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Provider 1730599176

NPI: 1730599176Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,879,110

Total Claims

140K

Beneficiaries

136K

1.0 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$390K
+54%
2019
$600K
+113%
2020
$1.3M
+26%
2021
$1.6M
+10%
2022
$1.8M
+7%
2023
$1.9M
-30%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 29% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.6M

35K claims · 28.9%

Your Cost: $73.46/claim|Median: $69.51
1.1× median
99214Normal range

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

$2.3M

32K claims · 25.5%

Your Cost: $71.73/claim|Median: $53.41
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.5M

14K claims · 16.8%

Your Cost: $106.56/claim|Median: $85.65
1.2× median
99213Normal range

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

$880K

18K claims · 9.9%

Your Cost: $48.74/claim|Median: $37.81
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$231K

2,954 claims · 2.6%

Your Cost: $78.24/claim|Median: $54.68
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$178K

2,061 claims · 2.0%

Your Cost: $86.46/claim|Median: $151.68
0.6× median
99283Normal range

Emergency dept visit, moderate complexity

$163K

3,558 claims · 1.8%

Your Cost: $45.81/claim|Median: $42.48
1.1× median
99204Normal range

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

$156K

1,525 claims · 1.8%

Your Cost: $102.24/claim|Median: $84.03
1.2× median
99203Normal range

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

$141K

1,987 claims · 1.6%

Your Cost: $71.19/claim|Median: $57.85
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$112K

1,368 claims · 1.3%

Your Cost: $81.99/claim|Median: $76.06
1.1× median
90682Top 25%

$67K

1,210 claims · 0.8%

Your Cost: $55.44/claim|Median: $34.72
1.6× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$60K

420 claims · 0.7%

Your Cost: $143.03/claim|Median: $52.76
2.7× median
45378Normal range

Colonoscopy, diagnostic

$51K

430 claims · 0.6%

Your Cost: $118.01/claim|Median: $225.49
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$43K

573 claims · 0.5%

Your Cost: $75.14/claim|Median: $72.71
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$42K

327 claims · 0.5%

Your Cost: $129.28/claim|Median: $101.24
1.3× median
45380Normal range

Colonoscopy with biopsy

$40K

334 claims · 0.4%

Your Cost: $119.45/claim|Median: $200.68
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$36K

742 claims · 0.4%

Your Cost: $48.77/claim|Median: $37.22
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$31K

327 claims · 0.3%

Your Cost: $93.28/claim|Median: $74.09
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$25K

537 claims · 0.3%

Your Cost: $45.87/claim|Median: $62.48
0.7× median
99282Normal range

Emergency dept visit, low complexity

$23K

935 claims · 0.3%

Your Cost: $24.88/claim|Median: $37.72
0.7× median
99406Top 25%

$22K

2,341 claims · 0.3%

Your Cost: $9.52/claim|Median: $6.53
1.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$19K

1,372 claims · 0.2%

Your Cost: $13.65/claim|Median: $9.70
1.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$18K

420 claims · 0.2%

Your Cost: $42.72/claim|Median: $23.99
1.8× median
99223Normal range

Initial hospital care, per day, high complexity

$17K

215 claims · 0.2%

Your Cost: $77.80/claim|Median: $67.32
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$15K

204 claims · 0.2%

Your Cost: $75.36/claim|Median: $51.25
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$12K

436 claims · 0.1%

Your Cost: $27.97/claim|Median: $25.06
1.1× median
94060Normal range

$12K

770 claims · 0.1%

Your Cost: $14.97/claim|Median: $25.18
0.6× median
G0444Normal range

Annual depression screening, fifteen minutes

$11K

1,426 claims · 0.1%

Your Cost: $7.42/claim|Median: $4.23
1.8× median
90471Normal range

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

$10K

1,725 claims · 0.1%

Your Cost: $5.72/claim|Median: $9.80
0.6× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$9K

1,037 claims · 0.1%

Your Cost: $9.15/claim|Median: $5.50
1.7× median
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