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Provider 1659639524

NPI: 1659639524Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,307,360

Total Claims

230K

Beneficiaries

175K

1.3 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+42%
2019
$1.5M
+16%
2020
$1.8M
+48%
2021
$2.6M
+9%
2022
$2.9M
+2%
2023
$2.9M
-17%
2024
$2.4M

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 28% of total spending.

99214Normal range

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

$4.3M

58K claims · 28.3%

Your Cost: $75.06/claim|Median: $53.41
1.4× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$4.0M

46K claims · 26.4%

Your Cost: $87.13/claim|Median: $35.30
2.5× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$2.1M

34K claims · 13.6%

Your Cost: $62.16/claim|Median: $23.99
2.6× median
99223Top 10%

Initial hospital care, per day, high complexity

$1.4M

8,974 claims · 9.0%

Your Cost: $153.89/claim|Median: $67.32
2.3× median
99213Normal range

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

$1.0M

25K claims · 6.6%

Your Cost: $39.60/claim|Median: $37.81
1.0× median
99204Normal range

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

$533K

4,868 claims · 3.5%

Your Cost: $109.42/claim|Median: $84.03
1.3× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$484K

5,637 claims · 3.2%

Your Cost: $85.93/claim|Median: $43.85
2.0× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$349K

3,279 claims · 2.3%

Your Cost: $106.42/claim|Median: $51.25
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$328K

2,628 claims · 2.1%

Your Cost: $124.96/claim|Median: $74.09
1.7× median
99203Top 25%

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

$102K

1,308 claims · 0.7%

Your Cost: $78.20/claim|Median: $57.85
1.4× median
99220Top 10%

$101K

721 claims · 0.7%

Your Cost: $139.88/claim|Median: $73.56
1.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$96K

1,139 claims · 0.6%

Your Cost: $84.38/claim|Median: $76.06
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$82K

1,367 claims · 0.5%

Your Cost: $59.91/claim|Median: $37.22
1.6× median
99235Top 25%

$82K

582 claims · 0.5%

Your Cost: $140.30/claim|Median: $110.13
1.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$67K

5,911 claims · 0.4%

Your Cost: $11.38/claim|Median: $12.93
0.9× median
46607Normal range

$28K

213 claims · 0.2%

Your Cost: $130.79/claim|Median: $189.36
0.7× median
99217Top 25%

$23K

416 claims · 0.2%

Your Cost: $55.26/claim|Median: $31.89
1.7× median
99236Normal range

Observation care same day admit and discharge

$20K

132 claims · 0.1%

Your Cost: $149.00/claim|Median: $128.23
1.2× median
99234Top 25%

$19K

181 claims · 0.1%

Your Cost: $104.25/claim|Median: $80.89
1.3× median
99219Top 10%

$18K

170 claims · 0.1%

Your Cost: $108.30/claim|Median: $63.35
1.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$18K

206 claims · 0.1%

Your Cost: $85.85/claim|Median: $72.71
1.2× median
G2211Top 25%

$18K

1,814 claims · 0.1%

Your Cost: $9.73/claim|Median: $2.40
4.1× median
36415Normal range

Collection of venous blood by venipuncture

$12K

9,250 claims · 0.1%

Your Cost: $1.30/claim|Median: $1.57
0.8× median
99284Top 25%

Emergency dept visit, high complexity

$11K

98 claims · 0.1%

Your Cost: $115.56/claim|Median: $69.51
1.7× median
99336Top 5%

$11K

93 claims · 0.1%

Your Cost: $117.57/claim|Median: $20.35
5.8× median
91320Normal range

$8K

84 claims · 0.1%

Your Cost: $98.69/claim|Median: $72.65
1.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$8K

155 claims · 0.0%

Your Cost: $49.14/claim|Median: $32.55
1.5× median
99051Normal range

$6K

757 claims · 0.0%

Your Cost: $7.70/claim|Median: $7.89
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$5K

304 claims · 0.0%

Your Cost: $17.07/claim|Median: $25.06
0.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5K

33 claims · 0.0%

Your Cost: $140.94/claim|Median: $85.65
1.6× median
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