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Provider 1629307095

NPI: 1629307095Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,311,032

Total Claims

407K

Beneficiaries

191K

2.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+22%
2019
$1.3M
+21%
2020
$1.5M
+36%
2021
$2.1M
+41%
2022
$2.9M
+75%
2023
$5.1M
-54%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 46% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$7.4M

195K claims · 45.6%

Your Cost: $38.16/claim|Median: $35.30
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$4.0M

56K claims · 24.6%

Your Cost: $72.29/claim|Median: $67.32
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.1M

92K claims · 12.9%

Your Cost: $22.79/claim|Median: $23.99
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.8M

42K claims · 10.8%

Your Cost: $41.58/claim|Median: $43.85
0.9× median
99291Top 25%

Critical care, first 30-74 minutes

$437K

3,200 claims · 2.7%

Your Cost: $136.66/claim|Median: $101.24
1.3× median
99220Normal range

$278K

4,809 claims · 1.7%

Your Cost: $57.84/claim|Median: $73.56
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$147K

3,597 claims · 0.9%

Your Cost: $40.77/claim|Median: $51.25
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$108K

2,978 claims · 0.7%

Your Cost: $36.15/claim|Median: $37.22
1.0× median
99226Normal range

$9K

307 claims · 0.1%

Your Cost: $29.20/claim|Median: $34.09
0.9× median
99217Normal range

$6K

764 claims · 0.0%

Your Cost: $8.05/claim|Median: $31.89
0.3× median
99215Top 25%

Office/outpatient visit, high complexity

$4K

31 claims · 0.0%

Your Cost: $123.50/claim|Median: $74.09
1.7× median
99497Normal range

$4K

425 claims · 0.0%

Your Cost: $8.52/claim|Median: $10.99
0.8× median
99219Normal range

$3K

73 claims · 0.0%

Your Cost: $39.75/claim|Median: $63.35
0.6× median
99221Normal range

Initial hospital care, straightforward/low

$3K

89 claims · 0.0%

Your Cost: $30.51/claim|Median: $39.96
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$2K

1,845 claims · 0.0%

Your Cost: $1.27/claim|Median: $14.00
0.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$2K

153 claims · 0.0%

Your Cost: $12.88/claim|Median: $16.77
0.8× median
99214Top 25%

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

$1K

12 claims · 0.0%

Your Cost: $89.24/claim|Median: $53.41
1.7× median
99225Normal range

$256

47 claims · 0.0%

Your Cost: $5.45/claim|Median: $20.96
0.3× median
99308Normal range

Nursing facility care, subsequent, straightforward

$138

1,270 claims · 0.0%

Your Cost: $0.11/claim|Median: $9.79
0.0× median
99490Normal range

Chronic care management services, 20 minutes per month

$126

2,089 claims · 0.0%

Your Cost: $0.06/claim|Median: $6.31
0.0× median
G0439Normal range

Annual wellness visit, subsequent visit

$19

44 claims · 0.0%

Your Cost: $0.44/claim|Median: $5.42
0.1× median
G8427Normal range

$0

277 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
0.0× median
G0438Normal range

Annual wellness visit, first visit

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.28
99439Normal range

$0

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.83
1123FNormal range

$0

169 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.49
0518FNormal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
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