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Provider 1780686964

NPI: 1780686964Share
Active Billing Period:2018-01→2022-04(52 months)
Billing appears to have stoppedLast active: 2022-04

Total Paid

$13.5M

$13,479,912

Total Claims

671K

Beneficiaries

566K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+10%
2019
$3.2M
-8%
2020
$2.9M
+34%
2021
$3.9M
-85%
2022
$577K

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 39% of total spending.

99214Normal range

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

$5.2M

102K claims · 38.8%

Your Cost: $51.11/claim|Median: $53.41
1.0× median
99213Normal range

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

$1.9M

52K claims · 13.9%

Your Cost: $36.07/claim|Median: $37.81
1.0× median
99284Normal range

Emergency dept visit, high complexity

$418K

9,841 claims · 3.1%

Your Cost: $42.51/claim|Median: $69.51
0.6× median
99291Normal range

Critical care, first 30-74 minutes

$397K

6,500 claims · 2.9%

Your Cost: $61.06/claim|Median: $101.24
0.6× median
99204Normal range

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

$357K

3,901 claims · 2.6%

Your Cost: $91.49/claim|Median: $84.03
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$307K

4,518 claims · 2.3%

Your Cost: $68.02/claim|Median: $85.65
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$264K

13K claims · 2.0%

Your Cost: $20.68/claim|Median: $35.30
0.6× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$239K

2,296 claims · 1.8%

Your Cost: $103.92/claim|Median: $69.35
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$223K

1,970 claims · 1.7%

Your Cost: $113.16/claim|Median: $75.18
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$187K

4,280 claims · 1.4%

Your Cost: $43.62/claim|Median: $74.09
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$183K

57K claims · 1.4%

Your Cost: $3.23/claim|Median: $5.60
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$179K

3,822 claims · 1.3%

Your Cost: $46.82/claim|Median: $99.21
0.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$178K

8,221 claims · 1.3%

Your Cost: $21.65/claim|Median: $23.99
0.9× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$177K

4,920 claims · 1.3%

Your Cost: $36.01/claim|Median: $17.85
2.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$175K

1,635 claims · 1.3%

Your Cost: $107.28/claim|Median: $121.58
0.9× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$167K

1,467 claims · 1.2%

Your Cost: $113.76/claim|Median: $74.82
1.5× median
99223Normal range

Initial hospital care, per day, high complexity

$144K

2,981 claims · 1.1%

Your Cost: $48.24/claim|Median: $67.32
0.7× median
43239Normal range

Upper GI endoscopy with biopsy

$140K

2,783 claims · 1.0%

Your Cost: $50.14/claim|Median: $151.68
0.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$133K

8,381 claims · 1.0%

Your Cost: $15.88/claim|Median: $16.77
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$129K

5,460 claims · 1.0%

Your Cost: $23.71/claim|Median: $54.68
0.4× median
90853Normal range

Group psychotherapy

$127K

7,133 claims · 0.9%

Your Cost: $17.85/claim|Median: $25.02
0.7× median
99203Normal range

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

$121K

3,098 claims · 0.9%

Your Cost: $39.13/claim|Median: $57.85
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$120K

5,466 claims · 0.9%

Your Cost: $22.02/claim|Median: $42.48
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$114K

1,242 claims · 0.8%

Your Cost: $91.98/claim|Median: $111.09
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$94K

1,180 claims · 0.7%

Your Cost: $79.63/claim|Median: $72.71
1.1× median
90471Normal range

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

$93K

9,442 claims · 0.7%

Your Cost: $9.81/claim|Median: $9.80
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$83K

3,003 claims · 0.6%

Your Cost: $27.69/claim|Median: $43.85
0.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$83K

976 claims · 0.6%

Your Cost: $84.77/claim|Median: $233.73
0.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$71K

1,679 claims · 0.5%

Your Cost: $42.58/claim|Median: $51.25
0.8× median
99443Normal range

Telephone E/M by physician, 21-30 min

$71K

1,695 claims · 0.5%

Your Cost: $42.07/claim|Median: $32.55
1.3× median
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