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Provider 1639403330

NPI: 1639403330Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,567,367

Total Claims

153K

Beneficiaries

51K

3.0 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-7%
2019
$1.9M
-16%
2020
$1.6M
-4%
2021
$1.5M
-29%
2022
$1.1M
-20%
2023
$859K
-26%
2024
$634K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96521) accounts for 23% of total spending.

96521Top 1%

$2.2M

15K claims · 22.9%

Your Cost: $143.27/claim|Median: $32.64
4.4× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.0M

32K claims · 21.1%

Your Cost: $62.31/claim|Median: $54.77
1.1× median
99214Top 25%

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

$1.2M

14K claims · 12.1%

Your Cost: $82.83/claim|Median: $53.41
1.6× median
J0878Normal range

$768K

14K claims · 8.0%

Your Cost: $54.65/claim|Median: $130.03
0.4× median
A6253Normal range

$717K

6,398 claims · 7.5%

Your Cost: $112.06/claim|Median: $93.50
1.2× median
J1335Normal range

$663K

13K claims · 6.9%

Your Cost: $51.58/claim|Median: $100.54
0.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$561K

12K claims · 5.9%

Your Cost: $45.13/claim|Median: $23.99
1.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$391K

3,212 claims · 4.1%

Your Cost: $121.76/claim|Median: $67.32
1.8× median
A4222Normal range

$318K

8,412 claims · 3.3%

Your Cost: $37.86/claim|Median: $62.70
0.6× median
A6252Top 25%

$175K

2,198 claims · 1.8%

Your Cost: $79.70/claim|Median: $46.15
1.7× median
Q5103Top 25%

$103K

46 claims · 1.1%

Your Cost: $2,240.71/claim|Median: $1,075.28
2.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$86K

2,725 claims · 0.9%

Your Cost: $31.38/claim|Median: $21.76
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$49K

466 claims · 0.5%

Your Cost: $105.80/claim|Median: $74.09
1.4× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$46K

8,891 claims · 0.5%

Your Cost: $5.16/claim|Median: $5.04
1.0× median
J1745Top 25%

Injection, infliximab, excludes biosimilar, 10 mg

$39K

15 claims · 0.4%

Your Cost: $2,631.02/claim|Median: $1,587.53
1.7× median
E0781Top 5%

$33K

121 claims · 0.3%

Your Cost: $273.30/claim|Median: $54.38
5.0× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$31K

187 claims · 0.3%

Your Cost: $164.86/claim|Median: $75.28
2.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$29K

175 claims · 0.3%

Your Cost: $166.28/claim|Median: $111.09
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$27K

412 claims · 0.3%

Your Cost: $64.85/claim|Median: $35.30
1.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$18K

1,138 claims · 0.2%

Your Cost: $15.61/claim|Median: $9.56
1.6× median
J0696Normal range

$17K

4,434 claims · 0.2%

Your Cost: $3.78/claim|Median: $1.34
2.8× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$16K

150 claims · 0.2%

Your Cost: $108.65/claim|Median: $51.25
2.1× median
36415Normal range

Collection of venous blood by venipuncture

$14K

5,598 claims · 0.2%

Your Cost: $2.58/claim|Median: $1.57
1.6× median
M0243Normal range

$13K

57 claims · 0.1%

Your Cost: $235.79/claim|Median: $215.21
1.1× median
96368Normal range

$12K

851 claims · 0.1%

Your Cost: $14.39/claim|Median: $14.35
1.0× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$10K

111 claims · 0.1%

Your Cost: $90.42/claim|Median: $36.13
2.5× median
80053Normal range

Comprehensive metabolic panel

$9K

1,240 claims · 0.1%

Your Cost: $7.09/claim|Median: $7.24
1.0× median
96415Normal range

Chemotherapy infusion, each additional hour

$8K

172 claims · 0.1%

Your Cost: $43.68/claim|Median: $43.68
1.0× median
29581Normal range

$7K

149 claims · 0.1%

Your Cost: $49.74/claim|Median: $41.19
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$7K

1,394 claims · 0.1%

Your Cost: $5.24/claim|Median: $4.71
1.1× median
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