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Provider 1679771703

NPI: 1679771703Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.8M

$15,840,296

Total Claims

302K

Beneficiaries

276K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$150K
+448%
2019
$824K
+33%
2020
$1.1M
+105%
2021
$2.2M
+47%
2022
$3.3M
+26%
2023
$4.2M
-3%
2024
$4.0M

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 28% of total spending.

99214Top 25%

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

$4.5M

58K claims · 28.3%

Your Cost: $77.71/claim|Median: $53.41
1.5× median
99204Normal range

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

$3.4M

32K claims · 21.5%

Your Cost: $104.96/claim|Median: $84.03
1.2× median
99213Normal range

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

$3.0M

59K claims · 19.1%

Your Cost: $51.41/claim|Median: $37.81
1.4× median
99203Normal range

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

$996K

15K claims · 6.3%

Your Cost: $67.85/claim|Median: $57.85
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$738K

21K claims · 4.7%

Your Cost: $35.10/claim|Median: $29.03
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$307K

2,592 claims · 1.9%

Your Cost: $118.42/claim|Median: $121.58
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$281K

2,603 claims · 1.8%

Your Cost: $107.99/claim|Median: $74.09
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$275K

1,921 claims · 1.7%

Your Cost: $143.24/claim|Median: $111.09
1.3× median
29085Normal range

$197K

3,573 claims · 1.2%

Your Cost: $55.03/claim|Median: $56.99
1.0× median
73130Normal range

$194K

9,572 claims · 1.2%

Your Cost: $20.24/claim|Median: $10.69
1.9× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$179K

10K claims · 1.1%

Your Cost: $17.39/claim|Median: $12.06
1.4× median
73610Normal range

X-ray of ankle, complete, minimum three views

$167K

9,184 claims · 1.1%

Your Cost: $18.22/claim|Median: $13.55
1.3× median
73110Normal range

X-ray of wrist, complete, minimum three views

$150K

7,424 claims · 0.9%

Your Cost: $20.18/claim|Median: $12.64
1.6× median
29705Normal range

$146K

4,136 claims · 0.9%

Your Cost: $35.33/claim|Median: $40.76
0.9× median
27447Normal range

Total knee replacement surgery, both components

$117K

125 claims · 0.7%

Your Cost: $932.25/claim|Median: $1,115.75
0.8× median
73560Normal range

$98K

6,454 claims · 0.6%

Your Cost: $15.24/claim|Median: $10.28
1.5× median
73030Normal range

$88K

5,028 claims · 0.6%

Your Cost: $17.46/claim|Median: $10.94
1.6× median
73562Normal range

$85K

4,311 claims · 0.5%

Your Cost: $19.65/claim|Median: $12.28
1.6× median
Q4038Top 10%

$82K

1,214 claims · 0.5%

Your Cost: $67.66/claim|Median: $27.24
2.5× median
20550Normal range

$74K

2,385 claims · 0.5%

Your Cost: $31.05/claim|Median: $29.96
1.0× median
29405Normal range

$69K

1,371 claims · 0.4%

Your Cost: $50.66/claim|Median: $57.27
0.9× median
72100Normal range

$61K

3,111 claims · 0.4%

Your Cost: $19.61/claim|Median: $15.14
1.3× median
73564Normal range

$49K

1,942 claims · 0.3%

Your Cost: $25.09/claim|Median: $15.00
1.7× median
99358Top 25%

$40K

793 claims · 0.3%

Your Cost: $50.64/claim|Median: $14.34
3.5× median
72081Normal range

$35K

1,659 claims · 0.2%

Your Cost: $21.09/claim|Median: $20.88
1.0× median
73565Normal range

$33K

2,116 claims · 0.2%

Your Cost: $15.40/claim|Median: $13.75
1.1× median
95913Normal range

$30K

154 claims · 0.2%

Your Cost: $193.63/claim|Median: $166.25
1.2× median
Q4010Top 25%

$29K

962 claims · 0.2%

Your Cost: $29.73/claim|Median: $13.11
2.3× median
A4590Normal range

$28K

2,918 claims · 0.2%

Your Cost: $9.52/claim|Median: $18.45
0.5× median
73070Normal range

$27K

1,848 claims · 0.2%

Your Cost: $14.77/claim|Median: $10.12
1.5× median