Provider 1689632119
NPI: 1689632119Share
Active Billing Period:2018-01→2024-11(82 months)
Total Paid
$10.0M
$9,975,735
Total Claims
11K
Beneficiaries
11K
1.0 claims/patient
Avg Cost/Claim
$884
Monthly Spending Trend
Yearly Spending
2018
$1.4M
+15%
2019
$1.6M
-51%
2020
$793K
+6%
2021
$840K
+123%
2022
$1.9M
+4%
2023
$1.9M
-21%
2024
$1.5M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (69436 (Tympanostomy, general anesthesia)) accounts for 65% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$6.5M
6,526 claims
$1,001.05
$205.50
4.9×
Top 25%
69436Top 25%
Tympanostomy, general anesthesia
$6.5M
6,526 claims · 65.5%
Your Cost: $1,001.05/claim|Median: $205.50
4.9× median$2.8M
3,305 claims
$834.77
$331.68
2.5×
Normal range
42820Normal range
Tonsillectomy and adenoidectomy, under age 12
$2.8M
3,305 claims · 27.7%
Your Cost: $834.77/claim|Median: $331.68
2.5× median42830Normal range
$462K
891 claims · 4.6%
Your Cost: $518.21/claim|Median: $341.04
1.5× median31231Top 5%
Nasal endoscopy, diagnostic
$132K
422 claims · 1.3%
Your Cost: $313.21/claim|Median: $98.77
3.2× median54161Normal range
$67K
103 claims · 0.7%
Your Cost: $649.48/claim|Median: $252.63
2.6× median43239Top 10%
Upper GI endoscopy with biopsy
$17K
30 claims · 0.2%
Your Cost: $579.95/claim|Median: $151.68
3.8× median$6K
12 claims
$482.17
$763.43
0.6×
Normal range
41899Normal range
Unlisted procedure, dentoalveolar structures
$6K
12 claims · 0.1%
Your Cost: $482.17/claim|Median: $763.43
0.6× median