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Provider 1689664906

NPI: 1689664906Share
Active Billing Period:2019-012024-12(71 months)

Total Paid

$10.5M

$10,496,165

Total Claims

15K

Beneficiaries

14K

1.0 claims/patient

Avg Cost/Claim

$719

Monthly Spending Trend

Yearly Spending

2019
$1.8M
-43%
2020
$1.0M
+11%
2021
$1.1M
+59%
2022
$1.8M
+47%
2023
$2.6M
-14%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (69436 (Tympanostomy, general anesthesia)) accounts for 31% of total spending.

69436Top 25%

Tympanostomy, general anesthesia

$3.3M

5,193 claims · 31.3%

Your Cost: $632.15/claim|Median: $205.50
3.1× median
42830Normal range

$3.1M

3,404 claims · 29.2%

Your Cost: $899.42/claim|Median: $341.04
2.6× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$2.9M

2,758 claims · 27.6%

Your Cost: $1,049.20/claim|Median: $331.68
3.2× median
43239Top 25%

Upper GI endoscopy with biopsy

$586K

1,533 claims · 5.6%

Your Cost: $382.00/claim|Median: $151.68
2.5× median
54161Normal range

$510K

606 claims · 4.9%

Your Cost: $842.12/claim|Median: $252.63
3.3× median
41010Top 25%

$100K

250 claims · 1.0%

Your Cost: $401.29/claim|Median: $143.34
2.8× median
31231Normal range

Nasal endoscopy, diagnostic

$19K

706 claims · 0.2%

Your Cost: $26.61/claim|Median: $98.77
0.3× median
45380Top 25%

Colonoscopy with biopsy

$13K

25 claims · 0.1%

Your Cost: $535.92/claim|Median: $200.68
2.7× median
42825Top 1%

$13K

14 claims · 0.1%

Your Cost: $933.38/claim|Median: $679.83
1.4× median
31238Top 1%

$11K

14 claims · 0.1%

Your Cost: $812.55/claim|Median: $233.98
3.5× median
31233Normal range

$5K

93 claims · 0.0%

Your Cost: $55.91/claim|Median: $140.15
0.4× median