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Provider 1669844908

NPI: 1669844908Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.8M

$9,785,530

Total Claims

257K

Beneficiaries

218K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$319K
+302%
2019
$1.3M
-20%
2020
$1.0M
+30%
2021
$1.3M
+31%
2022
$1.7M
+30%
2023
$2.3M
-20%
2024
$1.8M

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 48% of total spending.

99214Normal range

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

$4.7M

78K claims · 48.3%

Your Cost: $60.51/claim|Median: $53.41
1.1× median
99213Normal range

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

$1.4M

32K claims · 14.7%

Your Cost: $44.44/claim|Median: $37.81
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$534K

7,027 claims · 5.5%

Your Cost: $76.00/claim|Median: $67.32
1.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$448K

754 claims · 4.6%

Your Cost: $594.82/claim|Median: $470.36
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$307K

12K claims · 3.1%

Your Cost: $25.59/claim|Median: $23.99
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$289K

6,170 claims · 2.9%

Your Cost: $46.78/claim|Median: $35.30
1.3× median
99204Normal range

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

$288K

3,117 claims · 2.9%

Your Cost: $92.39/claim|Median: $84.03
1.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$202K

3,787 claims · 2.1%

Your Cost: $53.26/claim|Median: $38.83
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$183K

3,768 claims · 1.9%

Your Cost: $48.50/claim|Median: $43.85
1.1× median
99203Normal range

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

$150K

2,374 claims · 1.5%

Your Cost: $63.33/claim|Median: $57.85
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$145K

1,844 claims · 1.5%

Your Cost: $78.45/claim|Median: $74.09
1.1× median
64400Normal range

$107K

1,602 claims · 1.1%

Your Cost: $66.77/claim|Median: $114.91
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$85K

2,589 claims · 0.9%

Your Cost: $32.74/claim|Median: $54.68
0.6× median
95886Top 25%

$82K

694 claims · 0.8%

Your Cost: $118.21/claim|Median: $67.70
1.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$66K

432 claims · 0.7%

Your Cost: $152.82/claim|Median: $108.91
1.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$61K

1,812 claims · 0.6%

Your Cost: $33.83/claim|Median: $29.03
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$54K

918 claims · 0.6%

Your Cost: $59.06/claim|Median: $63.65
0.9× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$41K

570 claims · 0.4%

Your Cost: $72.70/claim|Median: $111.02
0.7× median
3074FTop 10%

$38K

15K claims · 0.4%

Your Cost: $2.57/claim|Median: $0.11
23.4× median
43239Normal range

Upper GI endoscopy with biopsy

$36K

418 claims · 0.4%

Your Cost: $85.29/claim|Median: $151.68
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$32K

473 claims · 0.3%

Your Cost: $67.89/claim|Median: $62.48
1.1× median
95910Normal range

$32K

263 claims · 0.3%

Your Cost: $121.48/claim|Median: $97.13
1.3× median
3078FTop 10%

$31K

12K claims · 0.3%

Your Cost: $2.69/claim|Median: $0.08
33.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$28K

566 claims · 0.3%

Your Cost: $49.85/claim|Median: $37.22
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$26K

7,113 claims · 0.3%

Your Cost: $3.71/claim|Median: $5.60
0.7× median
64405Normal range

$26K

594 claims · 0.3%

Your Cost: $43.78/claim|Median: $48.36
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$20K

254 claims · 0.2%

Your Cost: $79.21/claim|Median: $74.82
1.1× median
64615Normal range

$20K

234 claims · 0.2%

Your Cost: $84.74/claim|Median: $82.82
1.0× median
1159FTop 25%

$18K

26K claims · 0.2%

Your Cost: $0.70/claim|Median: $0.01
70.1× median
90791Normal range

Psychiatric diagnostic evaluation

$16K

154 claims · 0.2%

Your Cost: $101.02/claim|Median: $99.21
1.0× median