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Provider 1700809027

NPI: 1700809027Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$17,031,544

Total Claims

286K

Beneficiaries

256K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+10%
2019
$2.5M
-35%
2020
$1.6M
+28%
2021
$2.1M
+34%
2022
$2.8M
+11%
2023
$3.1M
-10%
2024
$2.8M

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 36% of total spending.

99214Top 25%

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

$6.1M

70K claims · 35.9%

Your Cost: $88.01/claim|Median: $53.41
1.6× median
99213Top 25%

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

$3.2M

50K claims · 18.8%

Your Cost: $64.29/claim|Median: $37.81
1.7× median
99215Top 25%

Office/outpatient visit, high complexity

$1.1M

8,289 claims · 6.7%

Your Cost: $138.18/claim|Median: $74.09
1.9× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$696K

7,103 claims · 4.1%

Your Cost: $97.97/claim|Median: $69.35
1.4× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$612K

5,532 claims · 3.6%

Your Cost: $110.67/claim|Median: $75.18
1.5× median
99203Top 25%

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

$588K

6,278 claims · 3.5%

Your Cost: $93.72/claim|Median: $57.85
1.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$514K

2,803 claims · 3.0%

Your Cost: $183.54/claim|Median: $111.09
1.7× median
99204Top 25%

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

$379K

2,754 claims · 2.2%

Your Cost: $137.78/claim|Median: $84.03
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$371K

5,327 claims · 2.2%

Your Cost: $69.63/claim|Median: $35.30
2.0× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$314K

2,892 claims · 1.8%

Your Cost: $108.57/claim|Median: $74.82
1.5× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$297K

5,516 claims · 1.7%

Your Cost: $53.92/claim|Median: $23.99
2.2× median
99284Normal range

Emergency dept visit, high complexity

$296K

15K claims · 1.7%

Your Cost: $20.10/claim|Median: $69.51
0.3× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$282K

3,115 claims · 1.7%

Your Cost: $90.59/claim|Median: $43.85
2.1× median
90832Top 25%

Psychotherapy, 30 minutes

$160K

2,629 claims · 0.9%

Your Cost: $60.80/claim|Median: $41.28
1.5× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$149K

7,329 claims · 0.9%

Your Cost: $20.38/claim|Median: $7.18
2.8× median
G2211Top 25%

$110K

9,739 claims · 0.6%

Your Cost: $11.27/claim|Median: $2.40
4.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$101K

3,513 claims · 0.6%

Your Cost: $28.65/claim|Median: $85.65
0.3× median
99472Normal range

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

$97K

271 claims · 0.6%

Your Cost: $356.42/claim|Median: $307.98
1.2× median
92551Top 25%

Screening audiometry, pure tone, air only

$90K

7,445 claims · 0.5%

Your Cost: $12.08/claim|Median: $6.61
1.8× median
99283Normal range

Emergency dept visit, moderate complexity

$79K

8,776 claims · 0.5%

Your Cost: $8.98/claim|Median: $42.48
0.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$78K

1,197 claims · 0.5%

Your Cost: $65.12/claim|Median: $47.08
1.4× median
99291Top 25%

Critical care, first 30-74 minutes

$73K

389 claims · 0.4%

Your Cost: $187.79/claim|Median: $101.24
1.9× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$68K

1,074 claims · 0.4%

Your Cost: $63.73/claim|Median: $37.22
1.7× median
90670Top 25%

$68K

3,189 claims · 0.4%

Your Cost: $21.20/claim|Median: $5.94
3.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$67K

7,583 claims · 0.4%

Your Cost: $8.86/claim|Median: $16.77
0.5× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$56K

651 claims · 0.3%

Your Cost: $85.47/claim|Median: $62.48
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$53K

446 claims · 0.3%

Your Cost: $118.91/claim|Median: $80.15
1.5× median
G0108Top 10%

Diabetes self-management training, individual

$53K

681 claims · 0.3%

Your Cost: $77.22/claim|Median: $35.89
2.2× median
90723Top 25%

DTaP-HepB-IPV vaccine

$51K

2,404 claims · 0.3%

Your Cost: $21.13/claim|Median: $5.78
3.7× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$50K

461 claims · 0.3%

Your Cost: $109.29/claim|Median: $51.25
2.1× median
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