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Provider 1669402848

NPI: 1669402848Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.3M

$11,270,995

Total Claims

200K

Beneficiaries

185K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+2%
2019
$1.4M
+11%
2020
$1.6M
+26%
2021
$2.0M
-4%
2022
$1.9M
-4%
2023
$1.8M
-30%
2024
$1.3M

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 45% of total spending.

99214Normal range

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

$5.1M

80K claims · 45.5%

Your Cost: $64.40/claim|Median: $53.41
1.2× median
99213Normal range

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

$1.7M

37K claims · 15.0%

Your Cost: $45.76/claim|Median: $37.81
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$1.0M

11K claims · 9.1%

Your Cost: $94.98/claim|Median: $74.09
1.3× median
59409Normal range

Vaginal delivery only

$474K

618 claims · 4.2%

Your Cost: $766.89/claim|Median: $619.91
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$370K

5,059 claims · 3.3%

Your Cost: $73.16/claim|Median: $76.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$360K

5,567 claims · 3.2%

Your Cost: $64.63/claim|Median: $72.71
0.9× median
99204Normal range

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

$293K

3,378 claims · 2.6%

Your Cost: $86.88/claim|Median: $84.03
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$267K

5,511 claims · 2.4%

Your Cost: $48.47/claim|Median: $69.35
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$262K

4,434 claims · 2.3%

Your Cost: $58.98/claim|Median: $75.18
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$167K

2,894 claims · 1.5%

Your Cost: $57.80/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$147K

2,240 claims · 1.3%

Your Cost: $65.73/claim|Median: $80.15
0.8× median
99493Normal range

$141K

2,505 claims · 1.2%

Your Cost: $56.19/claim|Median: $73.13
0.8× median
99203Normal range

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

$129K

2,247 claims · 1.1%

Your Cost: $57.34/claim|Median: $57.85
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$94K

2,428 claims · 0.8%

Your Cost: $38.53/claim|Median: $37.22
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$93K

1,736 claims · 0.8%

Your Cost: $53.47/claim|Median: $35.30
1.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$76K

2,047 claims · 0.7%

Your Cost: $37.33/claim|Median: $23.99
1.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$72K

1,270 claims · 0.6%

Your Cost: $57.04/claim|Median: $32.55
1.8× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$52K

738 claims · 0.5%

Your Cost: $70.73/claim|Median: $76.22
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$46K

487 claims · 0.4%

Your Cost: $93.86/claim|Median: $67.32
1.4× median
99494Normal range

$44K

1,277 claims · 0.4%

Your Cost: $34.22/claim|Median: $36.93
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$35K

648 claims · 0.3%

Your Cost: $53.60/claim|Median: $62.48
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$32K

1,074 claims · 0.3%

Your Cost: $30.14/claim|Median: $25.06
1.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$31K

772 claims · 0.3%

Your Cost: $39.53/claim|Median: $22.44
1.8× median
99495Normal range

$30K

371 claims · 0.3%

Your Cost: $81.85/claim|Median: $52.75
1.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$25K

424 claims · 0.2%

Your Cost: $58.43/claim|Median: $43.85
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$24K

196 claims · 0.2%

Your Cost: $122.22/claim|Median: $111.09
1.1× median
Q0091Normal range

$24K

2,690 claims · 0.2%

Your Cost: $8.77/claim|Median: $11.15
0.8× median
17110Normal range

Destruction of benign lesions, up to fourteen

$20K

507 claims · 0.2%

Your Cost: $39.81/claim|Median: $59.25
0.7× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$18K

499 claims · 0.2%

Your Cost: $36.85/claim|Median: $42.51
0.9× median
G2012Normal range

Brief communication technology-based service

$9K

1,212 claims · 0.1%

Your Cost: $7.39/claim|Median: $8.79
0.8× median
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