Provider 1619166097
NPI: 1619166097Share
Active Billing Period:2018-01→2024-12(82 months)
Total Paid
$11.7M
$11,704,834
Total Claims
29K
Beneficiaries
28K
1.0 claims/patient
Avg Cost/Claim
$409
Monthly Spending Trend
Yearly Spending
2018
$35K
+1455%
2019
$544K
+153%
2020
$1.4M
+88%
2021
$2.6M
+1%
2022
$2.6M
-3%
2023
$2.6M
-23%
2024
$2.0M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 8 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 45% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
43239Top 25%
Upper GI endoscopy with biopsy
$5.2M
13K claims · 44.7%
Your Cost: $394.47/claim|Median: $151.68
2.6× median45378Top 25%
Colonoscopy, diagnostic
$2.6M
5,910 claims · 22.5%
Your Cost: $445.01/claim|Median: $225.49
2.0× median45380Top 25%
Colonoscopy with biopsy
$2.3M
5,881 claims · 19.8%
Your Cost: $394.27/claim|Median: $200.68
2.0× median$1.5M
3,303 claims
$458.57
$255.17
1.8×
Top 25%
45385Top 25%
Colonoscopy with polyp removal, snare technique
$1.5M
3,303 claims · 12.9%
Your Cost: $458.57/claim|Median: $255.17
1.8× median$8K
160 claims
$47.10
$35.80
1.3×
Normal range
88305Normal range
Surgical pathology, gross and microscopic examination
$8K
160 claims · 0.1%
Your Cost: $47.10/claim|Median: $35.80
1.3× median88342Top 25%
$1K
28 claims · 0.0%
Your Cost: $41.68/claim|Median: $23.66
1.8× median88313Normal range
$99
13 claims · 0.0%
Your Cost: $7.60/claim|Median: $18.95
0.4× median99429Normal range
$0
28 claims · 0.0%
Your Cost: $0.00/claim|Median: $28.58