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Provider 1780056168

NPI: 1780056168Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.3M

$11,324,538

Total Claims

296K

Beneficiaries

101K

2.9 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$742K
+9%
2019
$812K
+10%
2020
$895K
+26%
2021
$1.1M
+70%
2022
$1.9M
+52%
2023
$2.9M
+2%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 56% of total spending.

99309Top 25%

Nursing facility care, subsequent, low complexity

$6.3M

161K claims · 55.5%

Your Cost: $39.14/claim|Median: $14.00
2.8× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$2.9M

93K claims · 26.0%

Your Cost: $31.58/claim|Median: $9.79
3.2× median
99310Top 25%

$848K

16K claims · 7.5%

Your Cost: $53.62/claim|Median: $21.82
2.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$718K

12K claims · 6.3%

Your Cost: $59.97/claim|Median: $35.30
1.7× median
99291Top 25%

Critical care, first 30-74 minutes

$255K

1,677 claims · 2.3%

Your Cost: $152.10/claim|Median: $101.24
1.5× median
99306Normal range

$156K

3,320 claims · 1.4%

Your Cost: $46.98/claim|Median: $29.97
1.6× median
99491Normal range

$32K

3,750 claims · 0.3%

Your Cost: $8.62/claim|Median: $9.86
0.9× median
99307Top 25%

$28K

1,932 claims · 0.2%

Your Cost: $14.50/claim|Median: $6.57
2.2× median
99497Normal range

$10K

558 claims · 0.1%

Your Cost: $17.57/claim|Median: $10.99
1.6× median
99490Normal range

Chronic care management services, 20 minutes per month

$8K

1,291 claims · 0.1%

Your Cost: $5.99/claim|Median: $6.31
0.9× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$7K

130 claims · 0.1%

Your Cost: $50.65/claim|Median: $23.99
2.1× median
99418Normal range

$6K

285 claims · 0.1%

Your Cost: $20.94/claim|Median: $38.93
0.5× median
99316Normal range

$6K

393 claims · 0.1%

Your Cost: $15.04/claim|Median: $25.78
0.6× median
99318Top 25%

$4K

137 claims · 0.0%

Your Cost: $29.55/claim|Median: $15.64
1.9× median
99356Normal range

$4K

152 claims · 0.0%

Your Cost: $23.08/claim|Median: $22.76
1.0× median
99305Top 25%

$3K

80 claims · 0.0%

Your Cost: $42.98/claim|Median: $19.28
2.2× median
31502Normal range

$2K

109 claims · 0.0%

Your Cost: $19.66/claim|Median: $16.06
1.2× median
99358Normal range

$2K

90 claims · 0.0%

Your Cost: $22.16/claim|Median: $14.34
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$1K

12 claims · 0.0%

Your Cost: $100.95/claim|Median: $67.32
1.5× median
99315Normal range

$598

77 claims · 0.0%

Your Cost: $7.77/claim|Median: $14.17
0.5× median
G0317Normal range

$597

404 claims · 0.0%

Your Cost: $1.48/claim|Median: $3.67
0.4× median
G0180Normal range

$588

60 claims · 0.0%

Your Cost: $9.80/claim|Median: $8.31
1.2× median
90658Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.96
0.0× median
90662Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
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