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Provider 1649423856

NPI: 1649423856Share
Active Billing Period:2018-11→2021-12(35 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$12.3M

$12,337,097

Total Claims

68K

Beneficiaries

35K

1.9 claims/patient

Avg Cost/Claim

$182

Monthly Spending Trend

Yearly Spending

2018
$18K
+8822%
2019
$1.6M
+231%
2020
$5.4M
-4%
2021
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G9008 (Coordination of long-term care services, per month)) accounts for 90% of total spending.

G9008Top 10%

Coordination of long-term care services, per month

$11.1M

47K claims · 90.2%

Your Cost: $234.54/claim|Median: $66.78
3.5× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$439K

5,676 claims · 3.6%

Your Cost: $77.29/claim|Median: $22.44
3.4× median
99213Top 5%

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

$217K

1,951 claims · 1.8%

Your Cost: $111.26/claim|Median: $37.81
2.9× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$62K

1,312 claims · 0.5%

Your Cost: $47.25/claim|Median: $13.30
3.6× median
99212Top 10%

Office/outpatient visit, low complexity

$59K

711 claims · 0.5%

Your Cost: $83.45/claim|Median: $25.06
3.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$58K

1,886 claims · 0.5%

Your Cost: $30.58/claim|Median: $12.70
2.4× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$45K

300 claims · 0.4%

Your Cost: $149.50/claim|Median: $69.35
2.2× median
99214Top 5%

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

$33K

188 claims · 0.3%

Your Cost: $177.95/claim|Median: $53.41
3.3× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$33K

263 claims · 0.3%

Your Cost: $125.00/claim|Median: $75.18
1.7× median
99058Top 1%

$26K

170 claims · 0.2%

Your Cost: $150.00/claim|Median: $15.38
9.8× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$26K

170 claims · 0.2%

Your Cost: $150.00/claim|Median: $80.15
1.9× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$24K

215 claims · 0.2%

Your Cost: $110.27/claim|Median: $32.55
3.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$17K

181 claims · 0.1%

Your Cost: $95.00/claim|Median: $74.82
1.3× median
81003Top 5%

Urinalysis, automated without microscopy

$15K

1,739 claims · 0.1%

Your Cost: $8.50/claim|Median: $1.48
5.7× median
90710Top 1%

MMRV vaccine

$14K

87 claims · 0.1%

Your Cost: $160.74/claim|Median: $7.00
23.0× median
90649Top 1%

$13K

83 claims · 0.1%

Your Cost: $153.95/claim|Median: $6.42
24.0× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$13K

68 claims · 0.1%

Your Cost: $185.00/claim|Median: $76.06
2.4× median
85018Top 5%

$12K

812 claims · 0.1%

Your Cost: $14.96/claim|Median: $1.71
8.8× median
92551Top 5%

Screening audiometry, pure tone, air only

$12K

479 claims · 0.1%

Your Cost: $25.00/claim|Median: $6.61
3.8× median
90670Top 5%

$12K

321 claims · 0.1%

Your Cost: $36.54/claim|Median: $5.94
6.2× median
90734Top 1%

$11K

80 claims · 0.1%

Your Cost: $135.47/claim|Median: $6.40
21.2× median
81025Top 5%

Urine pregnancy test

$11K

835 claims · 0.1%

Your Cost: $12.65/claim|Median: $4.81
2.6× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

343 claims · 0.1%

Your Cost: $28.04/claim|Median: $7.18
3.9× median
99173Top 10%

$7K

725 claims · 0.1%

Your Cost: $10.00/claim|Median: $2.16
4.6× median
90647Top 1%

$7K

263 claims · 0.1%

Your Cost: $26.93/claim|Median: $4.31
6.2× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$7K

44 claims · 0.1%

Your Cost: $150.00/claim|Median: $73.46
2.0× median
90723Top 5%

DTaP-HepB-IPV vaccine

$5K

190 claims · 0.0%

Your Cost: $28.84/claim|Median: $5.78
5.0× median
82948Top 5%

$5K

386 claims · 0.0%

Your Cost: $14.15/claim|Median: $1.78
7.9× median
90633Top 1%

$5K

128 claims · 0.0%

Your Cost: $39.68/claim|Median: $3.56
11.1× median
G0447Top 10%

$4K

166 claims · 0.0%

Your Cost: $22.02/claim|Median: $5.19
4.2× median
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