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Provider 1659309615

NPI: 1659309615Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.6M

$17,564,060

Total Claims

886K

Beneficiaries

786K

1.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-29%
2019
$2.8M
-43%
2020
$1.6M
+61%
2021
$2.5M
-6%
2022
$2.4M
+4%
2023
$2.5M
-24%
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 21% of total spending.

99214Normal range

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

$3.6M

122K claims · 20.5%

Your Cost: $29.54/claim|Median: $53.41
0.6× median
99213Normal range

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

$1.8M

92K claims · 10.4%

Your Cost: $19.91/claim|Median: $37.81
0.5× median
99284Normal range

Emergency dept visit, high complexity

$1.5M

47K claims · 8.4%

Your Cost: $31.12/claim|Median: $69.51
0.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.4M

31K claims · 8.2%

Your Cost: $46.23/claim|Median: $85.65
0.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$722K

32K claims · 4.1%

Your Cost: $22.38/claim|Median: $35.80
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$588K

30K claims · 3.3%

Your Cost: $19.88/claim|Median: $23.99
0.8× median
99203Normal range

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

$538K

13K claims · 3.1%

Your Cost: $40.05/claim|Median: $57.85
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$427K

7,309 claims · 2.4%

Your Cost: $58.46/claim|Median: $74.09
0.8× median
99204Normal range

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

$378K

5,987 claims · 2.2%

Your Cost: $63.09/claim|Median: $84.03
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$311K

5,290 claims · 1.8%

Your Cost: $58.84/claim|Median: $101.24
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$289K

5,931 claims · 1.6%

Your Cost: $48.66/claim|Median: $58.55
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$279K

12K claims · 1.6%

Your Cost: $23.60/claim|Median: $65.76
0.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$231K

11K claims · 1.3%

Your Cost: $21.05/claim|Median: $54.68
0.4× median
70553Normal range

MRI brain without contrast, then with contrast

$217K

5,209 claims · 1.2%

Your Cost: $41.65/claim|Median: $133.68
0.3× median
99283Normal range

Emergency dept visit, moderate complexity

$204K

10K claims · 1.2%

Your Cost: $19.74/claim|Median: $42.48
0.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$191K

6,743 claims · 1.1%

Your Cost: $28.28/claim|Median: $35.30
0.8× median
70450Normal range

CT head/brain without contrast

$161K

15K claims · 0.9%

Your Cost: $10.90/claim|Median: $45.53
0.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$153K

70K claims · 0.9%

Your Cost: $2.20/claim|Median: $5.60
0.4× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$137K

423 claims · 0.8%

Your Cost: $324.65/claim|Median: $75.28
4.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$122K

1,366 claims · 0.7%

Your Cost: $89.02/claim|Median: $106.79
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$119K

1,348 claims · 0.7%

Your Cost: $88.60/claim|Median: $111.09
0.8× median
76818Normal range

$115K

1,982 claims · 0.7%

Your Cost: $58.02/claim|Median: $68.15
0.9× median
S0311Top 1%

$114K

75 claims · 0.6%

Your Cost: $1,518.00/claim|Median: $221.54
6.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$112K

1,984 claims · 0.6%

Your Cost: $56.47/claim|Median: $59.72
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$112K

3,158 claims · 0.6%

Your Cost: $35.42/claim|Median: $47.08
0.8× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$112K

1,125 claims · 0.6%

Your Cost: $99.23/claim|Median: $103.70
1.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$109K

3,146 claims · 0.6%

Your Cost: $34.73/claim|Median: $58.82
0.6× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$109K

23K claims · 0.6%

Your Cost: $4.73/claim|Median: $9.80
0.5× median
69436Normal range

Tympanostomy, general anesthesia

$92K

889 claims · 0.5%

Your Cost: $103.28/claim|Median: $205.50
0.5× median
71046Normal range

Chest X-ray, 2 views

$87K

26K claims · 0.5%

Your Cost: $3.39/claim|Median: $8.92
0.4× median
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