1.4M
+2%
2020
$1.4M
-2%
2021
$1.4M
-12%
2022
$1.2M
-10%
2023
$1.1M
-7%
2024
$1.0M

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 37% of total spending.

99214Normal range

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

$3.2M

70K claims · 36.8%

Your Cost: $46.28/claim|Median: $53.41
0.9× median
99213Normal range

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

$1.8M

57K claims · 20.4%

Your Cost: $31.33/claim|Median: $37.81
0.8× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.4M

22K claims · 15.3%

Your Cost: $60.56/claim|Median: $35.43
1.7× median
G0481Top 25%

Drug test, definitive, 8-14 drug classes

$1.1M

11K claims · 12.9%

Your Cost: $103.56/claim|Median: $64.72
1.6× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$262K

5,170 claims · 3.0%

Your Cost: $50.74/claim|Median: $37.56
1.4× median
95910Normal range

$222K

2,601 claims · 2.5%

Your Cost: $85.21/claim|Median: $97.13
0.9× median
99204Normal range

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

$143K

1,895 claims · 1.6%

Your Cost: $75.60/claim|Median: $84.03
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$137K

2,644 claims · 1.6%

Your Cost: $51.86/claim|Median: $74.09
0.7× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$116K

1,108 claims · 1.3%

Your Cost: $104.60/claim|Median: $111.02
0.9× median
95886Normal range

$109K

2,398 claims · 1.2%

Your Cost: $45.58/claim|Median: $67.70
0.7× median
G0482Top 10%

Drug test, definitive, 15-21 drug classes

$74K

489 claims · 0.8%

Your Cost: $150.69/claim|Median: $75.26
2.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$61K

7,309 claims · 0.7%

Your Cost: $8.29/claim|Median: $9.56
0.9× median
20552Normal range

$44K

2,389 claims · 0.5%

Your Cost: $18.54/claim|Median: $23.11
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$43K

519 claims · 0.5%

Your Cost: $82.66/claim|Median: $111.09
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$38K

123 claims · 0.4%

Your Cost: $306.99/claim|Median: $233.73
1.3× median
G2211Normal range

$14K

8,009 claims · 0.2%

Your Cost: $1.75/claim|Median: $2.40
0.7× median
95885Normal range

$12K

385 claims · 0.1%

Your Cost: $30.64/claim|Median: $39.97
0.8× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$4K

5,476 claims · 0.0%

Your Cost: $0.65/claim|Median: $0.91
0.7× median
64493Normal range

$3K

87 claims · 0.0%

Your Cost: $35.55/claim|Median: $103.44
0.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$2K

132 claims · 0.0%

Your Cost: $18.92/claim|Median: $22.44
0.8× median
J1020Normal range

$2K

2,281 claims · 0.0%

Your Cost: $1.09/claim|Median: $2.63
0.4× median
99203Normal range

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

$2K

51 claims · 0.0%

Your Cost: $42.29/claim|Median: $57.85
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$2K

101 claims · 0.0%

Your Cost: $21.05/claim|Median: $25.06
0.8× median
64494Normal range

$2K

87 claims · 0.0%

Your Cost: $17.63/claim|Median: $34.70
0.5× median
95911Normal range

$1K

17 claims · 0.0%

Your Cost: $74.24/claim|Median: $122.86
0.6× median
95816Normal range

$1K

12 claims · 0.0%

Your Cost: $96.95/claim|Median: $56.87
1.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$896

80 claims · 0.0%

Your Cost: $11.20/claim|Median: $13.30
0.8× median
64495Normal range

$767

49 claims · 0.0%

Your Cost: $15.65/claim|Median: $36.70
0.4× median
J1100Normal range

$669

1,316 claims · 0.0%

Your Cost: $0.51/claim|Median: $0.52
1.0× median
80305Top 25%

$421

39 claims · 0.0%

Your Cost: $10.78/claim|Median: $7.44
1.4× median
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