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Provider 1790806370

NPI: 1790806370Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.9M

$9,909,685

Total Claims

41K

Beneficiaries

41K

1.0 claims/patient

Avg Cost/Claim

$239

Monthly Spending Trend

Yearly Spending

2018
$731K
+108%
2019
$1.5M
-30%
2020
$1.1M
+5%
2021
$1.1M
+35%
2022
$1.5M
+22%
2023
$1.8M
+18%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 23% of total spending.

99214Top 5%

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

$2.3M

18K claims · 23.3%

Your Cost: $131.36/claim|Median: $53.41
2.5× median
95913Top 5%

$1.4M

4,151 claims · 14.3%

Your Cost: $342.38/claim|Median: $166.25
2.1× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$1.4M

2,249 claims · 13.7%

Your Cost: $601.74/claim|Median: $233.73
2.6× median
99204Top 5%

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

$1.2M

6,540 claims · 12.2%

Your Cost: $184.30/claim|Median: $84.03
2.2× median
95811Top 10%

Sleep study with CPAP titration, polysomnography

$1.1M

1,672 claims · 10.9%

Your Cost: $647.59/claim|Median: $255.03
2.5× median
95886Top 5%

$875K

4,119 claims · 8.8%

Your Cost: $212.44/claim|Median: $67.70
3.1× median
95813Top 5%

$661K

1,404 claims · 6.7%

Your Cost: $471.11/claim|Median: $121.48
3.9× median
J0585Top 5%

Injection, onabotulinumtoxinA, 1 unit

$335K

231 claims · 3.4%

Your Cost: $1,451.44/claim|Median: $470.36
3.1× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$191K

733 claims · 1.9%

Your Cost: $260.02/claim|Median: $111.09
2.3× median
99215Top 5%

Office/outpatient visit, high complexity

$168K

872 claims · 1.7%

Your Cost: $192.24/claim|Median: $74.09
2.6× median
64615Top 5%

$97K

316 claims · 1.0%

Your Cost: $305.61/claim|Median: $82.82
3.7× median
95812Top 10%

$51K

135 claims · 0.5%

Your Cost: $380.41/claim|Median: $104.99
3.6× median
99213Top 10%

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

$49K

594 claims · 0.5%

Your Cost: $83.14/claim|Median: $37.81
2.2× median
95806Normal range

$25K

241 claims · 0.3%

Your Cost: $104.36/claim|Median: $64.51
1.6× median
95800Top 25%

$21K

102 claims · 0.2%

Your Cost: $206.40/claim|Median: $86.65
2.4× median
64450Top 25%

$20K

192 claims · 0.2%

Your Cost: $105.59/claim|Median: $33.48
3.2× median
64405Top 25%

$20K

178 claims · 0.2%

Your Cost: $113.65/claim|Median: $48.36
2.3× median
G0399Top 10%

$14K

58 claims · 0.1%

Your Cost: $243.38/claim|Median: $76.81
3.2× median
99203Top 10%

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

$3K

29 claims · 0.0%

Your Cost: $106.11/claim|Median: $57.85
1.8× median
64644Top 25%

$3K

13 claims · 0.0%

Your Cost: $220.56/claim|Median: $54.92
4.0× median
95873Top 10%

$2K

26 claims · 0.0%

Your Cost: $88.77/claim|Median: $14.19
6.3× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$2K

20 claims · 0.0%

Your Cost: $87.51/claim|Median: $40.11
2.2× median
64643Top 25%

$1K

12 claims · 0.0%

Your Cost: $108.79/claim|Median: $58.21
1.9× median
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