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Provider 1720009954

NPI: 1720009954Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,604,052

Total Claims

221K

Beneficiaries

189K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-3%
2019
$1.3M
-1%
2020
$1.3M
+36%
2021
$1.8M
+4%
2022
$1.9M
-4%
2023
$1.8M
-42%
2024
$1.1M

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 23% of total spending.

99214Normal range

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

$2.4M

45K claims · 23.0%

Your Cost: $54.02/claim|Median: $53.41
1.0× median
99204Normal range

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

$1.2M

15K claims · 11.0%

Your Cost: $78.29/claim|Median: $84.03
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$921K

7,828 claims · 8.7%

Your Cost: $117.63/claim|Median: $101.24
1.2× median
99213Normal range

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

$891K

24K claims · 8.4%

Your Cost: $36.78/claim|Median: $37.81
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$602K

15K claims · 5.7%

Your Cost: $39.63/claim|Median: $23.99
1.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$453K

8,054 claims · 4.3%

Your Cost: $56.28/claim|Median: $35.30
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$429K

11K claims · 4.0%

Your Cost: $40.73/claim|Median: $54.68
0.7× median
99203Normal range

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

$429K

9,040 claims · 4.0%

Your Cost: $47.43/claim|Median: $57.85
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$361K

4,605 claims · 3.4%

Your Cost: $78.32/claim|Median: $74.09
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$277K

2,808 claims · 2.6%

Your Cost: $98.73/claim|Median: $67.32
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$242K

2,324 claims · 2.3%

Your Cost: $104.22/claim|Median: $111.09
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$221K

3,134 claims · 2.1%

Your Cost: $70.46/claim|Median: $51.25
1.4× median
93458Normal range

Left heart catheterization with imaging

$208K

1,501 claims · 2.0%

Your Cost: $138.32/claim|Median: $183.33
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$194K

2,186 claims · 1.8%

Your Cost: $88.91/claim|Median: $121.58
0.7× median
99254Normal range

$184K

2,093 claims · 1.7%

Your Cost: $88.03/claim|Median: $81.43
1.1× median
95886Normal range

$126K

3,068 claims · 1.2%

Your Cost: $40.93/claim|Median: $67.70
0.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$107K

2,415 claims · 1.0%

Your Cost: $44.29/claim|Median: $106.14
0.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$84K

1,397 claims · 0.8%

Your Cost: $60.27/claim|Median: $43.85
1.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$79K

1,491 claims · 0.7%

Your Cost: $52.94/claim|Median: $75.28
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$69K

1,033 claims · 0.7%

Your Cost: $67.10/claim|Median: $233.73
0.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$68K

2,857 claims · 0.6%

Your Cost: $23.89/claim|Median: $16.77
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$65K

1,209 claims · 0.6%

Your Cost: $53.65/claim|Median: $62.48
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$62K

990 claims · 0.6%

Your Cost: $62.93/claim|Median: $151.68
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$62K

3,162 claims · 0.6%

Your Cost: $19.45/claim|Median: $25.06
0.8× median
95910Normal range

$58K

946 claims · 0.5%

Your Cost: $61.29/claim|Median: $97.13
0.6× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$50K

2,624 claims · 0.5%

Your Cost: $19.24/claim|Median: $20.83
0.9× median
99255Normal range

$42K

381 claims · 0.4%

Your Cost: $110.61/claim|Median: $90.45
1.2× median
92928Normal range

$41K

144 claims · 0.4%

Your Cost: $286.42/claim|Median: $224.97
1.3× median
99292Normal range

$38K

453 claims · 0.4%

Your Cost: $83.68/claim|Median: $57.64
1.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$37K

1,281 claims · 0.4%

Your Cost: $29.17/claim|Median: $40.11
0.7× median
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