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Provider 1659316008

NPI: 1659316008Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.1M

$18,113,485

Total Claims

338K

Beneficiaries

210K

1.6 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+1%
2019
$2.1M
+2%
2020
$2.2M
+22%
2021
$2.6M
+31%
2022
$3.5M
-9%
2023
$3.1M
-21%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 33% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$5.9M

110K claims · 32.6%

Your Cost: $53.44/claim|Median: $35.30
1.5× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$4.7M

46K claims · 26.2%

Your Cost: $103.55/claim|Median: $52.76
2.0× median
99214Normal range

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

$2.3M

59K claims · 12.5%

Your Cost: $38.14/claim|Median: $53.41
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.2M

72K claims · 11.9%

Your Cost: $30.04/claim|Median: $23.99
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$664K

7,767 claims · 3.7%

Your Cost: $85.44/claim|Median: $67.32
1.3× median
90961Top 25%

$638K

6,122 claims · 3.5%

Your Cost: $104.16/claim|Median: $47.22
2.2× median
90966Top 25%

$398K

4,067 claims · 2.2%

Your Cost: $97.76/claim|Median: $56.49
1.7× median
76770Normal range

Ultrasound, retroperitoneal, complete

$272K

4,633 claims · 1.5%

Your Cost: $58.77/claim|Median: $37.35
1.6× median
90935Normal range

Hemodialysis, one evaluation

$259K

9,460 claims · 1.4%

Your Cost: $27.39/claim|Median: $23.72
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$186K

3,418 claims · 1.0%

Your Cost: $54.31/claim|Median: $74.09
0.7× median
90962Top 25%

$148K

1,869 claims · 0.8%

Your Cost: $79.07/claim|Median: $40.91
1.9× median
99213Normal range

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

$104K

3,433 claims · 0.6%

Your Cost: $30.40/claim|Median: $37.81
0.8× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$85K

1,790 claims · 0.5%

Your Cost: $47.73/claim|Median: $14.00
3.4× median
99204Normal range

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

$79K

1,149 claims · 0.4%

Your Cost: $68.75/claim|Median: $84.03
0.8× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$69K

2,417 claims · 0.4%

Your Cost: $28.58/claim|Median: $9.79
2.9× median
J0885Normal range

$31K

472 claims · 0.2%

Your Cost: $66.13/claim|Median: $67.33
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$28K

949 claims · 0.2%

Your Cost: $29.66/claim|Median: $22.44
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$27K

476 claims · 0.2%

Your Cost: $57.09/claim|Median: $51.25
1.1× median
99255Top 25%

$20K

133 claims · 0.1%

Your Cost: $150.53/claim|Median: $90.45
1.7× median
99291Normal range

Critical care, first 30-74 minutes

$15K

113 claims · 0.1%

Your Cost: $131.38/claim|Median: $101.24
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$6K

68 claims · 0.0%

Your Cost: $85.71/claim|Median: $111.09
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

431 claims · 0.0%

Your Cost: $7.89/claim|Median: $9.56
0.8× median
G2211Normal range

$3K

1,029 claims · 0.0%

Your Cost: $3.22/claim|Median: $2.40
1.3× median
99441Normal range

Telephone E/M by physician, 5-10 min

$3K

188 claims · 0.0%

Your Cost: $13.40/claim|Median: $13.30
1.0× median
99203Normal range

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

$2K

46 claims · 0.0%

Your Cost: $52.64/claim|Median: $57.85
0.9× median
85018Normal range

$378

528 claims · 0.0%

Your Cost: $0.72/claim|Median: $1.71
0.4× median
81002Normal range

Urinalysis, non-automated without microscopy

$156

71 claims · 0.0%

Your Cost: $2.20/claim|Median: $2.00
1.1× median