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Provider 1720290349

NPI: 1720290349Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,920,323

Total Claims

399K

Beneficiaries

293K

1.4 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$867K
+92%
2019
$1.7M
-6%
2020
$1.6M
+19%
2021
$1.9M
+1%
2022
$1.9M
-11%
2023
$1.7M
-18%
2024
$1.4M

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 32% of total spending.

99214Normal range

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

$3.5M

58K claims · 32.3%

Your Cost: $61.05/claim|Median: $53.41
1.1× median
99213Normal range

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

$3.1M

67K claims · 28.5%

Your Cost: $46.17/claim|Median: $37.81
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.1M

45K claims · 10.3%

Your Cost: $25.05/claim|Median: $23.99
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$540K

14K claims · 4.9%

Your Cost: $38.46/claim|Median: $35.30
1.1× median
59425Normal range

Antepartum care only, 4-6 visits

$252K

3,658 claims · 2.3%

Your Cost: $68.83/claim|Median: $63.63
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$192K

12K claims · 1.8%

Your Cost: $16.52/claim|Median: $16.77
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$190K

2,782 claims · 1.7%

Your Cost: $68.32/claim|Median: $51.25
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$188K

2,793 claims · 1.7%

Your Cost: $67.43/claim|Median: $67.32
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$147K

1,365 claims · 1.3%

Your Cost: $107.88/claim|Median: $101.24
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$144K

1,784 claims · 1.3%

Your Cost: $80.49/claim|Median: $69.35
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$139K

1,925 claims · 1.3%

Your Cost: $72.43/claim|Median: $122.30
0.6× median
99203Normal range

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

$98K

1,876 claims · 0.9%

Your Cost: $52.50/claim|Median: $57.85
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$98K

1,167 claims · 0.9%

Your Cost: $83.79/claim|Median: $75.18
1.1× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$95K

3,303 claims · 0.9%

Your Cost: $28.70/claim|Median: $14.00
2.1× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$94K

1,731 claims · 0.9%

Your Cost: $54.36/claim|Median: $106.14
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$76K

2,375 claims · 0.7%

Your Cost: $32.09/claim|Median: $37.22
0.9× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$69K

2,475 claims · 0.6%

Your Cost: $27.79/claim|Median: $39.63
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$65K

2,203 claims · 0.6%

Your Cost: $29.40/claim|Median: $25.06
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$61K

820 claims · 0.6%

Your Cost: $74.81/claim|Median: $54.68
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$60K

1,138 claims · 0.5%

Your Cost: $52.68/claim|Median: $43.85
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$58K

637 claims · 0.5%

Your Cost: $90.62/claim|Median: $74.09
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$54K

944 claims · 0.5%

Your Cost: $57.07/claim|Median: $72.71
0.8× median
99204Normal range

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

$50K

789 claims · 0.5%

Your Cost: $63.43/claim|Median: $84.03
0.8× median
90472Top 25%

Immunization administration, each additional vaccine

$38K

1,954 claims · 0.3%

Your Cost: $19.53/claim|Median: $11.79
1.7× median
Q0091Top 25%

$38K

1,276 claims · 0.3%

Your Cost: $29.43/claim|Median: $11.15
2.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$36K

2,893 claims · 0.3%

Your Cost: $12.28/claim|Median: $11.48
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$34K

3,222 claims · 0.3%

Your Cost: $10.40/claim|Median: $9.80
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$31K

893 claims · 0.3%

Your Cost: $35.12/claim|Median: $39.96
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$31K

1,094 claims · 0.3%

Your Cost: $28.28/claim|Median: $40.11
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$17K

2,565 claims · 0.2%

Your Cost: $6.74/claim|Median: $9.70
0.7× median
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