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Provider 1720236730

NPI: 1720236730Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$10.1M

$10,059,719

Total Claims

139K

Beneficiaries

101K

1.4 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$62K
+4626%
2019
$2.9M
-27%
2020
$2.1M
+1%
2021
$2.2M
-33%
2022
$1.4M
-55%
2023
$656K
+2%
2024
$672K

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.

99214Top 25%

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

$2.3M

29K claims · 23.3%

Your Cost: $79.53/claim|Median: $53.41
1.5× median
99213Top 25%

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

$2.2M

38K claims · 21.5%

Your Cost: $56.54/claim|Median: $37.81
1.5× median
95816Top 25%

$1.2M

5,095 claims · 12.4%

Your Cost: $245.12/claim|Median: $56.87
4.3× median
99204Normal range

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

$900K

8,850 claims · 8.9%

Your Cost: $101.65/claim|Median: $84.03
1.2× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$419K

5,389 claims · 4.2%

Your Cost: $77.72/claim|Median: $35.30
2.2× median
99203Top 25%

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

$379K

4,697 claims · 3.8%

Your Cost: $80.63/claim|Median: $57.85
1.4× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$301K

1,435 claims · 3.0%

Your Cost: $209.69/claim|Median: $144.04
1.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$293K

2,482 claims · 2.9%

Your Cost: $117.99/claim|Median: $121.58
1.0× median
95951Top 25%

$277K

777 claims · 2.8%

Your Cost: $356.92/claim|Median: $183.28
1.9× median
00170Normal range

Anesthesia for intraoral procedures

$192K

2,321 claims · 1.9%

Your Cost: $82.67/claim|Median: $132.89
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$129K

1,016 claims · 1.3%

Your Cost: $127.06/claim|Median: $151.68
0.8× median
95720Normal range

$106K

926 claims · 1.0%

Your Cost: $114.05/claim|Median: $120.95
0.9× median
95117Normal range

$102K

15K claims · 1.0%

Your Cost: $6.96/claim|Median: $8.34
0.8× median
99291Top 25%

Critical care, first 30-74 minutes

$98K

681 claims · 1.0%

Your Cost: $143.86/claim|Median: $101.24
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$95K

737 claims · 0.9%

Your Cost: $129.52/claim|Median: $74.09
1.7× median
69436Normal range

Tympanostomy, general anesthesia

$89K

929 claims · 0.9%

Your Cost: $95.67/claim|Median: $205.50
0.5× median
95004Normal range

Percutaneous allergy skin tests, each

$89K

2,248 claims · 0.9%

Your Cost: $39.45/claim|Median: $134.97
0.3× median
95812Top 25%

$87K

334 claims · 0.9%

Your Cost: $261.85/claim|Median: $104.99
2.5× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$83K

1,393 claims · 0.8%

Your Cost: $59.42/claim|Median: $23.99
2.5× median
99243Top 25%

Office or other outpatient consultation, low complexity

$78K

788 claims · 0.8%

Your Cost: $98.79/claim|Median: $82.43
1.2× median
99223Top 5%

Initial hospital care, per day, high complexity

$73K

434 claims · 0.7%

Your Cost: $167.61/claim|Median: $67.32
2.5× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$63K

1,328 claims · 0.6%

Your Cost: $47.52/claim|Median: $9.79
4.9× median
92567Top 25%

$54K

3,520 claims · 0.5%

Your Cost: $15.25/claim|Median: $11.50
1.3× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$49K

342 claims · 0.5%

Your Cost: $142.96/claim|Median: $51.25
2.8× median
99335Top 10%

$46K

929 claims · 0.5%

Your Cost: $49.98/claim|Median: $14.90
3.4× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$41K

1,145 claims · 0.4%

Your Cost: $35.74/claim|Median: $14.00
2.6× median
95819Top 25%

Electroencephalogram with sleep recording

$38K

166 claims · 0.4%

Your Cost: $231.53/claim|Median: $62.75
3.7× median
99254Top 5%

$32K

188 claims · 0.3%

Your Cost: $172.77/claim|Median: $81.43
2.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$21K

431 claims · 0.2%

Your Cost: $48.14/claim|Median: $37.22
1.3× median
42830Normal range

$17K

126 claims · 0.2%

Your Cost: $136.76/claim|Median: $341.04
0.4× median
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