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Provider 1790920452

NPI: 1790920452Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,174,953

Total Claims

241K

Beneficiaries

164K

1.5 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$289K
+221%
2019
$928K
-4%
2020
$893K
+49%
2021
$1.3M
+10%
2022
$1.5M
+17%
2023
$1.7M
-8%
2024
$1.6M

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 28% of total spending.

99214Normal range

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

$2.3M

46K claims · 28.2%

Your Cost: $50.46/claim|Median: $53.41
0.9× median
99213Normal range

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

$865K

29K claims · 10.6%

Your Cost: $30.30/claim|Median: $37.81
0.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$800K

28K claims · 9.8%

Your Cost: $28.59/claim|Median: $35.43
0.8× median
36475Normal range

$658K

2,719 claims · 8.0%

Your Cost: $241.95/claim|Median: $902.80
0.3× median
64493Normal range

$358K

8,036 claims · 4.4%

Your Cost: $44.49/claim|Median: $103.44
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$269K

16K claims · 3.3%

Your Cost: $16.69/claim|Median: $25.06
0.7× median
64635Normal range

$262K

2,615 claims · 3.2%

Your Cost: $100.35/claim|Median: $207.78
0.5× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$235K

4,203 claims · 2.9%

Your Cost: $55.90/claim|Median: $25.43
2.2× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$232K

2,437 claims · 2.8%

Your Cost: $95.24/claim|Median: $43.07
2.2× median
64483Normal range

$213K

3,827 claims · 2.6%

Your Cost: $55.62/claim|Median: $124.24
0.4× median
01938Normal range

$192K

4,753 claims · 2.3%

Your Cost: $40.41/claim|Median: $46.15
0.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$190K

3,415 claims · 2.3%

Your Cost: $55.59/claim|Median: $37.56
1.5× median
64494Normal range

$189K

8,041 claims · 2.3%

Your Cost: $23.48/claim|Median: $34.70
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$178K

13K claims · 2.2%

Your Cost: $13.39/claim|Median: $24.49
0.5× median
64636Normal range

$174K

3,661 claims · 2.1%

Your Cost: $47.45/claim|Median: $63.60
0.7× median
64495Normal range

$146K

5,827 claims · 1.8%

Your Cost: $25.11/claim|Median: $36.70
0.7× median
98940Normal range

$138K

15K claims · 1.7%

Your Cost: $9.39/claim|Median: $14.55
0.6× median
99204Normal range

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

$106K

1,082 claims · 1.3%

Your Cost: $97.54/claim|Median: $84.03
1.2× median
99203Normal range

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

$99K

2,028 claims · 1.2%

Your Cost: $49.00/claim|Median: $57.85
0.8× median
36465Normal range

$73K

92 claims · 0.9%

Your Cost: $791.82/claim|Median: $792.14
1.0× median
27096Normal range

$57K

953 claims · 0.7%

Your Cost: $59.77/claim|Median: $89.16
0.7× median
01940Normal range

$52K

1,135 claims · 0.6%

Your Cost: $45.48/claim|Median: $57.16
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$47K

2,011 claims · 0.6%

Your Cost: $23.39/claim|Median: $29.03
0.8× median
97014Normal range

Electrical stimulation, unattended

$44K

10K claims · 0.5%

Your Cost: $4.33/claim|Median: $8.83
0.5× median
01937Normal range

$44K

1,184 claims · 0.5%

Your Cost: $37.39/claim|Median: $46.39
0.8× median
G0481Top 25%

Drug test, definitive, 8-14 drug classes

$41K

407 claims · 0.5%

Your Cost: $101.57/claim|Median: $64.72
1.6× median
64490Normal range

$23K

851 claims · 0.3%

Your Cost: $26.71/claim|Median: $111.43
0.2× median
36471Normal range

$21K

766 claims · 0.3%

Your Cost: $27.24/claim|Median: $105.39
0.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$20K

2,954 claims · 0.2%

Your Cost: $6.92/claim|Median: $22.44
0.3× median
77002Normal range

$19K

1,533 claims · 0.2%

Your Cost: $12.10/claim|Median: $23.55
0.5× median
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