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Provider 1629242698

NPI: 1629242698Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$8,994,074

Total Claims

127K

Beneficiaries

96K

1.3 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$311K
+290%
2019
$1.2M
+16%
2020
$1.4M
+23%
2021
$1.7M
-9%
2022
$1.6M
-6%
2023
$1.5M
-15%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 31% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$2.8M

44K claims · 31.0%

Your Cost: $63.90/claim|Median: $35.30
1.8× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$2.1M

26K claims · 23.4%

Your Cost: $81.49/claim|Median: $51.25
1.6× median
43239Normal range

Upper GI endoscopy with biopsy

$1.0M

13K claims · 11.4%

Your Cost: $80.21/claim|Median: $151.68
0.5× median
99214Normal range

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

$709K

11K claims · 7.9%

Your Cost: $62.57/claim|Median: $53.41
1.2× median
99204Normal range

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

$546K

5,318 claims · 6.1%

Your Cost: $102.66/claim|Median: $84.03
1.2× median
45378Normal range

Colonoscopy, diagnostic

$391K

2,371 claims · 4.3%

Your Cost: $164.98/claim|Median: $225.49
0.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$375K

8,389 claims · 4.2%

Your Cost: $44.67/claim|Median: $23.99
1.9× median
99213Normal range

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

$338K

8,383 claims · 3.8%

Your Cost: $40.32/claim|Median: $37.81
1.1× median
99203Normal range

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

$260K

4,479 claims · 2.9%

Your Cost: $58.01/claim|Median: $57.85
1.0× median
99254Top 25%

$101K

797 claims · 1.1%

Your Cost: $127.09/claim|Median: $81.43
1.6× median
43237Normal range

$100K

876 claims · 1.1%

Your Cost: $114.16/claim|Median: $114.53
1.0× median
43235Normal range

Upper GI endoscopy, diagnostic, including collection

$79K

953 claims · 0.9%

Your Cost: $82.66/claim|Median: $114.30
0.7× median
45380Normal range

Colonoscopy with biopsy

$75K

486 claims · 0.8%

Your Cost: $153.63/claim|Median: $200.68
0.8× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$29K

144 claims · 0.3%

Your Cost: $200.48/claim|Median: $255.17
0.8× median
99221Normal range

Initial hospital care, straightforward/low

$28K

651 claims · 0.3%

Your Cost: $42.49/claim|Median: $39.96
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$21K

252 claims · 0.2%

Your Cost: $85.22/claim|Median: $67.32
1.3× median
43242Normal range

$12K

98 claims · 0.1%

Your Cost: $125.30/claim|Median: $225.70
0.6× median
43262Top 25%

$6K

47 claims · 0.1%

Your Cost: $127.88/claim|Median: $109.85
1.2× median
43274Normal range

$5K

16 claims · 0.1%

Your Cost: $308.98/claim|Median: $296.21
1.0× median
91200Normal range

$1K

80 claims · 0.0%

Your Cost: $18.44/claim|Median: $17.80
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$163

16 claims · 0.0%

Your Cost: $10.16/claim|Median: $16.77
0.6× median
4004FNormal range

$0

137 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G8427Normal range

$0

88 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G9691Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.34
G8430Normal range

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.28
1036FNormal range

$0

71 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
1111FNormal range

$0

58 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
G8428Normal range

$0

52 claims · 0.0%

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