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Provider 1700331196

NPI: 1700331196Share
Active Billing Period:2019-08→2024-11(64 months)

Total Paid

$14.4M

$14,389,272

Total Claims

41K

Beneficiaries

36K

1.1 claims/patient

Avg Cost/Claim

$353

Monthly Spending Trend

Yearly Spending

2019
$607K
+499%
2020
$3.6M
+43%
2021
$5.2M
-32%
2022
$3.5M
-66%
2023
$1.2M
-82%
2024
$212K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (36475) accounts for 30% of total spending.

36475Top 25%

$4.3M

2,941 claims · 29.9%

Your Cost: $1,463.04/claim|Median: $902.80
1.6× median
37238Top 25%

$2.3M

745 claims · 15.7%

Your Cost: $3,036.75/claim|Median: $912.05
3.3× median
37252Top 5%

$2.2M

2,118 claims · 15.3%

Your Cost: $1,036.50/claim|Median: $175.56
5.9× median
36012Top 1%

$1.5M

1,990 claims · 10.7%

Your Cost: $774.98/claim|Median: $112.32
6.9× median
37253Top 5%

$1.0M

2,201 claims · 7.0%

Your Cost: $457.63/claim|Median: $49.64
9.2× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$639K

6,693 claims · 4.4%

Your Cost: $95.42/claim|Median: $25.43
3.8× median
93979Top 10%

$382K

4,116 claims · 2.7%

Your Cost: $92.75/claim|Median: $34.72
2.7× median
36471Top 10%

$333K

1,846 claims · 2.3%

Your Cost: $180.19/claim|Median: $105.39
1.7× median
99214Top 25%

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

$258K

2,920 claims · 1.8%

Your Cost: $88.27/claim|Median: $53.41
1.7× median
99213Top 25%

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

$212K

3,421 claims · 1.5%

Your Cost: $62.03/claim|Median: $37.81
1.6× median
36482Top 25%

$201K

136 claims · 1.4%

Your Cost: $1,476.21/claim|Median: $560.60
2.6× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$149K

1,183 claims · 1.0%

Your Cost: $126.20/claim|Median: $43.07
2.9× median
36478Normal range

$136K

134 claims · 0.9%

Your Cost: $1,014.91/claim|Median: $864.49
1.2× median
93925Top 25%

$123K

928 claims · 0.9%

Your Cost: $132.25/claim|Median: $54.12
2.4× median
75822Top 25%

$94K

1,039 claims · 0.6%

Your Cost: $90.02/claim|Median: $57.44
1.6× median
93923Top 25%

$78K

758 claims · 0.5%

Your Cost: $103.39/claim|Median: $38.08
2.7× median
75825Top 25%

$76K

718 claims · 0.5%

Your Cost: $105.19/claim|Median: $57.00
1.8× median
36011Top 25%

$75K

159 claims · 0.5%

Your Cost: $469.99/claim|Median: $107.90
4.4× median
36470Normal range

$64K

592 claims · 0.4%

Your Cost: $108.03/claim|Median: $77.35
1.4× median
99152Top 10%

$58K

1,523 claims · 0.4%

Your Cost: $37.86/claim|Median: $7.34
5.2× median
76937Top 25%

$47K

1,956 claims · 0.3%

Your Cost: $23.80/claim|Median: $6.99
3.4× median
75820Normal range

$40K

705 claims · 0.3%

Your Cost: $57.31/claim|Median: $38.06
1.5× median
76775Normal range

$35K

828 claims · 0.2%

Your Cost: $42.35/claim|Median: $28.03
1.5× median
93978Top 25%

$33K

236 claims · 0.2%

Your Cost: $140.66/claim|Median: $60.72
2.3× median
36476Normal range

$21K

90 claims · 0.1%

Your Cost: $238.54/claim|Median: $199.25
1.2× median
99203Top 25%

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

$16K

191 claims · 0.1%

Your Cost: $85.01/claim|Median: $57.85
1.5× median
99153Top 25%

$8K

547 claims · 0.1%

Your Cost: $15.32/claim|Median: $5.60
2.7× median
93922Top 10%

$2K

33 claims · 0.0%

Your Cost: $75.12/claim|Median: $26.06
2.9× median
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