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Provider 1669567806

NPI: 1669567806Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,593,092

Total Claims

1.0M

Beneficiaries

915K

1.1 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-2%
2019
$2.0M
+9%
2020
$2.2M
+16%
2021
$2.5M
-4%
2022
$2.4M
+13%
2023
$2.7M
-5%
2024
$2.6M

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 34% of total spending.

99213Top 25%

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

$5.7M

101K claims · 34.2%

Your Cost: $56.17/claim|Median: $37.81
1.5× median
99214Top 25%

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

$5.6M

71K claims · 33.9%

Your Cost: $79.36/claim|Median: $53.41
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$626K

17K claims · 3.8%

Your Cost: $36.68/claim|Median: $23.99
1.5× median
99223Normal range

Initial hospital care, per day, high complexity

$512K

5,375 claims · 3.1%

Your Cost: $95.34/claim|Median: $67.32
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$500K

5,765 claims · 3.0%

Your Cost: $86.80/claim|Median: $72.71
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$496K

9,067 claims · 3.0%

Your Cost: $54.72/claim|Median: $35.30
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$411K

4,333 claims · 2.5%

Your Cost: $94.82/claim|Median: $76.06
1.2× median
99203Normal range

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

$327K

4,214 claims · 2.0%

Your Cost: $77.57/claim|Median: $57.85
1.3× median
99204Top 25%

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

$254K

2,083 claims · 1.5%

Your Cost: $121.72/claim|Median: $84.03
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$249K

4,563 claims · 1.5%

Your Cost: $54.67/claim|Median: $43.85
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$155K

4,502 claims · 0.9%

Your Cost: $34.42/claim|Median: $25.06
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$143K

1,353 claims · 0.9%

Your Cost: $105.45/claim|Median: $74.09
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$141K

1,637 claims · 0.8%

Your Cost: $85.91/claim|Median: $80.15
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$130K

1,554 claims · 0.8%

Your Cost: $83.95/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$127K

1,521 claims · 0.8%

Your Cost: $83.52/claim|Median: $75.18
1.1× median
99496Top 25%

Transitional care management, moderate complexity face-to-face visit

$122K

960 claims · 0.7%

Your Cost: $127.55/claim|Median: $54.66
2.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$108K

1,591 claims · 0.7%

Your Cost: $67.84/claim|Median: $51.25
1.3× median
90682Top 25%

$78K

1,460 claims · 0.5%

Your Cost: $53.52/claim|Median: $34.72
1.5× median
99220Normal range

$78K

935 claims · 0.5%

Your Cost: $83.39/claim|Median: $73.56
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$78K

2,639 claims · 0.5%

Your Cost: $29.38/claim|Median: $24.49
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$72K

8,756 claims · 0.4%

Your Cost: $8.27/claim|Median: $9.56
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$71K

1,047 claims · 0.4%

Your Cost: $67.78/claim|Median: $69.35
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$58K

2,768 claims · 0.3%

Your Cost: $20.89/claim|Median: $17.85
1.2× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$43K

4,460 claims · 0.3%

Your Cost: $9.57/claim|Median: $9.80
1.0× median
99495Top 25%

$40K

383 claims · 0.2%

Your Cost: $103.20/claim|Median: $52.75
2.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$35K

903 claims · 0.2%

Your Cost: $38.82/claim|Median: $37.22
1.0× median
99406Normal range

$35K

4,441 claims · 0.2%

Your Cost: $7.85/claim|Median: $6.53
1.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$33K

13K claims · 0.2%

Your Cost: $2.52/claim|Median: $2.00
1.3× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$28K

1,241 claims · 0.2%

Your Cost: $22.83/claim|Median: $20.83
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$26K

2,124 claims · 0.2%

Your Cost: $12.39/claim|Median: $7.18
1.7× median
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