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Provider 1770823551

NPI: 1770823551Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$11.3M

$11,336,803

Total Claims

114K

Beneficiaries

106K

1.1 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+7%
2019
$1.4M
-15%
2020
$1.2M
+69%
2021
$2.0M
+4%
2022
$2.1M
-4%
2023
$2.0M
-32%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (36475) accounts for 24% of total spending.

36475Top 25%

$2.7M

1,803 claims · 23.6%

Your Cost: $1,486.26/claim|Median: $902.80
1.6× median
99213Top 10%

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

$2.4M

33K claims · 21.4%

Your Cost: $73.04/claim|Median: $37.81
1.9× median
46221Top 10%

$1.3M

4,188 claims · 11.2%

Your Cost: $304.09/claim|Median: $120.31
2.5× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$915K

6,001 claims · 8.1%

Your Cost: $152.49/claim|Median: $43.07
3.5× median
99214Top 10%

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

$832K

8,368 claims · 7.3%

Your Cost: $99.48/claim|Median: $53.41
1.9× median
99203Top 25%

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

$795K

8,099 claims · 7.0%

Your Cost: $98.17/claim|Median: $57.85
1.7× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$411K

3,637 claims · 3.6%

Your Cost: $112.91/claim|Median: $25.43
4.4× median
36465Top 10%

$394K

259 claims · 3.5%

Your Cost: $1,522.36/claim|Median: $792.14
1.9× median
46600Top 25%

$341K

3,575 claims · 3.0%

Your Cost: $95.45/claim|Median: $41.00
2.3× median
99204Top 25%

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

$240K

1,814 claims · 2.1%

Your Cost: $132.25/claim|Median: $84.03
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$181K

4,639 claims · 1.6%

Your Cost: $38.92/claim|Median: $25.06
1.6× median
36471Normal range

$156K

1,870 claims · 1.4%

Your Cost: $83.27/claim|Median: $105.39
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$147K

1,233 claims · 1.3%

Your Cost: $119.28/claim|Median: $74.09
1.6× median
99291Top 25%

Critical care, first 30-74 minutes

$119K

706 claims · 1.1%

Your Cost: $168.87/claim|Median: $101.24
1.7× median
36466Top 10%

$103K

67 claims · 0.9%

Your Cost: $1,543.04/claim|Median: $930.67
1.7× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$43K

265 claims · 0.4%

Your Cost: $160.53/claim|Median: $111.09
1.4× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$38K

546 claims · 0.3%

Your Cost: $69.13/claim|Median: $23.99
2.9× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$35K

599 claims · 0.3%

Your Cost: $58.95/claim|Median: $40.11
1.5× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$32K

333 claims · 0.3%

Your Cost: $96.87/claim|Median: $51.25
1.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$31K

250 claims · 0.3%

Your Cost: $122.01/claim|Median: $67.32
1.8× median
11043Top 25%

$19K

130 claims · 0.2%

Your Cost: $143.46/claim|Median: $62.99
2.3× median
76536Normal range

$17K

316 claims · 0.2%

Your Cost: $55.09/claim|Median: $44.06
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$16K

326 claims · 0.1%

Your Cost: $50.14/claim|Median: $35.30
1.4× median
93925Top 10%

$14K

76 claims · 0.1%

Your Cost: $186.65/claim|Median: $54.12
3.4× median
43775Normal range

$14K

15 claims · 0.1%

Your Cost: $934.79/claim|Median: $619.12
1.5× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$14K

343 claims · 0.1%

Your Cost: $39.87/claim|Median: $16.77
2.4× median
36476Top 1%

$11K

36 claims · 0.1%

Your Cost: $314.31/claim|Median: $199.25
1.6× median
99221Top 25%

Initial hospital care, straightforward/low

$8K

120 claims · 0.1%

Your Cost: $67.06/claim|Median: $39.96
1.7× median
93926Top 10%

$8K

77 claims · 0.1%

Your Cost: $100.73/claim|Median: $26.21
3.8× median
93923Top 25%

$6K

65 claims · 0.1%

Your Cost: $94.32/claim|Median: $38.08
2.5× median