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Provider 1790973162

NPI: 1790973162Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.2M

$9,175,170

Total Claims

96K

Beneficiaries

92K

1.0 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$744K
+35%
2019
$1.0M
-43%
2020
$576K
+98%
2021
$1.1M
+62%
2022
$1.9M
+9%
2023
$2.0M
-9%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 36% of total spending.

99214Top 5%

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

$3.3M

27K claims · 35.8%

Your Cost: $119.97/claim|Median: $53.41
2.2× median
99213Top 10%

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

$1.9M

24K claims · 20.5%

Your Cost: $79.22/claim|Median: $37.81
2.1× median
99204Top 10%

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

$1.4M

8,750 claims · 15.4%

Your Cost: $161.51/claim|Median: $84.03
1.9× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$965K

9,786 claims · 10.5%

Your Cost: $98.66/claim|Median: $59.25
1.7× median
99203Top 10%

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

$720K

6,856 claims · 7.8%

Your Cost: $104.98/claim|Median: $57.85
1.8× median
96910Top 10%

$174K

1,568 claims · 1.9%

Your Cost: $111.10/claim|Median: $51.52
2.2× median
11901Top 25%

$137K

2,228 claims · 1.5%

Your Cost: $61.37/claim|Median: $36.91
1.7× median
11200Top 25%

$130K

2,177 claims · 1.4%

Your Cost: $59.90/claim|Median: $36.51
1.6× median
11900Top 25%

$112K

2,288 claims · 1.2%

Your Cost: $49.03/claim|Median: $31.25
1.6× median
11102Top 25%

$64K

736 claims · 0.7%

Your Cost: $87.13/claim|Median: $48.69
1.8× median
17311Top 10%

$63K

137 claims · 0.7%

Your Cost: $457.71/claim|Median: $194.01
2.4× median
17000Top 25%

$57K

1,445 claims · 0.6%

Your Cost: $39.50/claim|Median: $21.35
1.8× median
17312Top 10%

$32K

70 claims · 0.3%

Your Cost: $450.86/claim|Median: $197.44
2.3× median
17111Top 25%

$23K

196 claims · 0.3%

Your Cost: $117.11/claim|Median: $80.28
1.5× median
11100Top 25%

$20K

232 claims · 0.2%

Your Cost: $84.28/claim|Median: $44.58
1.9× median
17003Top 10%

$19K

764 claims · 0.2%

Your Cost: $25.12/claim|Median: $8.67
2.9× median
17004Top 25%

$15K

131 claims · 0.2%

Your Cost: $115.32/claim|Median: $65.58
1.8× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$14K

6,967 claims · 0.2%

Your Cost: $2.05/claim|Median: $2.91
0.7× median
67850Top 1%

$11K

53 claims · 0.1%

Your Cost: $199.76/claim|Median: $153.50
1.3× median
11104Top 25%

$9K

71 claims · 0.1%

Your Cost: $128.97/claim|Median: $76.74
1.7× median
14040Top 25%

$7K

13 claims · 0.1%

Your Cost: $525.25/claim|Median: $311.85
1.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$4K

276 claims · 0.0%

Your Cost: $14.47/claim|Median: $9.56
1.5× median
11306Top 5%

$4K

29 claims · 0.0%

Your Cost: $137.64/claim|Median: $35.79
3.8× median
15004Top 25%

$3K

13 claims · 0.0%

Your Cost: $260.66/claim|Median: $153.50
1.7× median
11301Top 5%

$3K

26 claims · 0.0%

Your Cost: $126.94/claim|Median: $46.76
2.7× median
11103Top 5%

$2K

28 claims · 0.0%

Your Cost: $85.66/claim|Median: $37.08
2.3× median
11101Normal range

$1K

44 claims · 0.0%

Your Cost: $27.44/claim|Median: $23.72
1.2× median
G2211Top 10%

$821

55 claims · 0.0%

Your Cost: $14.93/claim|Median: $2.40
6.2× median
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