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COMMUNITY CARE HEALTH NETWORK LLC

Nurse Practitioner·NASHVILLE, TN·NPI: 1619368842Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$44.5M

$44,473,441

Total Claims

1.7M

Beneficiaries

1.3M

1.3 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$189K
+2799%
2019
$5.5M
+28%
2020
$7.0M
+60%
2021
$11.2M
+1%
2022
$11.3M
-64%
2023
$4.0M
+28%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99343) accounts for 32% of total spending.

99343Normal range

$14.4M

105K claims · 32.3%

Your Cost: $137.33/claim|Median: $121.04
1.1× median
99349Top 5%

$12.2M

120K claims · 27.5%

Your Cost: $101.59/claim|Median: $24.29
4.2× median
99204Normal range

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

$6.6M

60K claims · 14.9%

Your Cost: $109.39/claim|Median: $84.03
1.3× median
99344Top 25%

$3.4M

19K claims · 7.6%

Your Cost: $174.48/claim|Median: $50.43
3.5× median
99214Top 25%

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

$3.1M

37K claims · 7.0%

Your Cost: $84.21/claim|Median: $53.41
1.6× median
99600Normal range

Unlisted home visit service or procedure

$1.9M

20K claims · 4.3%

Your Cost: $94.02/claim|Median: $111.99
0.8× median
92227Top 5%

$656K

9,872 claims · 1.5%

Your Cost: $66.42/claim|Median: $7.85
8.5× median
99383Top 1%

Preventive visit, new patient, late childhood (5-11 yr)

$353K

1,276 claims · 0.8%

Your Cost: $276.85/claim|Median: $81.92
3.4× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$334K

7,779 claims · 0.8%

Your Cost: $42.90/claim|Median: $14.00
3.1× median
99384Top 1%

Preventive visit, new patient, adolescent (12-17 yr)

$217K

815 claims · 0.5%

Your Cost: $266.13/claim|Median: $83.63
3.2× median
83037Top 5%

$216K

9,597 claims · 0.5%

Your Cost: $22.49/claim|Median: $4.07
5.5× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$214K

6,715 claims · 0.5%

Your Cost: $31.82/claim|Median: $5.50
5.8× median
99382Top 1%

Preventive visit, new patient, early childhood (1-4 yr)

$190K

681 claims · 0.4%

Your Cost: $279.28/claim|Median: $79.89
3.5× median
92228Top 10%

$174K

4,616 claims · 0.4%

Your Cost: $37.79/claim|Median: $11.30
3.3× median
82043Top 5%

Urine albumin, microalbumin, quantitative test

$117K

4,009 claims · 0.3%

Your Cost: $29.17/claim|Median: $4.02
7.3× median
93922Normal range

$106K

16K claims · 0.2%

Your Cost: $6.80/claim|Median: $26.06
0.3× median
99348Top 10%

$100K

1,191 claims · 0.2%

Your Cost: $83.56/claim|Median: $17.17
4.9× median
99342Normal range

$92K

6,300 claims · 0.2%

Your Cost: $14.66/claim|Median: $32.19
0.5× median
82274Top 5%

$62K

2,980 claims · 0.1%

Your Cost: $20.93/claim|Median: $12.83
1.6× median
99385Top 1%

Preventive visit, new patient, 18-39 yr

$18K

63 claims · 0.0%

Your Cost: $278.89/claim|Median: $76.22
3.7× median
99350Normal range

$12K

754 claims · 0.0%

Your Cost: $16.14/claim|Median: $35.62
0.5× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$12K

45 claims · 0.0%

Your Cost: $262.89/claim|Median: $74.82
3.5× median
99305Normal range

$6K

591 claims · 0.0%

Your Cost: $9.59/claim|Median: $19.28
0.5× median
S8301Normal range

$7

477 claims · 0.0%

Your Cost: $0.01/claim|Median: $8.32
0.0× median
1123FNormal range

$1

92K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.49
0.0× median
3078FNormal range

$1

79K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
0.0× median
1160FNormal range

$1

21K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
3074FNormal range

$1

80K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
0.0× median
1125FNormal range

$1

133K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
0.0× median
1159FNormal range

$1

179K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
1158FNormal range

$1

178K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
0.0× median
1170FNormal range

$1

192K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
0.0× median
3044FNormal range

$0

7,809 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
0.0× median
3046FNormal range

$0

2,238 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.58
99345Normal range

$0

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.78
3061FNormal range

$0

2,131 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
1124FNormal range

$0

86K claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37
1126FNormal range

$0

51K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
3075FNormal range

$0

32K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15

$0

40 claims · 0.0%

99499Normal range

Unlisted evaluation and management service

$0

174 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.88
1220FNormal range

$0

68 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
3060FNormal range

$0

916 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
3051FNormal range

$0

1,796 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.33

$0

92 claims · 0.0%

3288FNormal range

$0

93 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
2022FNormal range

$0

6,092 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.07
82570Normal range

$0

140 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.18
3725FNormal range

$0

68 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
3079FNormal range

$0

42K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12