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Provider 1679591440

NPI: 1679591440Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,365,167

Total Claims

377K

Beneficiaries

299K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$722K
+63%
2019
$1.2M
+22%
2020
$1.4M
+39%
2021
$2.0M
+32%
2022
$2.6M
-3%
2023
$2.6M
-29%
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 26% of total spending.

99214Normal range

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

$3.3M

55K claims · 26.4%

Your Cost: $59.62/claim|Median: $53.41
1.1× median
99213Normal range

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

$2.1M

46K claims · 16.8%

Your Cost: $45.11/claim|Median: $37.81
1.2× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.4M

19K claims · 11.3%

Your Cost: $72.81/claim|Median: $47.08
1.5× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$831K

7,401 claims · 6.7%

Your Cost: $112.28/claim|Median: $59.72
1.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$461K

21K claims · 3.7%

Your Cost: $22.09/claim|Median: $23.99
0.9× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$384K

6,276 claims · 3.1%

Your Cost: $61.22/claim|Median: $38.23
1.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$316K

749 claims · 2.6%

Your Cost: $422.55/claim|Median: $233.73
1.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$303K

8,669 claims · 2.5%

Your Cost: $34.97/claim|Median: $35.30
1.0× median
99204Normal range

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

$300K

3,144 claims · 2.4%

Your Cost: $95.29/claim|Median: $84.03
1.1× median
92015Normal range

Determination of refractive state

$252K

17K claims · 2.0%

Your Cost: $15.04/claim|Median: $10.36
1.5× median
99203Normal range

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

$221K

3,601 claims · 1.8%

Your Cost: $61.35/claim|Median: $57.85
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$219K

3,136 claims · 1.8%

Your Cost: $69.72/claim|Median: $67.32
1.0× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$214K

568 claims · 1.7%

Your Cost: $377.30/claim|Median: $255.03
1.5× median
92250Normal range

Fundus photography with interpretation and report

$205K

14K claims · 1.7%

Your Cost: $14.71/claim|Median: $27.95
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$190K

2,191 claims · 1.5%

Your Cost: $86.88/claim|Median: $74.09
1.2× median
90837Top 25%

Psychotherapy, 60 minutes

$171K

1,478 claims · 1.4%

Your Cost: $115.97/claim|Median: $85.66
1.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$99K

4,180 claims · 0.8%

Your Cost: $23.58/claim|Median: $30.04
0.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$90K

927 claims · 0.7%

Your Cost: $97.04/claim|Median: $100.62
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$82K

2,016 claims · 0.7%

Your Cost: $40.49/claim|Median: $24.49
1.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$64K

1,832 claims · 0.5%

Your Cost: $35.01/claim|Median: $51.25
0.7× median
92060Top 25%

$63K

1,271 claims · 0.5%

Your Cost: $49.42/claim|Median: $35.83
1.4× median
87804Normal range

Influenza virus detection, rapid test

$58K

4,772 claims · 0.5%

Your Cost: $12.11/claim|Median: $12.59
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$56K

1,076 claims · 0.5%

Your Cost: $52.08/claim|Median: $35.80
1.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$49K

209 claims · 0.4%

Your Cost: $234.24/claim|Median: $268.70
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$46K

3,930 claims · 0.4%

Your Cost: $11.63/claim|Median: $11.48
1.0× median
92083Normal range

Visual field exam, extended testing, bilateral

$41K

2,027 claims · 0.3%

Your Cost: $20.05/claim|Median: $29.82
0.7× median
80061Normal range

Lipid panel

$36K

5,356 claims · 0.3%

Your Cost: $6.75/claim|Median: $8.41
0.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$35K

827 claims · 0.3%

Your Cost: $41.97/claim|Median: $36.13
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$33K

1,134 claims · 0.3%

Your Cost: $28.90/claim|Median: $28.46
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$32K

2,743 claims · 0.3%

Your Cost: $11.85/claim|Median: $12.93
0.9× median
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