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Provider 1689722340

NPI: 1689722340Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.0M

$12,965,596

Total Claims

858K

Beneficiaries

664K

1.3 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-5%
2019
$1.6M
+2%
2020
$1.7M
+18%
2021
$2.0M
+3%
2022
$2.0M
+11%
2023
$2.3M
-29%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 34% of total spending.

99213Normal range

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

$4.4M

129K claims · 34.2%

Your Cost: $34.30/claim|Median: $37.81
0.9× median
99214Normal range

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

$2.5M

61K claims · 19.4%

Your Cost: $41.42/claim|Median: $53.41
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$791K

14K claims · 6.1%

Your Cost: $56.52/claim|Median: $72.71
0.8× median
77427Normal range

$640K

7,670 claims · 4.9%

Your Cost: $83.42/claim|Median: $83.73
1.0× median
77014Normal range

CT guidance for radiation therapy procedure

$625K

19K claims · 4.8%

Your Cost: $32.81/claim|Median: $26.94
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$352K

13K claims · 2.7%

Your Cost: $26.17/claim|Median: $23.99
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$323K

7,041 claims · 2.5%

Your Cost: $45.90/claim|Median: $54.68
0.8× median
59409Normal range

Vaginal delivery only

$309K

557 claims · 2.4%

Your Cost: $553.87/claim|Median: $619.91
0.9× median
99204Normal range

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

$308K

4,535 claims · 2.4%

Your Cost: $67.86/claim|Median: $84.03
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$210K

1,767 claims · 1.6%

Your Cost: $118.67/claim|Median: $151.68
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$196K

50K claims · 1.5%

Your Cost: $3.94/claim|Median: $5.60
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$194K

6,121 claims · 1.5%

Your Cost: $31.64/claim|Median: $35.30
0.9× median
99203Normal range

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

$192K

4,216 claims · 1.5%

Your Cost: $45.60/claim|Median: $57.85
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$189K

3,879 claims · 1.5%

Your Cost: $48.83/claim|Median: $74.09
0.7× median
77334Normal range

$146K

2,073 claims · 1.1%

Your Cost: $70.37/claim|Median: $99.06
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$110K

5,106 claims · 0.8%

Your Cost: $21.58/claim|Median: $25.06
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$98K

1,649 claims · 0.8%

Your Cost: $59.54/claim|Median: $76.22
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$95K

1,139 claims · 0.7%

Your Cost: $83.33/claim|Median: $111.09
0.8× median
77263Normal range

$90K

1,152 claims · 0.7%

Your Cost: $77.93/claim|Median: $78.17
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$86K

875 claims · 0.7%

Your Cost: $98.26/claim|Median: $101.24
1.0× median
45378Normal range

Colonoscopy, diagnostic

$85K

399 claims · 0.7%

Your Cost: $211.99/claim|Median: $225.49
0.9× median
54150Normal range

$79K

700 claims · 0.6%

Your Cost: $112.19/claim|Median: $84.60
1.3× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$69K

1,677 claims · 0.5%

Your Cost: $40.91/claim|Median: $43.07
0.9× median
77470Normal range

$62K

833 claims · 0.5%

Your Cost: $73.96/claim|Median: $166.61
0.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$60K

878 claims · 0.5%

Your Cost: $68.23/claim|Median: $76.06
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$58K

899 claims · 0.4%

Your Cost: $64.58/claim|Median: $67.32
1.0× median
59025Normal range

Fetal non-stress test

$54K

5,142 claims · 0.4%

Your Cost: $10.50/claim|Median: $26.45
0.4× median
59430Normal range

$51K

561 claims · 0.4%

Your Cost: $91.52/claim|Median: $80.32
1.1× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$49K

2,368 claims · 0.4%

Your Cost: $20.55/claim|Median: $47.65
0.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$48K

2,629 claims · 0.4%

Your Cost: $18.37/claim|Median: $16.77
1.1× median