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Provider 1629056049

NPI: 1629056049Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,758,576

Total Claims

364K

Beneficiaries

323K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+10%
2019
$1.3M
-21%
2020
$1.0M
+48%
2021
$1.5M
-12%
2022
$1.3M
+2%
2023
$1.3M
-19%
2024
$1.1M

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 23% of total spending.

99214Normal range

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

$2.0M

56K claims · 22.8%

Your Cost: $35.53/claim|Median: $53.41
0.7× median
99213Normal range

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

$1.6M

64K claims · 18.5%

Your Cost: $25.22/claim|Median: $37.81
0.7× median
99284Normal range

Emergency dept visit, high complexity

$1.0M

23K claims · 11.7%

Your Cost: $43.77/claim|Median: $69.51
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$542K

12K claims · 6.2%

Your Cost: $46.05/claim|Median: $63.65
0.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$454K

13K claims · 5.2%

Your Cost: $35.17/claim|Median: $47.08
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$256K

6,769 claims · 2.9%

Your Cost: $37.80/claim|Median: $85.65
0.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$251K

7,472 claims · 2.9%

Your Cost: $33.64/claim|Median: $35.80
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$246K

9,071 claims · 2.8%

Your Cost: $27.07/claim|Median: $42.48
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$202K

3,903 claims · 2.3%

Your Cost: $51.82/claim|Median: $74.09
0.7× median
92015Normal range

Determination of refractive state

$153K

19K claims · 1.7%

Your Cost: $7.86/claim|Median: $10.36
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$116K

1,938 claims · 1.3%

Your Cost: $59.97/claim|Median: $85.66
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$114K

9,917 claims · 1.3%

Your Cost: $11.52/claim|Median: $12.93
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$103K

1,778 claims · 1.2%

Your Cost: $58.00/claim|Median: $39.33
1.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$95K

2,485 claims · 1.1%

Your Cost: $38.24/claim|Median: $59.72
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$86K

18K claims · 1.0%

Your Cost: $4.91/claim|Median: $5.60
0.9× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$84K

1,310 claims · 1.0%

Your Cost: $63.92/claim|Median: $58.82
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$75K

2,523 claims · 0.9%

Your Cost: $29.56/claim|Median: $28.46
1.0× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$66K

1,535 claims · 0.8%

Your Cost: $43.07/claim|Median: $38.83
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$55K

8,420 claims · 0.6%

Your Cost: $6.53/claim|Median: $4.71
1.4× median
S0302Top 10%

$52K

1,128 claims · 0.6%

Your Cost: $46.44/claim|Median: $9.05
5.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$51K

910 claims · 0.6%

Your Cost: $56.07/claim|Median: $75.18
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$43K

771 claims · 0.5%

Your Cost: $55.91/claim|Median: $69.35
0.8× median
80061Normal range

Lipid panel

$41K

3,648 claims · 0.5%

Your Cost: $11.31/claim|Median: $8.41
1.3× median
87660Normal range

$39K

2,452 claims · 0.4%

Your Cost: $15.98/claim|Median: $13.84
1.2× median
87510Normal range

$39K

2,445 claims · 0.4%

Your Cost: $16.01/claim|Median: $13.48
1.2× median
87480Normal range

$39K

2,458 claims · 0.4%

Your Cost: $15.91/claim|Median: $14.31
1.1× median
71046Normal range

Chest X-ray, 2 views

$36K

5,265 claims · 0.4%

Your Cost: $6.80/claim|Median: $8.92
0.8× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$36K

681 claims · 0.4%

Your Cost: $52.21/claim|Median: $65.45
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$35K

4,272 claims · 0.4%

Your Cost: $8.22/claim|Median: $7.18
1.1× median
80053Normal range

Comprehensive metabolic panel

$34K

4,127 claims · 0.4%

Your Cost: $8.29/claim|Median: $7.24
1.1× median
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