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Provider 1700030939

NPI: 1700030939Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,551,699

Total Claims

103K

Beneficiaries

89K

1.2 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-37%
2019
$957K
+7%
2020
$1.0M
-0%
2021
$1.0M
+21%
2022
$1.2M
-33%
2023
$830K
+15%
2024
$956K

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 38% of total spending.

99214Normal range

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

$2.8M

49K claims · 37.6%

Your Cost: $57.33/claim|Median: $53.41
1.1× median
L0650Top 25%

$874K

1,236 claims · 11.6%

Your Cost: $707.12/claim|Median: $339.16
2.1× median
95913Normal range

$566K

2,644 claims · 7.5%

Your Cost: $213.97/claim|Median: $166.25
1.3× median
01936Top 25%

$539K

5,347 claims · 7.1%

Your Cost: $100.71/claim|Median: $55.01
1.8× median
99213Normal range

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

$538K

13K claims · 7.1%

Your Cost: $40.55/claim|Median: $37.81
1.1× median
95886Top 25%

$359K

2,747 claims · 4.7%

Your Cost: $130.54/claim|Median: $67.70
1.9× median
64483Normal range

$330K

2,681 claims · 4.4%

Your Cost: $123.11/claim|Median: $124.24
1.0× median
01992Top 25%

$299K

2,715 claims · 4.0%

Your Cost: $110.09/claim|Median: $54.01
2.0× median
99204Normal range

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

$175K

2,064 claims · 2.3%

Your Cost: $84.78/claim|Median: $84.03
1.0× median
98941Top 5%

Chiropractic manipulative treatment, 3-4 spinal regions

$172K

4,221 claims · 2.3%

Your Cost: $40.86/claim|Median: $20.83
2.0× median
64635Normal range

$154K

623 claims · 2.0%

Your Cost: $247.42/claim|Median: $207.78
1.2× median
64636Top 25%

$77K

593 claims · 1.0%

Your Cost: $130.53/claim|Median: $63.60
2.1× median
01938Top 10%

$75K

626 claims · 1.0%

Your Cost: $119.93/claim|Median: $46.15
2.6× median
62321Normal range

$60K

363 claims · 0.8%

Your Cost: $164.35/claim|Median: $132.67
1.2× median
64493Normal range

$56K

373 claims · 0.7%

Your Cost: $149.68/claim|Median: $103.44
1.4× median
98943Top 1%

$46K

1,359 claims · 0.6%

Your Cost: $33.53/claim|Median: $14.25
2.4× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$39K

174 claims · 0.5%

Your Cost: $226.67/claim|Median: $111.02
2.0× median
20550Top 25%

$30K

464 claims · 0.4%

Your Cost: $64.16/claim|Median: $29.96
2.1× median
01991Top 10%

$28K

368 claims · 0.4%

Your Cost: $75.70/claim|Median: $37.64
2.0× median
01940Top 10%

$27K

253 claims · 0.4%

Your Cost: $108.36/claim|Median: $57.16
1.9× median
64494Top 25%

$27K

359 claims · 0.4%

Your Cost: $76.31/claim|Median: $34.70
2.2× median
27096Top 25%

$27K

141 claims · 0.4%

Your Cost: $188.61/claim|Median: $89.16
2.1× median
G0260Normal range

$24K

96 claims · 0.3%

Your Cost: $246.14/claim|Median: $169.32
1.5× median
L0180Normal range

$21K

90 claims · 0.3%

Your Cost: $228.60/claim|Median: $139.63
1.6× median
01935Top 25%

$16K

170 claims · 0.2%

Your Cost: $93.50/claim|Median: $60.16
1.6× median
20553Top 25%

$15K

301 claims · 0.2%

Your Cost: $50.85/claim|Median: $29.47
1.7× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$14K

271 claims · 0.2%

Your Cost: $51.90/claim|Median: $42.51
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$13K

429 claims · 0.2%

Your Cost: $30.81/claim|Median: $29.03
1.1× median
64633Normal range

$12K

70 claims · 0.2%

Your Cost: $175.94/claim|Median: $223.58
0.8× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$9K

122 claims · 0.1%

Your Cost: $76.30/claim|Median: $20.04
3.8× median
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