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Provider 1629161112

NPI: 1629161112Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,816,957

Total Claims

86K

Beneficiaries

68K

1.3 claims/patient

Avg Cost/Claim

$183

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+18%
2019
$2.2M
-42%
2020
$1.3M
+41%
2021
$1.8M
+51%
2022
$2.7M
+19%
2023
$3.2M
-17%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99244 (Office or other outpatient consultation, moderate complexity)) accounts for 35% of total spending.

99244Top 5%

Office or other outpatient consultation, moderate complexity

$5.6M

26K claims · 35.1%

Your Cost: $212.98/claim|Median: $121.58
1.8× median
69436Normal range

Tympanostomy, general anesthesia

$4.0M

27K claims · 25.3%

Your Cost: $148.91/claim|Median: $205.50
0.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$2.6M

6,670 claims · 16.6%

Your Cost: $393.15/claim|Median: $331.68
1.2× median
99214Top 5%

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

$1.9M

15K claims · 12.1%

Your Cost: $125.20/claim|Median: $53.41
2.3× median
42830Normal range

$581K

2,254 claims · 3.7%

Your Cost: $257.92/claim|Median: $341.04
0.8× median
99213Top 10%

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

$435K

5,058 claims · 2.8%

Your Cost: $86.10/claim|Median: $37.81
2.3× median
99243Top 5%

Office or other outpatient consultation, low complexity

$316K

1,996 claims · 2.0%

Your Cost: $158.39/claim|Median: $82.43
1.9× median
99204Top 5%

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

$151K

754 claims · 1.0%

Your Cost: $199.99/claim|Median: $84.03
2.4× median
99203Top 5%

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

$119K

846 claims · 0.8%

Your Cost: $141.20/claim|Median: $57.85
2.4× median
31622Top 25%

$67K

250 claims · 0.4%

Your Cost: $267.78/claim|Median: $107.57
2.5× median
99245Top 10%

Office consultation, high complexity

$26K

108 claims · 0.2%

Your Cost: $238.94/claim|Median: $143.30
1.7× median
99254Normal range

$10K

98 claims · 0.1%

Your Cost: $104.71/claim|Median: $81.43
1.3× median
99215Top 5%

Office/outpatient visit, high complexity

$10K

55 claims · 0.1%

Your Cost: $180.51/claim|Median: $74.09
2.4× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$8K

102 claims · 0.0%

Your Cost: $76.26/claim|Median: $23.99
3.2× median
99253Top 5%

$3K

18 claims · 0.0%

Your Cost: $139.85/claim|Median: $55.16
2.5× median
31526Normal range

$2K

12 claims · 0.0%

Your Cost: $194.12/claim|Median: $113.38
1.7× median
31575Top 10%

$2K

15 claims · 0.0%

Your Cost: $138.38/claim|Median: $68.78
2.0× median
99242Top 5%

Office consultation, low complexity

$2K

14 claims · 0.0%

Your Cost: $123.66/claim|Median: $57.97
2.1× median
31231Normal range

Nasal endoscopy, diagnostic

$795

12 claims · 0.0%

Your Cost: $66.29/claim|Median: $98.77
0.7× median
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