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Provider 1659883486

NPI: 1659883486Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$12.6M

$12,563,460

Total Claims

122K

Beneficiaries

114K

1.1 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$119K
+281%
2019
$452K
+221%
2020
$1.5M
+108%
2021
$3.0M
-12%
2022
$2.7M
-1%
2023
$2.6M
-15%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 22% of total spending.

99213Top 5%

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

$2.8M

32K claims · 22.4%

Your Cost: $86.97/claim|Median: $37.81
2.3× median
99214Top 5%

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

$2.6M

20K claims · 20.5%

Your Cost: $129.32/claim|Median: $53.41
2.4× median
99204Top 5%

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

$1.9M

10K claims · 15.0%

Your Cost: $183.91/claim|Median: $84.03
2.2× median
99203Top 10%

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

$1.6M

14K claims · 12.4%

Your Cost: $109.91/claim|Median: $57.85
1.9× median
95816Top 1%

$799K

1,825 claims · 6.4%

Your Cost: $437.81/claim|Median: $56.87
7.7× median
90834Top 25%

Psychotherapy, 45 minutes

$506K

4,991 claims · 4.0%

Your Cost: $101.44/claim|Median: $63.65
1.6× median
73721Top 25%

MRI joint of lower extremity without contrast

$320K

1,442 claims · 2.5%

Your Cost: $222.12/claim|Median: $127.34
1.7× median
95886Top 5%

$318K

1,428 claims · 2.5%

Your Cost: $222.62/claim|Median: $67.70
3.3× median
70551Top 25%

MRI brain without contrast

$304K

1,270 claims · 2.4%

Your Cost: $239.76/claim|Median: $85.39
2.8× median
73110Top 10%

X-ray of wrist, complete, minimum three views

$154K

3,344 claims · 1.2%

Your Cost: $45.92/claim|Median: $12.64
3.6× median
96112Normal range

Developmental test administration

$106K

760 claims · 0.8%

Your Cost: $139.78/claim|Median: $102.95
1.4× median
95822Top 1%

$99K

200 claims · 0.8%

Your Cost: $494.13/claim|Median: $31.06
15.9× median
95911Top 10%

$93K

407 claims · 0.7%

Your Cost: $227.68/claim|Median: $122.86
1.9× median
95819Top 5%

Electroencephalogram with sleep recording

$91K

202 claims · 0.7%

Your Cost: $450.84/claim|Median: $62.75
7.2× median
95912Top 10%

$89K

336 claims · 0.7%

Your Cost: $264.39/claim|Median: $141.23
1.9× median
73610Top 10%

X-ray of ankle, complete, minimum three views

$74K

1,857 claims · 0.6%

Your Cost: $40.08/claim|Median: $13.55
3.0× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$74K

1,263 claims · 0.6%

Your Cost: $58.80/claim|Median: $29.03
2.0× median
73140Top 25%

$71K

1,655 claims · 0.6%

Your Cost: $43.11/claim|Median: $11.18
3.9× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$65K

1,703 claims · 0.5%

Your Cost: $38.18/claim|Median: $12.06
3.2× median
99215Top 5%

Office/outpatient visit, high complexity

$60K

312 claims · 0.5%

Your Cost: $191.16/claim|Median: $74.09
2.6× median
73130Top 10%

$40K

857 claims · 0.3%

Your Cost: $46.41/claim|Median: $10.69
4.3× median
73221Top 25%

MRI of upper extremity joint with contrast

$38K

169 claims · 0.3%

Your Cost: $224.83/claim|Median: $122.11
1.8× median
72110Top 10%

$38K

626 claims · 0.3%

Your Cost: $60.22/claim|Median: $21.02
2.9× median
73564Top 10%

$36K

691 claims · 0.3%

Your Cost: $52.33/claim|Median: $15.00
3.5× median
72148Top 25%

MRI lumbar spine without contrast

$35K

148 claims · 0.3%

Your Cost: $236.67/claim|Median: $101.03
2.3× median
73562Top 10%

$34K

713 claims · 0.3%

Your Cost: $47.26/claim|Median: $12.28
3.8× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$22K

226 claims · 0.2%

Your Cost: $98.08/claim|Median: $42.51
2.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$22K

332 claims · 0.2%

Your Cost: $66.36/claim|Median: $40.11
1.7× median
80363Top 1%

$16K

296 claims · 0.1%

Your Cost: $55.46/claim|Median: $7.61
7.3× median
99072Normal range

$16K

6,388 claims · 0.1%

Your Cost: $2.48/claim|Median: $0.54
4.6× median
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