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Provider 1750565594

NPI: 1750565594Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$10.6M

$10,563,035

Total Claims

15K

Beneficiaries

15K

1.0 claims/patient

Avg Cost/Claim

$699

Monthly Spending Trend

Yearly Spending

2019
$1.8M
-52%
2020
$852K
+79%
2021
$1.5M
+31%
2022
$2.0M
+18%
2023
$2.4M
-14%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (42830) accounts for 23% of total spending.

42830Normal range

$2.4M

2,633 claims · 22.9%

Your Cost: $920.13/claim|Median: $341.04
2.7× median
69436Top 25%

Tympanostomy, general anesthesia

$2.4M

4,050 claims · 22.8%

Your Cost: $595.90/claim|Median: $205.50
2.9× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$2.0M

2,064 claims · 19.1%

Your Cost: $975.33/claim|Median: $331.68
2.9× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$1.9M

2,225 claims · 18.3%

Your Cost: $869.90/claim|Median: $120.85
7.2× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$693K

1,690 claims · 6.6%

Your Cost: $409.93/claim|Median: $57.39
7.1× median
54161Normal range

$397K

486 claims · 3.8%

Your Cost: $816.40/claim|Median: $252.63
3.2× median
D2335Top 1%

$329K

266 claims · 3.1%

Your Cost: $1,235.44/claim|Median: $105.06
11.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$172K

471 claims · 1.6%

Your Cost: $365.00/claim|Median: $151.68
2.4× median
D9420Top 10%

$108K

432 claims · 1.0%

Your Cost: $248.95/claim|Median: $81.82
3.0× median
42825Normal range

$23K

25 claims · 0.2%

Your Cost: $922.70/claim|Median: $679.83
1.4× median
31231Normal range

Nasal endoscopy, diagnostic

$16K

652 claims · 0.2%

Your Cost: $24.60/claim|Median: $98.77
0.2× median
99499Top 1%

Unlisted evaluation and management service

$12K

22 claims · 0.1%

Your Cost: $541.16/claim|Median: $30.88
17.5× median
42821Normal range

$12K

12 claims · 0.1%

Your Cost: $979.11/claim|Median: $613.18
1.6× median
31233Normal range

$11K

81 claims · 0.1%

Your Cost: $134.51/claim|Median: $140.15
1.0× median
41010Top 25%

$7K

12 claims · 0.1%

Your Cost: $585.76/claim|Median: $143.34
4.1× median
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