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Provider 1679517023

NPI: 1679517023Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,734,928

Total Claims

379K

Beneficiaries

313K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$461K
+3%
2019
$477K
+48%
2020
$708K
+155%
2021
$1.8M
+74%
2022
$3.1M
+49%
2023
$4.7M
-25%
2024
$3.5M

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 26% of total spending.

99214Normal range

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

$3.8M

64K claims · 26.0%

Your Cost: $59.64/claim|Median: $53.41
1.1× median
99213Normal range

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

$3.2M

68K claims · 21.6%

Your Cost: $47.10/claim|Median: $37.81
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.0M

34K claims · 7.0%

Your Cost: $30.43/claim|Median: $23.99
1.3× median
99204Normal range

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

$988K

9,608 claims · 6.7%

Your Cost: $102.79/claim|Median: $84.03
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$407K

6,512 claims · 2.8%

Your Cost: $62.57/claim|Median: $69.35
0.9× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$305K

1,232 claims · 2.1%

Your Cost: $247.78/claim|Median: $283.78
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$283K

5,876 claims · 1.9%

Your Cost: $48.16/claim|Median: $65.76
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$280K

4,320 claims · 1.9%

Your Cost: $64.76/claim|Median: $75.18
0.9× median
70450Normal range

CT head/brain without contrast

$257K

11K claims · 1.7%

Your Cost: $24.32/claim|Median: $45.53
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$250K

4,147 claims · 1.7%

Your Cost: $60.28/claim|Median: $74.09
0.8× median
99203Normal range

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

$233K

3,535 claims · 1.6%

Your Cost: $65.79/claim|Median: $57.85
1.1× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$219K

4,234 claims · 1.5%

Your Cost: $51.81/claim|Median: $36.13
1.4× median
69436Normal range

Tympanostomy, general anesthesia

$173K

871 claims · 1.2%

Your Cost: $198.37/claim|Median: $205.50
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$155K

1,599 claims · 1.1%

Your Cost: $97.21/claim|Median: $67.32
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$145K

1,979 claims · 1.0%

Your Cost: $73.40/claim|Median: $74.82
1.0× median
71045Normal range

Chest X-ray, single view

$143K

37K claims · 1.0%

Your Cost: $3.90/claim|Median: $4.93
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$113K

2,868 claims · 0.8%

Your Cost: $39.56/claim|Median: $37.22
1.1× median
71046Normal range

Chest X-ray, 2 views

$110K

20K claims · 0.7%

Your Cost: $5.35/claim|Median: $8.92
0.6× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$104K

460 claims · 0.7%

Your Cost: $225.55/claim|Median: $331.68
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$90K

2,208 claims · 0.6%

Your Cost: $40.75/claim|Median: $35.30
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$89K

710 claims · 0.6%

Your Cost: $125.49/claim|Median: $151.68
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$83K

2,075 claims · 0.6%

Your Cost: $40.14/claim|Median: $60.19
0.7× median
90723Top 5%

DTaP-HepB-IPV vaccine

$72K

2,480 claims · 0.5%

Your Cost: $28.98/claim|Median: $5.78
5.0× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$66K

601 claims · 0.5%

Your Cost: $110.57/claim|Median: $103.70
1.1× median
70551Normal range

MRI brain without contrast

$66K

1,519 claims · 0.5%

Your Cost: $43.69/claim|Median: $85.39
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$61K

866 claims · 0.4%

Your Cost: $70.34/claim|Median: $63.08
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$58K

1,944 claims · 0.4%

Your Cost: $30.03/claim|Median: $58.55
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$57K

539 claims · 0.4%

Your Cost: $105.89/claim|Median: $111.09
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$55K

1,937 claims · 0.4%

Your Cost: $28.63/claim|Median: $49.45
0.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$55K

2,197 claims · 0.4%

Your Cost: $24.83/claim|Median: $39.33
0.6× median
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