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Provider 1619504735

NPI: 1619504735Share
Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$11.7M

$11,716,952

Total Claims

323K

Beneficiaries

221K

1.5 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2020
$475K
+367%
2021
$2.2M
+46%
2022
$3.2M
+12%
2023
$3.6M
-40%
2024
$2.2M

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 31% of total spending.

99214Normal range

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

$3.7M

52K claims · 31.4%

Your Cost: $70.92/claim|Median: $53.41
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$1.1M

12K claims · 9.6%

Your Cost: $94.97/claim|Median: $67.32
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$804K

19K claims · 6.9%

Your Cost: $42.85/claim|Median: $35.30
1.2× median
99213Normal range

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

$790K

16K claims · 6.7%

Your Cost: $48.05/claim|Median: $37.81
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$764K

28K claims · 6.5%

Your Cost: $27.42/claim|Median: $23.99
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$707K

9,561 claims · 6.0%

Your Cost: $73.94/claim|Median: $54.68
1.4× median
99220Top 25%

$543K

5,123 claims · 4.6%

Your Cost: $105.93/claim|Median: $73.56
1.4× median
99204Normal range

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

$330K

4,142 claims · 2.8%

Your Cost: $79.76/claim|Median: $84.03
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$277K

6,371 claims · 2.4%

Your Cost: $43.50/claim|Median: $43.85
1.0× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$273K

937 claims · 2.3%

Your Cost: $291.23/claim|Median: $75.28
3.9× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$254K

743 claims · 2.2%

Your Cost: $341.57/claim|Median: $9.56
35.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$209K

42K claims · 1.8%

Your Cost: $5.01/claim|Median: $5.60
0.9× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$205K

13K claims · 1.7%

Your Cost: $16.24/claim|Median: $9.70
1.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$153K

3,497 claims · 1.3%

Your Cost: $43.67/claim|Median: $51.25
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$150K

2,713 claims · 1.3%

Your Cost: $55.38/claim|Median: $74.09
0.7× median
G8420Top 10%

$112K

4,780 claims · 1.0%

Your Cost: $23.44/claim|Median: $0.06
390.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$105K

874 claims · 0.9%

Your Cost: $120.39/claim|Median: $233.73
0.5× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$98K

1,086 claims · 0.8%

Your Cost: $90.63/claim|Median: $106.14
0.9× median
3074FTop 5%

$86K

17K claims · 0.7%

Your Cost: $4.96/claim|Median: $0.11
45.1× median
J2785Normal range

$77K

660 claims · 0.7%

Your Cost: $116.66/claim|Median: $61.83
1.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$76K

4,314 claims · 0.6%

Your Cost: $17.51/claim|Median: $16.77
1.0× median
99203Normal range

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

$66K

1,002 claims · 0.6%

Your Cost: $65.41/claim|Median: $57.85
1.1× median
3078FTop 5%

$63K

13K claims · 0.5%

Your Cost: $4.71/claim|Median: $0.08
58.8× median
99226Normal range

$50K

1,469 claims · 0.4%

Your Cost: $34.11/claim|Median: $34.09
1.0× median
3044FTop 5%

$49K

3,944 claims · 0.4%

Your Cost: $12.37/claim|Median: $0.16
77.3× median
93015Normal range

$43K

1,127 claims · 0.4%

Your Cost: $38.48/claim|Median: $41.12
0.9× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$42K

659 claims · 0.4%

Your Cost: $63.95/claim|Median: $64.30
1.0× median
3079FTop 5%

$33K

6,947 claims · 0.3%

Your Cost: $4.80/claim|Median: $0.12
40.0× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$31K

261 claims · 0.3%

Your Cost: $118.07/claim|Median: $255.03
0.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$30K

552 claims · 0.3%

Your Cost: $54.13/claim|Median: $37.22
1.5× median
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