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Provider 1760441844

NPI: 1760441844Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$15.2M

$15,187,017

Total Claims

33K

Beneficiaries

28K

1.2 claims/patient

Avg Cost/Claim

$457

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-46%
2019
$1.6M
+55%
2020
$2.5M
+10%
2021
$2.7M
-40%
2022
$1.6M
+25%
2023
$2.0M
-5%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 23% of total spending.

99469Top 1%

Subsequent intensive care, very low birth weight infant

$3.5M

3,773 claims · 23.0%

Your Cost: $925.12/claim|Median: $293.45
3.2× median
99479Top 1%

Subsequent intensive care, 2,501-5,000 grams

$2.8M

3,538 claims · 18.4%

Your Cost: $788.69/claim|Median: $103.70
7.6× median
99480Top 1%

Subsequent intensive care, very low birth weight infant

$2.0M

3,298 claims · 13.4%

Your Cost: $615.72/claim|Median: $98.15
6.3× median
Z0102Top 1%

$1.6M

1,176 claims · 10.8%

Your Cost: $1,396.91/claim|Median: $193.72
7.2× median
Z0104Top 1%

$1.5M

1,197 claims · 9.8%

Your Cost: $1,238.86/claim|Median: $141.22
8.8× median
99472Top 1%

Subsequent pediatric critical care, per day, age 2-5

$1.5M

954 claims · 9.7%

Your Cost: $1,547.42/claim|Median: $307.98
5.0× median
99468Normal range

$920K

2,417 claims · 6.1%

Your Cost: $380.74/claim|Median: $679.18
0.6× median
Z0100Top 25%

$312K

780 claims · 2.1%

Your Cost: $399.92/claim|Median: $387.19
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$245K

3,689 claims · 1.6%

Your Cost: $66.41/claim|Median: $43.85
1.5× median
96112Normal range

Developmental test administration

$239K

1,555 claims · 1.6%

Your Cost: $153.58/claim|Median: $102.95
1.5× median
99465Top 10%

$155K

907 claims · 1.0%

Your Cost: $170.52/claim|Median: $99.16
1.7× median
99215Top 25%

Office/outpatient visit, high complexity

$124K

859 claims · 0.8%

Your Cost: $143.95/claim|Median: $74.09
1.9× median
99477Normal range

$85K

304 claims · 0.6%

Your Cost: $278.22/claim|Median: $276.41
1.0× median
99464Top 25%

$69K

893 claims · 0.5%

Your Cost: $77.52/claim|Median: $59.94
1.3× median
99255Normal range

$36K

2,061 claims · 0.2%

Your Cost: $17.51/claim|Median: $90.45
0.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$19K

2,019 claims · 0.1%

Your Cost: $9.61/claim|Median: $62.48
0.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$16K

1,866 claims · 0.1%

Your Cost: $8.70/claim|Median: $37.22
0.2× median
31500Normal range

$10K

128 claims · 0.1%

Your Cost: $77.15/claim|Median: $62.71
1.2× median
36510Top 1%

$9K

286 claims · 0.1%

Your Cost: $32.12/claim|Median: $28.51
1.1× median
99214Top 5%

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

$8K

71 claims · 0.1%

Your Cost: $116.91/claim|Median: $53.41
2.2× median
99291Top 10%

Critical care, first 30-74 minutes

$7K

34 claims · 0.0%

Your Cost: $217.25/claim|Median: $101.24
2.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$7K

223 claims · 0.0%

Your Cost: $31.68/claim|Median: $23.99
1.3× median
99462Normal range

$6K

959 claims · 0.0%

Your Cost: $5.81/claim|Median: $27.49
0.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3K

95 claims · 0.0%

Your Cost: $34.70/claim|Median: $35.30
1.0× median
36660Top 1%

$3K

70 claims · 0.0%

Your Cost: $37.29/claim|Median: $37.29
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$449

42 claims · 0.0%

Your Cost: $10.68/claim|Median: $67.32
0.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.25