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Provider 1669422234

NPI: 1669422234Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$14,018,124

Total Claims

857K

Beneficiaries

690K

1.2 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+40%
2019
$1.6M
+0%
2020
$1.6M
+43%
2021
$2.3M
+0%
2022
$2.3M
+23%
2023
$2.9M
-30%
2024
$2.0M

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 20% of total spending.

99213Normal range

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

$2.8M

69K claims · 20.2%

Your Cost: $41.01/claim|Median: $37.81
1.1× median
99214Normal range

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

$2.5M

46K claims · 18.1%

Your Cost: $55.63/claim|Median: $53.41
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.9M

72K claims · 13.2%

Your Cost: $25.92/claim|Median: $23.99
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.1M

13K claims · 8.1%

Your Cost: $84.89/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

13K claims · 8.1%

Your Cost: $87.90/claim|Median: $75.18
1.2× median
59430Normal range

$928K

9,755 claims · 6.6%

Your Cost: $95.14/claim|Median: $80.32
1.2× median
59425Normal range

Antepartum care only, 4-6 visits

$622K

16K claims · 4.4%

Your Cost: $38.21/claim|Median: $63.63
0.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$559K

6,243 claims · 4.0%

Your Cost: $89.56/claim|Median: $74.82
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$506K

13K claims · 3.6%

Your Cost: $39.17/claim|Median: $122.30
0.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$415K

9,861 claims · 3.0%

Your Cost: $42.09/claim|Median: $35.30
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$326K

3,492 claims · 2.3%

Your Cost: $93.37/claim|Median: $80.15
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$314K

4,293 claims · 2.2%

Your Cost: $73.12/claim|Median: $67.32
1.1× median
99204Normal range

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

$96K

1,613 claims · 0.7%

Your Cost: $59.48/claim|Median: $84.03
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$91K

27K claims · 0.7%

Your Cost: $3.45/claim|Median: $5.60
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$83K

3,214 claims · 0.6%

Your Cost: $25.88/claim|Median: $37.22
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$75K

1,804 claims · 0.5%

Your Cost: $41.41/claim|Median: $51.25
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$71K

1,852 claims · 0.5%

Your Cost: $38.37/claim|Median: $43.85
0.9× median
99203Normal range

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

$67K

1,829 claims · 0.5%

Your Cost: $36.68/claim|Median: $57.85
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$64K

1,591 claims · 0.5%

Your Cost: $40.22/claim|Median: $41.28
1.0× median
59025Normal range

Fetal non-stress test

$53K

3,528 claims · 0.4%

Your Cost: $14.99/claim|Median: $26.45
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$32K

4,755 claims · 0.2%

Your Cost: $6.75/claim|Median: $9.10
0.7× median
59409Normal range

Vaginal delivery only

$31K

116 claims · 0.2%

Your Cost: $268.75/claim|Median: $619.91
0.4× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$30K

423 claims · 0.2%

Your Cost: $71.73/claim|Median: $73.46
1.0× median
92551Normal range

Screening audiometry, pure tone, air only

$23K

3,276 claims · 0.2%

Your Cost: $7.02/claim|Median: $6.61
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$23K

541 claims · 0.2%

Your Cost: $42.29/claim|Median: $72.71
0.6× median
99173Normal range

$19K

11K claims · 0.1%

Your Cost: $1.74/claim|Median: $2.16
0.8× median
99220Normal range

$13K

290 claims · 0.1%

Your Cost: $43.63/claim|Median: $73.56
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$12K

785 claims · 0.1%

Your Cost: $15.04/claim|Median: $25.06
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$10K

2,701 claims · 0.1%

Your Cost: $3.84/claim|Median: $3.67
1.0× median
99221Normal range

Initial hospital care, straightforward/low

$7K

127 claims · 0.1%

Your Cost: $56.63/claim|Median: $39.96
1.4× median
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