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Provider 1760965586

NPI: 1760965586Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$13.7M

$13,721,998

Total Claims

218K

Beneficiaries

180K

1.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$2K
+32343%
2019
$777K
+193%
2020
$2.3M
-9%
2021
$2.1M
+52%
2022
$3.2M
+0%
2023
$3.2M
-28%
2024
$2.3M

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 24% of total spending.

99214Normal range

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

$3.3M

50K claims · 24.4%

Your Cost: $67.51/claim|Median: $53.41
1.3× median
99213Normal range

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

$2.2M

44K claims · 15.8%

Your Cost: $48.82/claim|Median: $37.81
1.3× median
99204Normal range

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

$2.0M

20K claims · 14.5%

Your Cost: $97.32/claim|Median: $84.03
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$643K

14K claims · 4.7%

Your Cost: $46.84/claim|Median: $23.99
2.0× median
99215Normal range

Office/outpatient visit, high complexity

$616K

7,038 claims · 4.5%

Your Cost: $87.46/claim|Median: $74.09
1.2× median
99203Normal range

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

$600K

9,480 claims · 4.4%

Your Cost: $63.30/claim|Median: $57.85
1.1× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$322K

6,801 claims · 2.3%

Your Cost: $47.33/claim|Median: $29.03
1.6× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$303K

3,424 claims · 2.2%

Your Cost: $88.42/claim|Median: $51.25
1.7× median
00731Top 10%

$245K

1,854 claims · 1.8%

Your Cost: $132.15/claim|Median: $64.75
2.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$209K

2,883 claims · 1.5%

Your Cost: $72.47/claim|Median: $35.30
2.1× median
00170Normal range

Anesthesia for intraoral procedures

$204K

1,798 claims · 1.5%

Your Cost: $113.34/claim|Median: $132.89
0.9× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$200K

3,364 claims · 1.5%

Your Cost: $59.56/claim|Median: $42.51
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$183K

2,278 claims · 1.3%

Your Cost: $80.39/claim|Median: $151.68
0.5× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$167K

5,605 claims · 1.2%

Your Cost: $29.86/claim|Median: $16.77
1.8× median
00813Top 10%

$149K

879 claims · 1.1%

Your Cost: $169.71/claim|Median: $71.82
2.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$139K

1,108 claims · 1.0%

Your Cost: $125.40/claim|Median: $111.09
1.1× median
00840Normal range

$132K

908 claims · 1.0%

Your Cost: $145.46/claim|Median: $96.47
1.5× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$129K

1,340 claims · 0.9%

Your Cost: $96.12/claim|Median: $144.04
0.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$124K

943 claims · 0.9%

Your Cost: $131.57/claim|Median: $67.32
2.0× median
45380Normal range

Colonoscopy with biopsy

$121K

1,036 claims · 0.9%

Your Cost: $116.43/claim|Median: $200.68
0.6× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$115K

813 claims · 0.8%

Your Cost: $141.71/claim|Median: $283.78
0.5× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$102K

603 claims · 0.7%

Your Cost: $169.52/claim|Median: $255.17
0.7× median
00811Top 10%

$97K

739 claims · 0.7%

Your Cost: $131.01/claim|Median: $56.15
2.3× median
99221Top 25%

Initial hospital care, straightforward/low

$81K

1,311 claims · 0.6%

Your Cost: $62.04/claim|Median: $39.96
1.6× median
00790Normal range

$81K

552 claims · 0.6%

Your Cost: $146.01/claim|Median: $115.06
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$75K

1,434 claims · 0.5%

Your Cost: $52.01/claim|Median: $37.22
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$72K

2,274 claims · 0.5%

Your Cost: $31.53/claim|Median: $25.06
1.3× median
45378Normal range

Colonoscopy, diagnostic

$64K

542 claims · 0.5%

Your Cost: $118.62/claim|Median: $225.49
0.5× median
J0702Top 10%

$58K

2,894 claims · 0.4%

Your Cost: $20.20/claim|Median: $7.64
2.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$53K

2,261 claims · 0.4%

Your Cost: $23.57/claim|Median: $36.13
0.7× median
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