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Provider 1780634279

NPI: 1780634279Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,517,725

Total Claims

477K

Beneficiaries

369K

1.3 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-19%
2019
$1.2M
-12%
2020
$1.1M
+18%
2021
$1.3M
+2%
2022
$1.3M
-12%
2023
$1.1M
-13%
2024
$993K

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 27% of total spending.

99214Normal range

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

$2.3M

51K claims · 26.6%

Your Cost: $44.54/claim|Median: $53.41
0.8× median
99213Normal range

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

$1.2M

41K claims · 14.0%

Your Cost: $28.96/claim|Median: $37.81
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$820K

18K claims · 9.6%

Your Cost: $46.44/claim|Median: $67.32
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$769K

51K claims · 9.0%

Your Cost: $14.93/claim|Median: $23.99
0.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$495K

23K claims · 5.8%

Your Cost: $21.42/claim|Median: $35.30
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$242K

6,378 claims · 2.8%

Your Cost: $37.93/claim|Median: $51.25
0.7× median
99308Normal range

Nursing facility care, subsequent, straightforward

$236K

18K claims · 2.8%

Your Cost: $13.39/claim|Median: $9.79
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$174K

3,713 claims · 2.0%

Your Cost: $46.89/claim|Median: $54.68
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$172K

4,971 claims · 2.0%

Your Cost: $34.56/claim|Median: $101.24
0.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$160K

6,592 claims · 1.9%

Your Cost: $24.24/claim|Median: $43.85
0.6× median
80053Normal range

Comprehensive metabolic panel

$92K

13K claims · 1.1%

Your Cost: $7.12/claim|Median: $7.24
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$67K

4,943 claims · 0.8%

Your Cost: $13.61/claim|Median: $14.00
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$65K

1,201 claims · 0.8%

Your Cost: $54.52/claim|Median: $74.09
0.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$65K

6,279 claims · 0.8%

Your Cost: $10.41/claim|Median: $16.77
0.6× median
82306Normal range

Vitamin D, 25 hydroxy

$63K

3,671 claims · 0.7%

Your Cost: $17.17/claim|Median: $18.18
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$61K

950 claims · 0.7%

Your Cost: $64.33/claim|Median: $80.15
0.8× median
99203Normal range

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

$61K

1,553 claims · 0.7%

Your Cost: $39.32/claim|Median: $57.85
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$61K

12K claims · 0.7%

Your Cost: $5.19/claim|Median: $4.71
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$61K

1,050 claims · 0.7%

Your Cost: $57.69/claim|Median: $74.82
0.8× median
99306Normal range

$60K

1,755 claims · 0.7%

Your Cost: $34.28/claim|Median: $29.97
1.1× median
95886Normal range

$55K

1,358 claims · 0.6%

Your Cost: $40.19/claim|Median: $67.70
0.6× median
99204Normal range

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

$52K

842 claims · 0.6%

Your Cost: $62.35/claim|Median: $84.03
0.7× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$52K

2,988 claims · 0.6%

Your Cost: $17.43/claim|Median: $20.04
0.9× median
80061Normal range

Lipid panel

$46K

5,674 claims · 0.5%

Your Cost: $8.14/claim|Median: $8.41
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$45K

2,753 claims · 0.5%

Your Cost: $16.32/claim|Median: $25.06
0.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$44K

1,704 claims · 0.5%

Your Cost: $25.78/claim|Median: $17.85
1.4× median
99307Normal range

$42K

5,782 claims · 0.5%

Your Cost: $7.29/claim|Median: $6.57
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$42K

7,770 claims · 0.5%

Your Cost: $5.40/claim|Median: $5.60
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$40K

701 claims · 0.5%

Your Cost: $57.54/claim|Median: $75.18
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$40K

2,691 claims · 0.5%

Your Cost: $14.78/claim|Median: $24.49
0.6× median
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