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Provider 1639518087

NPI: 1639518087Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,180,106

Total Claims

1.2M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+9%
2019
$1.3M
+9%
2020
$1.5M
+43%
2021
$2.1M
-5%
2022
$2.0M
+8%
2023
$2.2M
-15%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 46% of total spending.

99214Normal range

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

$5.6M

143K claims · 46.4%

Your Cost: $39.42/claim|Median: $53.41
0.7× median
99213Normal range

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

$2.0M

70K claims · 16.4%

Your Cost: $28.76/claim|Median: $37.81
0.8× median
99204Normal range

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

$830K

13K claims · 6.8%

Your Cost: $63.00/claim|Median: $84.03
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$699K

13K claims · 5.7%

Your Cost: $55.74/claim|Median: $74.09
0.8× median
99203Normal range

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

$586K

13K claims · 4.8%

Your Cost: $45.83/claim|Median: $57.85
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$398K

7,931 claims · 3.3%

Your Cost: $50.18/claim|Median: $76.06
0.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$367K

13K claims · 3.0%

Your Cost: $28.56/claim|Median: $39.33
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$300K

3,445 claims · 2.5%

Your Cost: $87.15/claim|Median: $111.09
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$213K

5,784 claims · 1.7%

Your Cost: $36.83/claim|Median: $29.03
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$154K

3,219 claims · 1.3%

Your Cost: $47.86/claim|Median: $72.71
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$102K

639 claims · 0.8%

Your Cost: $160.27/claim|Median: $233.73
0.7× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$83K

6,548 claims · 0.7%

Your Cost: $12.63/claim|Median: $21.41
0.6× median
52000Normal range

$71K

619 claims · 0.6%

Your Cost: $115.30/claim|Median: $89.88
1.3× median
77066Normal range

$57K

1,494 claims · 0.5%

Your Cost: $38.21/claim|Median: $43.94
0.9× median
99051Normal range

$53K

7,583 claims · 0.4%

Your Cost: $7.04/claim|Median: $7.89
0.9× median
77065Normal range

$52K

1,835 claims · 0.4%

Your Cost: $28.56/claim|Median: $35.39
0.8× median
76642Normal range

$52K

2,570 claims · 0.4%

Your Cost: $20.19/claim|Median: $32.06
0.6× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$50K

305 claims · 0.4%

Your Cost: $162.59/claim|Median: $255.03
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$48K

1,672 claims · 0.4%

Your Cost: $29.00/claim|Median: $23.99
1.2× median
19083Normal range

$41K

146 claims · 0.3%

Your Cost: $283.26/claim|Median: $486.58
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$41K

572 claims · 0.3%

Your Cost: $71.24/claim|Median: $67.32
1.1× median
51700Normal range

$38K

979 claims · 0.3%

Your Cost: $39.12/claim|Median: $34.37
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$37K

2,418 claims · 0.3%

Your Cost: $15.45/claim|Median: $25.06
0.6× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$32K

654 claims · 0.3%

Your Cost: $49.39/claim|Median: $87.82
0.6× median
64615Normal range

$29K

381 claims · 0.2%

Your Cost: $76.97/claim|Median: $82.82
0.9× median
90838Normal range

Psychotherapy, 60 min, add-on to E/M

$19K

462 claims · 0.2%

Your Cost: $41.78/claim|Median: $67.05
0.6× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$19K

415 claims · 0.2%

Your Cost: $44.65/claim|Median: $76.22
0.6× median
95816Normal range

$18K

429 claims · 0.2%

Your Cost: $42.98/claim|Median: $56.87
0.8× median
77062Normal range

$17K

970 claims · 0.1%

Your Cost: $17.92/claim|Median: $28.35
0.6× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$17K

83 claims · 0.1%

Your Cost: $208.40/claim|Median: $255.17
0.8× median
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