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Provider 1720110968

NPI: 1720110968Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.3M

$15,282,866

Total Claims

101K

Beneficiaries

76K

1.3 claims/patient

Avg Cost/Claim

$151

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-0%
2019
$2.0M
-3%
2020
$1.9M
+50%
2021
$2.9M
+6%
2022
$3.0M
-16%
2023
$2.5M
-59%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96922) accounts for 26% of total spending.

96922Top 25%

$3.9M

16K claims · 25.7%

Your Cost: $241.20/claim|Median: $194.79
1.2× median
99214Top 5%

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

$2.1M

18K claims · 14.0%

Your Cost: $121.82/claim|Median: $53.41
2.3× median
17004Top 10%

$1.5M

9,957 claims · 9.9%

Your Cost: $152.41/claim|Median: $65.58
2.3× median
17111Top 25%

$1.2M

9,763 claims · 7.7%

Your Cost: $120.26/claim|Median: $80.28
1.5× median
14001Normal range

$1.0M

1,445 claims · 6.6%

Your Cost: $694.67/claim|Median: $478.85
1.5× median
99213Top 10%

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

$935K

12K claims · 6.1%

Your Cost: $78.29/claim|Median: $37.81
2.1× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$932K

12K claims · 6.1%

Your Cost: $77.75/claim|Median: $35.80
2.2× median
14041Top 1%

$773K

1,003 claims · 5.1%

Your Cost: $770.66/claim|Median: $655.46
1.2× median
11303Top 1%

$577K

4,115 claims · 3.8%

Your Cost: $140.23/claim|Median: $63.90
2.2× median
99204Top 5%

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

$485K

2,788 claims · 3.2%

Your Cost: $173.91/claim|Median: $84.03
2.1× median
11106Top 25%

$376K

2,592 claims · 2.5%

Your Cost: $145.20/claim|Median: $98.47
1.5× median
11313Top 1%

$316K

1,811 claims · 2.1%

Your Cost: $174.56/claim|Median: $111.85
1.6× median
11308Top 1%

$239K

1,808 claims · 1.6%

Your Cost: $132.03/claim|Median: $51.37
2.6× median
99203Top 10%

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

$157K

1,382 claims · 1.0%

Your Cost: $113.71/claim|Median: $57.85
2.0× median
11302Top 25%

$151K

1,352 claims · 1.0%

Your Cost: $111.36/claim|Median: $37.86
2.9× median
10061Top 25%

$149K

758 claims · 1.0%

Your Cost: $195.94/claim|Median: $101.03
1.9× median
14021Normal range

$99K

139 claims · 0.6%

Your Cost: $711.50/claim|Median: $357.82
2.0× median
15002Top 10%

$77K

267 claims · 0.5%

Your Cost: $289.08/claim|Median: $132.26
2.2× median
11901Top 5%

$76K

1,061 claims · 0.5%

Your Cost: $71.97/claim|Median: $36.91
1.9× median
15004Top 10%

$30K

92 claims · 0.2%

Your Cost: $322.54/claim|Median: $153.50
2.1× median
11301Top 10%

$27K

233 claims · 0.2%

Your Cost: $115.84/claim|Median: $46.76
2.5× median
11307Top 1%

$26K

209 claims · 0.2%

Your Cost: $125.73/claim|Median: $29.72
4.2× median
11312Top 1%

$19K

156 claims · 0.1%

Your Cost: $119.57/claim|Median: $32.81
3.6× median
J3301Top 10%

Injection, triamcinolone acetonide, per ten milligrams

$13K

1,218 claims · 0.1%

Your Cost: $10.53/claim|Median: $2.91
3.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$12K

836 claims · 0.1%

Your Cost: $14.76/claim|Median: $9.56
1.5× median
17312Top 5%

$10K

14 claims · 0.1%

Your Cost: $709.14/claim|Median: $197.44
3.6× median
17311Top 10%

$10K

23 claims · 0.1%

Your Cost: $419.25/claim|Median: $194.01
2.2× median
11104Top 25%

$8K

57 claims · 0.1%

Your Cost: $143.21/claim|Median: $76.74
1.9× median
13131Normal range

$7K

26 claims · 0.0%

Your Cost: $260.06/claim|Median: $265.87
1.0× median
11105Top 25%

$3K

41 claims · 0.0%

Your Cost: $71.58/claim|Median: $36.75
1.9× median