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Provider 1700072964

NPI: 1700072964Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.9M

$11,919,613

Total Claims

97K

Beneficiaries

64K

1.5 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$271K
-15%
2019
$230K
+115%
2020
$494K
+455%
2021
$2.7M
+3%
2022
$2.8M
+6%
2023
$3.0M
-21%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 25% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$3.0M

8,959 claims · 25.4%

Your Cost: $338.16/claim|Median: $293.45
1.2× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$2.6M

22K claims · 21.9%

Your Cost: $120.12/claim|Median: $103.70
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1.4M

24K claims · 11.5%

Your Cost: $57.65/claim|Median: $37.22
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$1.2M

16K claims · 10.3%

Your Cost: $76.31/claim|Median: $62.48
1.2× median
99468Normal range

$1.0M

1,270 claims · 8.5%

Your Cost: $797.50/claim|Median: $679.18
1.2× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$829K

7,254 claims · 7.0%

Your Cost: $114.28/claim|Median: $98.15
1.2× median
99464Top 5%

$591K

6,908 claims · 5.0%

Your Cost: $85.51/claim|Median: $59.94
1.4× median
99477Top 25%

$495K

1,398 claims · 4.2%

Your Cost: $354.36/claim|Median: $276.41
1.3× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$306K

3,031 claims · 2.6%

Your Cost: $100.82/claim|Median: $51.25
2.0× median
99462Top 25%

$142K

3,885 claims · 1.2%

Your Cost: $36.54/claim|Median: $27.49
1.3× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$112K

325 claims · 0.9%

Your Cost: $345.00/claim|Median: $307.98
1.1× median
99478Normal range

$80K

650 claims · 0.7%

Your Cost: $123.11/claim|Median: $106.11
1.2× median
99463Top 25%

$62K

585 claims · 0.5%

Your Cost: $105.70/claim|Median: $78.46
1.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$52K

1,094 claims · 0.4%

Your Cost: $47.85/claim|Median: $23.99
2.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$6K

90 claims · 0.0%

Your Cost: $62.19/claim|Median: $35.30
1.8× median
99465Top 25%

$2K

13 claims · 0.0%

Your Cost: $151.06/claim|Median: $99.16
1.5× median