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Provider 1780727636

NPI: 1780727636Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,065,599

Total Claims

27K

Beneficiaries

27K

1.0 claims/patient

Avg Cost/Claim

$404

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+17%
2019
$1.4M
-2%
2020
$1.3M
+5%
2021
$1.4M
+14%
2022
$1.6M
+28%
2023
$2.1M
+4%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 47% of total spending.

43239Top 25%

Upper GI endoscopy with biopsy

$5.2M

12K claims · 47.3%

Your Cost: $439.43/claim|Median: $151.68
2.9× median
45380Top 25%

Colonoscopy with biopsy

$2.5M

5,603 claims · 22.5%

Your Cost: $444.68/claim|Median: $200.68
2.2× median
45378Top 25%

Colonoscopy, diagnostic

$1.4M

2,645 claims · 12.4%

Your Cost: $518.25/claim|Median: $225.49
2.3× median
43248Top 25%

$688K

2,775 claims · 6.2%

Your Cost: $248.02/claim|Median: $115.74
2.1× median
45384Top 10%

$587K

1,268 claims · 5.3%

Your Cost: $462.59/claim|Median: $179.47
2.6× median
43250Normal range

$346K

752 claims · 3.1%

Your Cost: $460.11/claim|Median: $228.21
2.0× median
43453Normal range

$271K

1,774 claims · 2.5%

Your Cost: $153.02/claim|Median: $114.39
1.3× median
43235Top 25%

Upper GI endoscopy, diagnostic, including collection

$44K

118 claims · 0.4%

Your Cost: $374.49/claim|Median: $114.30
3.3× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$13K

31 claims · 0.1%

Your Cost: $415.43/claim|Median: $255.17
1.6× median
44361Top 25%

$8K

33 claims · 0.1%

Your Cost: $246.22/claim|Median: $130.91
1.9× median
G8907Top 25%

$3K

246 claims · 0.0%

Your Cost: $10.91/claim|Median: $0.38
28.7× median
G0121Normal range

Colorectal cancer screening; colonoscopy

$3K

13 claims · 0.0%

Your Cost: $195.74/claim|Median: $332.07
0.6× median
G8918Normal range

$3K

233 claims · 0.0%

Your Cost: $10.91/claim|Median: $1.03
10.6× median
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