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Provider 1730126392

NPI: 1730126392Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,409,541

Total Claims

474K

Beneficiaries

393K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+4%
2019
$2.0M
-16%
2020
$1.6M
+21%
2021
$2.0M
+7%
2022
$2.1M
-4%
2023
$2.1M
-15%
2024
$1.8M

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 40% of total spending.

99214Normal range

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

$5.4M

142K claims · 40.5%

Your Cost: $38.14/claim|Median: $53.41
0.7× median
99213Normal range

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

$2.8M

102K claims · 20.5%

Your Cost: $26.92/claim|Median: $37.81
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$534K

9,384 claims · 4.0%

Your Cost: $56.90/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$489K

8,726 claims · 3.6%

Your Cost: $56.06/claim|Median: $69.35
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$384K

12K claims · 2.9%

Your Cost: $31.94/claim|Median: $35.30
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$261K

4,584 claims · 1.9%

Your Cost: $56.83/claim|Median: $74.82
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$254K

9,920 claims · 1.9%

Your Cost: $25.63/claim|Median: $47.08
0.5× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$207K

3,215 claims · 1.5%

Your Cost: $64.26/claim|Median: $43.85
1.5× median
3008FTop 10%

$205K

23K claims · 1.5%

Your Cost: $9.05/claim|Median: $0.06
150.9× median
99223Normal range

Initial hospital care, per day, high complexity

$200K

3,830 claims · 1.5%

Your Cost: $52.19/claim|Median: $67.32
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$191K

2,389 claims · 1.4%

Your Cost: $79.96/claim|Median: $108.91
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$183K

8,294 claims · 1.4%

Your Cost: $22.11/claim|Median: $63.65
0.3× median
96130Normal range

Psychological testing evaluation by professional, first hour

$167K

3,098 claims · 1.2%

Your Cost: $53.99/claim|Median: $79.21
0.7× median
96131Normal range

Psychological testing evaluation, each additional hour

$153K

2,439 claims · 1.1%

Your Cost: $62.58/claim|Median: $133.38
0.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$146K

26K claims · 1.1%

Your Cost: $5.69/claim|Median: $5.60
1.0× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$132K

2,574 claims · 1.0%

Your Cost: $51.34/claim|Median: $92.96
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$127K

2,728 claims · 0.9%

Your Cost: $46.58/claim|Median: $39.70
1.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$124K

3,743 claims · 0.9%

Your Cost: $33.12/claim|Median: $59.72
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$116K

844 claims · 0.9%

Your Cost: $137.54/claim|Median: $151.68
0.9× median
99203Normal range

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

$92K

2,131 claims · 0.7%

Your Cost: $43.41/claim|Median: $57.85
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$87K

6,850 claims · 0.6%

Your Cost: $12.68/claim|Median: $23.99
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$82K

1,816 claims · 0.6%

Your Cost: $45.40/claim|Median: $74.09
0.6× median
92015Normal range

Determination of refractive state

$71K

11K claims · 0.5%

Your Cost: $6.66/claim|Median: $10.36
0.6× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$68K

3,303 claims · 0.5%

Your Cost: $20.63/claim|Median: $30.49
0.7× median
99204Normal range

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

$60K

1,124 claims · 0.4%

Your Cost: $53.21/claim|Median: $84.03
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$60K

1,011 claims · 0.4%

Your Cost: $59.00/claim|Median: $80.15
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$50K

3,330 claims · 0.4%

Your Cost: $14.92/claim|Median: $14.00
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$49K

9,619 claims · 0.4%

Your Cost: $5.09/claim|Median: $7.18
0.7× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$45K

1,407 claims · 0.3%

Your Cost: $32.06/claim|Median: $42.51
0.8× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$41K

3,284 claims · 0.3%

Your Cost: $12.48/claim|Median: $12.06
1.0× median
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