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Provider 1699119818

NPI: 1699119818Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.3M

$11,275,696

Total Claims

147K

Beneficiaries

131K

1.1 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+9%
2019
$1.5M
-22%
2020
$1.2M
+46%
2021
$1.8M
+31%
2022
$2.3M
-28%
2023
$1.7M
-16%
2024
$1.4M

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 35% of total spending.

99214Top 25%

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

$3.9M

47K claims · 34.9%

Your Cost: $83.31/claim|Median: $53.41
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$1.9M

16K claims · 16.7%

Your Cost: $117.65/claim|Median: $74.09
1.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.1M

1,618 claims · 9.4%

Your Cost: $656.36/claim|Median: $763.43
0.9× median
99213Top 25%

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

$923K

15K claims · 8.2%

Your Cost: $60.04/claim|Median: $37.81
1.6× median
99203Top 25%

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

$809K

9,727 claims · 7.2%

Your Cost: $83.13/claim|Median: $57.85
1.4× median
99204Top 25%

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

$508K

3,954 claims · 4.5%

Your Cost: $128.50/claim|Median: $84.03
1.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$213K

1,570 claims · 1.9%

Your Cost: $135.49/claim|Median: $121.58
1.1× median
54161Top 25%

$202K

206 claims · 1.8%

Your Cost: $978.35/claim|Median: $252.63
3.9× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$201K

220 claims · 1.8%

Your Cost: $914.26/claim|Median: $331.68
2.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$181K

2,027 claims · 1.6%

Your Cost: $89.18/claim|Median: $82.43
1.1× median
00170Normal range

Anesthesia for intraoral procedures

$180K

1,403 claims · 1.6%

Your Cost: $128.52/claim|Median: $132.89
1.0× median
69436Top 25%

Tympanostomy, general anesthesia

$148K

252 claims · 1.3%

Your Cost: $585.73/claim|Median: $205.50
2.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$130K

785 claims · 1.2%

Your Cost: $165.25/claim|Median: $111.09
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$125K

1,720 claims · 1.1%

Your Cost: $72.63/claim|Median: $35.30
2.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$96K

16K claims · 0.9%

Your Cost: $6.20/claim|Median: $4.71
1.3× median
95004Normal range

Percutaneous allergy skin tests, each

$91K

1,052 claims · 0.8%

Your Cost: $86.31/claim|Median: $134.97
0.6× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$88K

772 claims · 0.8%

Your Cost: $113.96/claim|Median: $47.08
2.4× median
72082Top 25%

$63K

1,196 claims · 0.6%

Your Cost: $52.77/claim|Median: $31.02
1.7× median
43239Top 10%

Upper GI endoscopy with biopsy

$51K

107 claims · 0.5%

Your Cost: $477.31/claim|Median: $151.68
3.1× median
92060Top 10%

$40K

635 claims · 0.4%

Your Cost: $62.45/claim|Median: $35.83
1.7× median
92015Top 25%

Determination of refractive state

$39K

2,176 claims · 0.3%

Your Cost: $18.09/claim|Median: $10.36
1.7× median
96113Top 25%

Developmental test admin, each additional 30 min

$28K

148 claims · 0.3%

Your Cost: $191.83/claim|Median: $77.06
2.5× median
80053Normal range

Comprehensive metabolic panel

$23K

5,711 claims · 0.2%

Your Cost: $4.01/claim|Median: $7.24
0.6× median
42830Top 25%

$20K

18 claims · 0.2%

Your Cost: $1,124.16/claim|Median: $341.04
3.3× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$19K

373 claims · 0.2%

Your Cost: $52.02/claim|Median: $23.99
2.2× median
96112Normal range

Developmental test administration

$17K

145 claims · 0.2%

Your Cost: $118.95/claim|Median: $102.95
1.2× median
94010Normal range

$17K

2,074 claims · 0.1%

Your Cost: $7.96/claim|Median: $18.11
0.4× median
G0108Top 25%

Diabetes self-management training, individual

$16K

256 claims · 0.1%

Your Cost: $63.45/claim|Median: $35.89
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$11K

298 claims · 0.1%

Your Cost: $38.57/claim|Median: $25.06
1.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$11K

2,346 claims · 0.1%

Your Cost: $4.60/claim|Median: $5.50
0.8× median
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