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Provider 1629219522

NPI: 1629219522Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.7M

$13,691,938

Total Claims

210K

Beneficiaries

163K

1.3 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+33%
2019
$1.6M
+22%
2020
$2.0M
+42%
2021
$2.8M
-13%
2022
$2.5M
-12%
2023
$2.2M
-36%
2024
$1.4M

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 33% of total spending.

99213Top 25%

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

$4.6M

76K claims · 33.3%

Your Cost: $60.17/claim|Median: $37.81
1.6× median
10040Normal range

$2.5M

34K claims · 18.5%

Your Cost: $74.35/claim|Median: $70.50
1.1× median
99203Top 25%

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

$1.3M

14K claims · 9.7%

Your Cost: $93.00/claim|Median: $57.85
1.6× median
17360Normal range

$1.2M

16K claims · 8.7%

Your Cost: $75.78/claim|Median: $98.65
0.8× median
96920Normal range

$952K

7,618 claims · 6.9%

Your Cost: $124.90/claim|Median: $118.58
1.1× median
17110Normal range

Destruction of benign lesions, up to fourteen

$729K

9,706 claims · 5.3%

Your Cost: $75.07/claim|Median: $59.25
1.3× median
96922Normal range

$609K

3,545 claims · 4.4%

Your Cost: $171.81/claim|Median: $194.79
0.9× median
99214Top 25%

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

$375K

3,941 claims · 2.7%

Your Cost: $95.13/claim|Median: $53.41
1.8× median
11900Normal range

$325K

13K claims · 2.4%

Your Cost: $24.99/claim|Median: $31.25
0.8× median
11901Normal range

$313K

7,501 claims · 2.3%

Your Cost: $41.78/claim|Median: $36.91
1.1× median
96921Normal range

$187K

1,797 claims · 1.4%

Your Cost: $103.81/claim|Median: $106.73
1.0× median
J3300Normal range

$152K

4,282 claims · 1.1%

Your Cost: $35.61/claim|Median: $37.55
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$95K

2,512 claims · 0.7%

Your Cost: $37.81/claim|Median: $25.06
1.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$76K

789 claims · 0.6%

Your Cost: $96.54/claim|Median: $82.43
1.2× median
17111Normal range

$69K

772 claims · 0.5%

Your Cost: $89.13/claim|Median: $80.28
1.1× median
96910Normal range

$33K

570 claims · 0.2%

Your Cost: $57.76/claim|Median: $51.52
1.1× median
11401Top 25%

$28K

230 claims · 0.2%

Your Cost: $123.75/claim|Median: $71.34
1.7× median
11402Top 25%

$26K

215 claims · 0.2%

Your Cost: $120.54/claim|Median: $68.11
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$24K

2,309 claims · 0.2%

Your Cost: $10.45/claim|Median: $9.56
1.1× median
99204Top 25%

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

$20K

138 claims · 0.1%

Your Cost: $142.67/claim|Median: $84.03
1.7× median
99242Top 25%

Office consultation, low complexity

$18K

220 claims · 0.1%

Your Cost: $81.11/claim|Median: $57.97
1.4× median
10060Normal range

Incision and drainage of abscess, simple

$12K

123 claims · 0.1%

Your Cost: $100.25/claim|Median: $75.72
1.3× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$11K

10K claims · 0.1%

Your Cost: $1.06/claim|Median: $2.91
0.4× median
10061Normal range

$10K

69 claims · 0.1%

Your Cost: $146.80/claim|Median: $101.03
1.5× median
17000Normal range

$7K

231 claims · 0.1%

Your Cost: $30.00/claim|Median: $21.35
1.4× median
96900Normal range

$6K

557 claims · 0.0%

Your Cost: $10.00/claim|Median: $15.84
0.6× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$2K

40 claims · 0.0%

Your Cost: $48.54/claim|Median: $22.44
2.2× median
17003Top 10%

$1K

45 claims · 0.0%

Your Cost: $28.71/claim|Median: $8.67
3.3× median
11106Normal range

$1K

13 claims · 0.0%

Your Cost: $92.55/claim|Median: $98.47
0.9× median
99441Normal range

Telephone E/M by physician, 5-10 min

$975

37 claims · 0.0%

Your Cost: $26.36/claim|Median: $13.30
2.0× median
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