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Provider 1619179009

NPI: 1619179009Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,716,879

Total Claims

228K

Beneficiaries

193K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+14%
2019
$1.9M
-30%
2020
$1.4M
+0%
2021
$1.4M
+22%
2022
$1.7M
-0%
2023
$1.7M
-40%
2024
$998K

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 29% of total spending.

99213Top 25%

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

$3.2M

58K claims · 29.5%

Your Cost: $54.30/claim|Median: $37.81
1.4× median
99203Top 25%

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

$1.6M

19K claims · 14.9%

Your Cost: $82.34/claim|Median: $57.85
1.4× median
11901Normal range

$1.1M

25K claims · 10.3%

Your Cost: $43.98/claim|Median: $36.91
1.2× median
17110Normal range

Destruction of benign lesions, up to fourteen

$898K

12K claims · 8.4%

Your Cost: $77.56/claim|Median: $59.25
1.3× median
99214Top 25%

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

$680K

7,732 claims · 6.3%

Your Cost: $87.92/claim|Median: $53.41
1.6× median
10040Normal range

$673K

9,383 claims · 6.3%

Your Cost: $71.71/claim|Median: $70.50
1.0× median
11900Normal range

$508K

14K claims · 4.7%

Your Cost: $35.44/claim|Median: $31.25
1.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$486K

7,911 claims · 4.5%

Your Cost: $61.46/claim|Median: $40.11
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$482K

14K claims · 4.5%

Your Cost: $35.24/claim|Median: $25.06
1.4× median
11102Normal range

$274K

4,548 claims · 2.6%

Your Cost: $60.35/claim|Median: $48.69
1.2× median
99204Top 25%

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

$233K

1,871 claims · 2.2%

Your Cost: $124.64/claim|Median: $84.03
1.5× median
17111Normal range

$117K

1,247 claims · 1.1%

Your Cost: $93.74/claim|Median: $80.28
1.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$115K

3,049 claims · 1.1%

Your Cost: $37.68/claim|Median: $35.80
1.1× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$82K

41K claims · 0.8%

Your Cost: $2.00/claim|Median: $2.91
0.7× median
11100Top 25%

$74K

1,080 claims · 0.7%

Your Cost: $68.67/claim|Median: $44.58
1.5× median
10060Normal range

Incision and drainage of abscess, simple

$66K

888 claims · 0.6%

Your Cost: $74.10/claim|Median: $75.72
1.0× median
96910Normal range

$30K

529 claims · 0.3%

Your Cost: $56.73/claim|Median: $51.52
1.1× median
11103Top 25%

$24K

440 claims · 0.2%

Your Cost: $53.58/claim|Median: $37.08
1.4× median
17311Normal range

$23K

107 claims · 0.2%

Your Cost: $210.99/claim|Median: $194.01
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$16K

1,239 claims · 0.2%

Your Cost: $13.17/claim|Median: $9.56
1.4× median
88304Top 25%

$16K

639 claims · 0.1%

Your Cost: $24.75/claim|Median: $12.88
1.9× median
17340Normal range

$15K

1,583 claims · 0.1%

Your Cost: $9.19/claim|Median: $20.26
0.5× median
17000Normal range

$11K

466 claims · 0.1%

Your Cost: $23.41/claim|Median: $21.35
1.1× median
96920Normal range

$6K

40 claims · 0.1%

Your Cost: $144.94/claim|Median: $118.58
1.2× median
11101Top 25%

$6K

176 claims · 0.1%

Your Cost: $31.97/claim|Median: $23.72
1.3× median
17004Top 25%

$5K

38 claims · 0.0%

Your Cost: $127.35/claim|Median: $65.58
1.9× median
81025Normal range

Urine pregnancy test

$4K

1,103 claims · 0.0%

Your Cost: $3.48/claim|Median: $4.81
0.7× median
88312Normal range

$4K

86 claims · 0.0%

Your Cost: $42.72/claim|Median: $24.56
1.7× median
11104Normal range

$3K

29 claims · 0.0%

Your Cost: $94.23/claim|Median: $76.74
1.2× median
13132Normal range

$3K

14 claims · 0.0%

Your Cost: $185.17/claim|Median: $119.51
1.5× median
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