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Provider 1659455145

NPI: 1659455145Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,735,468

Total Claims

456K

Beneficiaries

279K

1.6 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$812K
+41%
2019
$1.1M
+52%
2020
$1.7M
+34%
2021
$2.3M
-9%
2022
$2.1M
-13%
2023
$1.9M
-6%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 39% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$4.5M

155K claims · 38.5%

Your Cost: $29.10/claim|Median: $35.30
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$2.5M

121K claims · 21.0%

Your Cost: $20.36/claim|Median: $14.00
1.5× median
99223Normal range

Initial hospital care, per day, high complexity

$1.8M

33K claims · 15.3%

Your Cost: $54.95/claim|Median: $67.32
0.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$946K

68K claims · 8.1%

Your Cost: $13.99/claim|Median: $9.79
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$610K

21K claims · 5.2%

Your Cost: $28.47/claim|Median: $43.85
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$562K

28K claims · 4.8%

Your Cost: $20.16/claim|Median: $23.99
0.8× median
99306Normal range

$278K

8,618 claims · 2.4%

Your Cost: $32.31/claim|Median: $29.97
1.1× median
99305Normal range

$173K

5,874 claims · 1.5%

Your Cost: $29.54/claim|Median: $19.28
1.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$139K

2,713 claims · 1.2%

Your Cost: $51.06/claim|Median: $121.58
0.4× median
99220Normal range

$69K

1,283 claims · 0.6%

Your Cost: $54.02/claim|Median: $73.56
0.7× median
99307Normal range

$26K

4,194 claims · 0.2%

Your Cost: $6.18/claim|Median: $6.57
0.9× median
99236Normal range

Observation care same day admit and discharge

$24K

313 claims · 0.2%

Your Cost: $75.43/claim|Median: $128.23
0.6× median
99245Normal range

Office consultation, high complexity

$17K

258 claims · 0.1%

Your Cost: $65.47/claim|Median: $143.30
0.5× median
99204Normal range

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

$15K

518 claims · 0.1%

Your Cost: $28.54/claim|Median: $84.03
0.3× median
99217Normal range

$13K

559 claims · 0.1%

Your Cost: $22.88/claim|Median: $31.89
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$12K

320 claims · 0.1%

Your Cost: $37.45/claim|Median: $51.25
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$12K

252 claims · 0.1%

Your Cost: $46.54/claim|Median: $101.24
0.5× median
99316Normal range

$11K

365 claims · 0.1%

Your Cost: $31.10/claim|Median: $25.78
1.2× median
99318Normal range

$8K

758 claims · 0.1%

Your Cost: $11.20/claim|Median: $15.64
0.7× median
99310Normal range

$8K

240 claims · 0.1%

Your Cost: $33.16/claim|Median: $21.82
1.5× median
99226Normal range

$8K

296 claims · 0.1%

Your Cost: $25.90/claim|Median: $34.09
0.8× median
99497Normal range

$6K

1,321 claims · 0.1%

Your Cost: $4.48/claim|Median: $10.99
0.4× median
99406Normal range

$4K

739 claims · 0.0%

Your Cost: $5.80/claim|Median: $6.53
0.9× median
99304Normal range

$4K

287 claims · 0.0%

Your Cost: $14.60/claim|Median: $13.51
1.1× median
99336Normal range

$2K

246 claims · 0.0%

Your Cost: $10.05/claim|Median: $20.35
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$2K

44 claims · 0.0%

Your Cost: $41.07/claim|Median: $74.09
0.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$2K

145 claims · 0.0%

Your Cost: $12.33/claim|Median: $36.13
0.3× median
G0407Top 10%

$1K

26 claims · 0.0%

Your Cost: $55.70/claim|Median: $8.73
6.4× median
99212Normal range

Office/outpatient visit, low complexity

$1K

238 claims · 0.0%

Your Cost: $5.84/claim|Median: $25.06
0.2× median
99337Normal range

$1K

24 claims · 0.0%

Your Cost: $47.70/claim|Median: $29.39
1.6× median
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