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Provider 1689158487

NPI: 1689158487Share
Active Billing Period:2020-01→2024-12(56 months)

Total Paid

$12.7M

$12,700,655

Total Claims

106K

Beneficiaries

91K

1.2 claims/patient

Avg Cost/Claim

$120

Monthly Spending Trend

Yearly Spending

2020
$548
+239737%
2021
$1.3M
+116%
2022
$2.8M
+64%
2023
$4.6M
-16%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99344) accounts for 37% of total spending.

99344Top 10%

$4.7M

21K claims · 37.1%

Your Cost: $222.27/claim|Median: $50.43
4.4× median
99343Normal range

$4.1M

20K claims · 32.6%

Your Cost: $202.74/claim|Median: $121.04
1.7× median
99342Top 25%

$2.3M

11K claims · 17.8%

Your Cost: $204.54/claim|Median: $32.19
6.4× median
99348Top 5%

$1.3M

7,278 claims · 9.9%

Your Cost: $173.35/claim|Median: $17.17
10.1× median
99349Top 10%

$278K

3,070 claims · 2.2%

Your Cost: $90.56/claim|Median: $24.29
3.7× median
92250Top 5%

Fundus photography with interpretation and report

$13K

199 claims · 0.1%

Your Cost: $66.91/claim|Median: $27.95
2.4× median
92227Top 10%

$12K

301 claims · 0.1%

Your Cost: $39.65/claim|Median: $7.85
5.1× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$11K

620 claims · 0.1%

Your Cost: $17.88/claim|Median: $5.50
3.3× median
93922Normal range

$8K

1,242 claims · 0.1%

Your Cost: $6.47/claim|Median: $26.06
0.2× median
82565Top 5%

Creatinine blood test

$7K

47 claims · 0.1%

Your Cost: $158.00/claim|Median: $1.94
81.4× median
82043Top 1%

Urine albumin, microalbumin, quantitative test

$2K

41 claims · 0.0%

Your Cost: $47.56/claim|Median: $4.02
11.8× median
84999Normal range

$1K

68 claims · 0.0%

Your Cost: $15.29/claim|Median: $5.23
2.9× median
99347Normal range

$0

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.74
0.0× median
99406Normal range

$0

781 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53
4010FNormal range

$0

435 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G8476Normal range

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
1159FNormal range

$0

3,638 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
99499Normal range

Unlisted evaluation and management service

$0

723 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.88
1090FNormal range

$0

440 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.23
1170FNormal range

$0

3,732 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
G8509Normal range

$0

241 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.98
99395Normal range

Preventive medicine, established patient, age 18-39

$0

581 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.71
1160FNormal range

$0

3,638 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
3052FNormal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.18
3078FNormal range

$0

4,582 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
3079FNormal range

$0

2,029 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
3080FNormal range

$0

885 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
1220FNormal range

$0

146 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G8731Normal range

$0

407 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
99397Normal range

$0

150 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.92
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