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Provider 1669588158

NPI: 1669588158Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.9M

$17,851,935

Total Claims

134K

Beneficiaries

124K

1.1 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+19%
2019
$2.3M
-5%
2020
$2.2M
+39%
2021
$3.0M
-6%
2022
$2.8M
+1%
2023
$2.9M
-4%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0585 (Injection, onabotulinumtoxinA, 1 unit)) accounts for 24% of total spending.

J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$4.3M

5,549 claims · 24.0%

Your Cost: $773.19/claim|Median: $470.36
1.6× median
99214Top 25%

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

$3.2M

37K claims · 18.1%

Your Cost: $86.69/claim|Median: $53.41
1.6× median
99204Top 25%

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

$2.1M

16K claims · 11.8%

Your Cost: $132.37/claim|Median: $84.03
1.6× median
64615Top 25%

$1.4M

8,694 claims · 7.6%

Your Cost: $155.80/claim|Median: $82.82
1.9× median
99213Top 25%

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

$1.3M

23K claims · 7.2%

Your Cost: $56.72/claim|Median: $37.81
1.5× median
95819Top 25%

Electroencephalogram with sleep recording

$1.0M

4,191 claims · 5.7%

Your Cost: $243.04/claim|Median: $62.75
3.9× median
99215Top 10%

Office/outpatient visit, high complexity

$662K

4,405 claims · 3.7%

Your Cost: $150.30/claim|Median: $74.09
2.0× median
64483Top 25%

$536K

2,452 claims · 3.0%

Your Cost: $218.71/claim|Median: $124.24
1.8× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$434K

4,944 claims · 2.4%

Your Cost: $87.88/claim|Median: $35.30
2.5× median
99223Top 5%

Initial hospital care, per day, high complexity

$326K

1,992 claims · 1.8%

Your Cost: $163.89/claim|Median: $67.32
2.4× median
70553Top 25%

MRI brain without contrast, then with contrast

$303K

1,028 claims · 1.7%

Your Cost: $294.87/claim|Median: $133.68
2.2× median
69145Top 1%

$295K

670 claims · 1.7%

Your Cost: $440.15/claim|Median: $186.77
2.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$271K

1,378 claims · 1.5%

Your Cost: $196.53/claim|Median: $111.09
1.8× median
64484Top 25%

$161K

1,579 claims · 0.9%

Your Cost: $102.00/claim|Median: $47.83
2.1× median
95886Top 25%

$138K

1,278 claims · 0.8%

Your Cost: $107.89/claim|Median: $67.70
1.6× median
64479Top 25%

$128K

595 claims · 0.7%

Your Cost: $214.54/claim|Median: $133.50
1.6× median
95885Top 25%

$114K

1,048 claims · 0.6%

Your Cost: $108.79/claim|Median: $39.97
2.7× median
64493Normal range

$104K

547 claims · 0.6%

Your Cost: $189.46/claim|Median: $103.44
1.8× median
99203Top 25%

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

$104K

1,265 claims · 0.6%

Your Cost: $81.86/claim|Median: $57.85
1.4× median
95816Top 5%

$86K

266 claims · 0.5%

Your Cost: $325.09/claim|Median: $56.87
5.7× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$81K

1,354 claims · 0.5%

Your Cost: $59.73/claim|Median: $23.99
2.5× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$79K

757 claims · 0.4%

Your Cost: $104.21/claim|Median: $51.25
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$67K

1,821 claims · 0.4%

Your Cost: $36.93/claim|Median: $25.06
1.5× median
64480Top 25%

$63K

542 claims · 0.4%

Your Cost: $116.25/claim|Median: $62.44
1.9× median
95720Top 10%

$61K

229 claims · 0.3%

Your Cost: $264.70/claim|Median: $120.95
2.2× median
64616Top 25%

$51K

377 claims · 0.3%

Your Cost: $136.38/claim|Median: $66.22
2.1× median
64635Normal range

$48K

229 claims · 0.3%

Your Cost: $210.89/claim|Median: $207.78
1.0× median
64494Top 25%

$47K

523 claims · 0.3%

Your Cost: $89.11/claim|Median: $34.70
2.6× median
64495Top 25%

$45K

521 claims · 0.3%

Your Cost: $86.87/claim|Median: $36.70
2.4× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$43K

240 claims · 0.2%

Your Cost: $179.27/claim|Median: $121.58
1.5× median