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Provider 1639285513

NPI: 1639285513Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$11.2M

$11,240,248

Total Claims

186K

Beneficiaries

140K

1.3 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2019
$1.6M
-48%
2020
$820K
+101%
2021
$1.6M
+44%
2022
$2.4M
+35%
2023
$3.2M
-50%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99204 (Office/outpatient visit, new patient, mod-high complexity)) accounts for 20% of total spending.

99204Top 25%

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

$2.3M

20K claims · 20.3%

Your Cost: $111.99/claim|Median: $84.03
1.3× median
69436Normal range

Tympanostomy, general anesthesia

$1.9M

12K claims · 17.0%

Your Cost: $154.22/claim|Median: $205.50
0.8× median
99213Top 25%

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

$1.3M

23K claims · 11.9%

Your Cost: $57.35/claim|Median: $37.81
1.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$1.2M

6,808 claims · 10.7%

Your Cost: $176.47/claim|Median: $331.68
0.5× median
99214Top 25%

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

$967K

11K claims · 8.6%

Your Cost: $84.90/claim|Median: $53.41
1.6× median
99203Top 25%

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

$795K

9,476 claims · 7.1%

Your Cost: $83.88/claim|Median: $57.85
1.4× median
42830Normal range

$762K

7,172 claims · 6.8%

Your Cost: $106.18/claim|Median: $341.04
0.3× median
92579Normal range

$426K

18K claims · 3.8%

Your Cost: $23.25/claim|Median: $30.58
0.8× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$284K

1,923 claims · 2.5%

Your Cost: $147.76/claim|Median: $121.58
1.2× median
99212Top 10%

Office/outpatient visit, low complexity

$276K

4,489 claims · 2.5%

Your Cost: $61.55/claim|Median: $25.06
2.5× median
92567Normal range

$236K

34K claims · 2.1%

Your Cost: $6.90/claim|Median: $11.50
0.6× median
99243Top 10%

Office or other outpatient consultation, low complexity

$195K

1,438 claims · 1.7%

Your Cost: $135.29/claim|Median: $82.43
1.6× median
31231Normal range

Nasal endoscopy, diagnostic

$149K

3,026 claims · 1.3%

Your Cost: $49.40/claim|Median: $98.77
0.5× median
92552Normal range

Pure tone audiometry, air only, each ear

$111K

9,270 claims · 1.0%

Your Cost: $11.94/claim|Median: $12.63
0.9× median
92555Normal range

$105K

9,417 claims · 0.9%

Your Cost: $11.13/claim|Median: $14.17
0.8× median
92504Normal range

$101K

8,895 claims · 0.9%

Your Cost: $11.35/claim|Median: $16.07
0.7× median
69210Normal range

$52K

2,655 claims · 0.5%

Your Cost: $19.53/claim|Median: $21.74
0.9× median
41010Normal range

$15K

274 claims · 0.1%

Your Cost: $55.59/claim|Median: $143.34
0.4× median
69610Normal range

$7K

28 claims · 0.1%

Your Cost: $253.81/claim|Median: $461.79
0.5× median
31233Normal range

$6K

182 claims · 0.1%

Your Cost: $33.64/claim|Median: $140.15
0.2× median
92587Normal range

$5K

503 claims · 0.0%

Your Cost: $10.84/claim|Median: $19.24
0.6× median
42825Normal range

$5K

53 claims · 0.0%

Your Cost: $85.47/claim|Median: $679.83
0.1× median
31526Normal range

$4K

36 claims · 0.0%

Your Cost: $106.74/claim|Median: $113.38
0.9× median
30140Normal range

$4K

13 claims · 0.0%

Your Cost: $278.96/claim|Median: $240.99
1.2× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$3K

31 claims · 0.0%

Your Cost: $107.68/claim|Median: $35.30
3.1× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$3K

243 claims · 0.0%

Your Cost: $11.69/claim|Median: $27.28
0.4× median
41115Normal range

$3K

16 claims · 0.0%

Your Cost: $170.85/claim|Median: $128.76
1.3× median
99223Top 5%

Initial hospital care, per day, high complexity

$2K

13 claims · 0.0%

Your Cost: $184.63/claim|Median: $67.32
2.7× median
41520Normal range

$1K

16 claims · 0.0%

Your Cost: $81.11/claim|Median: $153.78
0.5× median
31622Normal range

$459

30 claims · 0.0%

Your Cost: $15.31/claim|Median: $107.57
0.1× median
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