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Provider 1740228469

NPI: 1740228469Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,123,017

Total Claims

131K

Beneficiaries

111K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+29%
2019
$1.9M
-43%
2020
$1.1M
+78%
2021
$1.9M
-18%
2022
$1.6M
-24%
2023
$1.2M
-31%
2024
$841K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 26% of total spending.

99213Top 10%

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

$2.7M

35K claims · 26.5%

Your Cost: $75.52/claim|Median: $37.81
2.0× median
99214Top 10%

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

$1.2M

12K claims · 12.1%

Your Cost: $102.13/claim|Median: $53.41
1.9× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$978K

4,322 claims · 9.7%

Your Cost: $226.26/claim|Median: $111.02
2.0× median
64636Top 5%

$822K

1,914 claims · 8.1%

Your Cost: $429.66/claim|Median: $63.60
6.8× median
64635Top 25%

$711K

1,897 claims · 7.0%

Your Cost: $374.81/claim|Median: $207.78
1.8× median
64493Top 25%

$506K

2,339 claims · 5.0%

Your Cost: $216.49/claim|Median: $103.44
2.1× median
27096Top 25%

$400K

2,113 claims · 3.9%

Your Cost: $189.17/claim|Median: $89.16
2.1× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$330K

3,954 claims · 3.3%

Your Cost: $83.42/claim|Median: $42.51
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$295K

7,115 claims · 2.9%

Your Cost: $41.52/claim|Median: $35.43
1.2× median
76881Top 10%

$241K

2,180 claims · 2.4%

Your Cost: $110.41/claim|Median: $45.18
2.4× median
95912Top 10%

$239K

934 claims · 2.4%

Your Cost: $256.01/claim|Median: $141.23
1.8× median
64494Top 25%

$228K

2,323 claims · 2.3%

Your Cost: $98.23/claim|Median: $34.70
2.8× median
62321Top 25%

$225K

900 claims · 2.2%

Your Cost: $249.76/claim|Median: $132.67
1.9× median
64495Top 10%

$213K

1,980 claims · 2.1%

Your Cost: $107.74/claim|Median: $36.70
2.9× median
95886Top 10%

$160K

931 claims · 1.6%

Your Cost: $171.65/claim|Median: $67.70
2.5× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$151K

19K claims · 1.5%

Your Cost: $8.01/claim|Median: $2.91
2.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$151K

11K claims · 1.5%

Your Cost: $13.35/claim|Median: $9.56
1.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$104K

3,729 claims · 1.0%

Your Cost: $27.82/claim|Median: $22.44
1.2× median
99204Top 10%

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

$103K

635 claims · 1.0%

Your Cost: $161.54/claim|Median: $84.03
1.9× median
76942Top 25%

$78K

1,483 claims · 0.8%

Your Cost: $52.90/claim|Median: $24.73
2.1× median
J7321Top 25%

Hyaluronan injection for knee joint supplement

$61K

873 claims · 0.6%

Your Cost: $69.32/claim|Median: $24.72
2.8× median
20553Top 25%

$49K

961 claims · 0.5%

Your Cost: $50.99/claim|Median: $29.47
1.7× median
20926Top 1%

$42K

125 claims · 0.4%

Your Cost: $337.22/claim|Median: $118.77
2.8× median
20550Top 25%

$31K

636 claims · 0.3%

Your Cost: $48.62/claim|Median: $29.96
1.6× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$20K

11K claims · 0.2%

Your Cost: $1.86/claim|Median: $0.91
2.0× median
64490Top 25%

$17K

64 claims · 0.2%

Your Cost: $261.62/claim|Median: $111.43
2.3× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$14K

26 claims · 0.1%

Your Cost: $553.94/claim|Median: $470.36
1.2× median
64405Top 25%

$14K

127 claims · 0.1%

Your Cost: $108.14/claim|Median: $48.36
2.2× median
99212Top 25%

Office/outpatient visit, low complexity

$9K

198 claims · 0.1%

Your Cost: $47.25/claim|Median: $25.06
1.9× median
64491Top 25%

$8K

65 claims · 0.1%

Your Cost: $124.60/claim|Median: $40.21
3.1× median
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