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Provider 1669846986

NPI: 1669846986Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.2M

$18,215,911

Total Claims

437K

Beneficiaries

352K

1.2 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+16%
2019
$2.3M
+18%
2020
$2.7M
+25%
2021
$3.4M
-48%
2022
$1.8M
+47%
2023
$2.6M
+32%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 26% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$4.7M

79K claims · 25.6%

Your Cost: $59.21/claim|Median: $35.30
1.7× median
99214Normal range

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

$2.5M

67K claims · 13.8%

Your Cost: $37.84/claim|Median: $53.41
0.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$2.4M

22K claims · 12.9%

Your Cost: $109.31/claim|Median: $67.32
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.2M

29K claims · 6.3%

Your Cost: $40.11/claim|Median: $23.99
1.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1.1M

17K claims · 6.0%

Your Cost: $65.28/claim|Median: $43.85
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$1.0M

14K claims · 5.8%

Your Cost: $75.90/claim|Median: $65.76
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$807K

6,868 claims · 4.4%

Your Cost: $117.52/claim|Median: $101.24
1.2× median
99213Normal range

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

$607K

23K claims · 3.3%

Your Cost: $26.10/claim|Median: $37.81
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$509K

12K claims · 2.8%

Your Cost: $42.17/claim|Median: $54.68
0.8× median
70450Normal range

CT head/brain without contrast

$417K

15K claims · 2.3%

Your Cost: $28.70/claim|Median: $45.53
0.6× median
71046Normal range

Chest X-ray, 2 views

$370K

38K claims · 2.0%

Your Cost: $9.66/claim|Median: $8.92
1.1× median
90961Top 10%

$304K

2,126 claims · 1.7%

Your Cost: $142.85/claim|Median: $47.22
3.0× median
90962Top 25%

$298K

2,834 claims · 1.6%

Your Cost: $105.02/claim|Median: $40.91
2.6× median
71045Normal range

Chest X-ray, single view

$289K

51K claims · 1.6%

Your Cost: $5.64/claim|Median: $4.93
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$227K

3,070 claims · 1.2%

Your Cost: $73.82/claim|Median: $74.09
1.0× median
59425Normal range

Antepartum care only, 4-6 visits

$189K

2,993 claims · 1.0%

Your Cost: $63.26/claim|Median: $63.63
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$147K

2,811 claims · 0.8%

Your Cost: $52.40/claim|Median: $60.19
0.9× median
90960Top 10%

End-stage renal disease services, per month, age 20+

$130K

875 claims · 0.7%

Your Cost: $148.88/claim|Median: $52.76
2.8× median
43239Normal range

Upper GI endoscopy with biopsy

$84K

928 claims · 0.5%

Your Cost: $90.97/claim|Median: $151.68
0.6× median
90935Normal range

Hemodialysis, one evaluation

$71K

1,619 claims · 0.4%

Your Cost: $43.91/claim|Median: $23.72
1.9× median
99254Normal range

$66K

708 claims · 0.4%

Your Cost: $93.58/claim|Median: $81.43
1.1× median
72125Normal range

CT cervical spine without contrast

$64K

1,767 claims · 0.3%

Your Cost: $36.01/claim|Median: $32.30
1.1× median
99255Top 25%

$54K

414 claims · 0.3%

Your Cost: $131.07/claim|Median: $90.45
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$50K

8,682 claims · 0.3%

Your Cost: $5.81/claim|Median: $5.60
1.0× median
71260Normal range

CT chest with contrast

$45K

1,175 claims · 0.2%

Your Cost: $38.06/claim|Median: $48.36
0.8× median
77014Top 1%

CT guidance for radiation therapy procedure

$38K

316 claims · 0.2%

Your Cost: $119.83/claim|Median: $26.94
4.4× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$34K

901 claims · 0.2%

Your Cost: $37.41/claim|Median: $33.72
1.1× median
99204Normal range

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

$33K

488 claims · 0.2%

Your Cost: $67.54/claim|Median: $84.03
0.8× median
99203Top 25%

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

$28K

321 claims · 0.2%

Your Cost: $86.11/claim|Median: $57.85
1.5× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$25K

649 claims · 0.1%

Your Cost: $38.96/claim|Median: $36.70
1.1× median