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Provider 1801929757

NPI: 1801929757Share
Active Billing Period:2018-01→2021-08(44 months)
Billing appears to have stoppedLast active: 2021-08

Total Paid

$10.9M

$10,888,917

Total Claims

1.6M

Beneficiaries

1.4M

1.1 claims/patient

Avg Cost/Claim

$7

Monthly Spending Trend

Yearly Spending

2018
$5.9M
-97%
2019
$150K
+1368%
2020
$2.2M
+20%
2021
$2.6M

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 7% of total spending.

99214Normal range

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

$782K

51K claims · 7.2%

Your Cost: $15.23/claim|Median: $53.41
0.3× median
97110Normal range

Therapeutic exercises, each 15 min

$676K

26K claims · 6.2%

Your Cost: $26.36/claim|Median: $24.49
1.1× median
92507Normal range

Speech/hearing/language treatment

$585K

8,963 claims · 5.4%

Your Cost: $65.26/claim|Median: $49.45
1.3× median
99223Top 10%

Initial hospital care, per day, high complexity

$492K

3,381 claims · 4.5%

Your Cost: $145.39/claim|Median: $67.32
2.2× median
99204Normal range

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

$461K

6,756 claims · 4.2%

Your Cost: $68.28/claim|Median: $84.03
0.8× median
99213Normal range

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

$446K

185K claims · 4.1%

Your Cost: $2.42/claim|Median: $37.81
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$419K

6,499 claims · 3.8%

Your Cost: $64.44/claim|Median: $74.09
0.9× median
77067Top 25%

Screening mammography, bilateral, including CAD

$355K

4,490 claims · 3.3%

Your Cost: $79.03/claim|Median: $39.33
2.0× median
67028Top 25%

Intravitreal injection of a pharmacologic agent

$336K

1,783 claims · 3.1%

Your Cost: $188.36/claim|Median: $58.82
3.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$252K

6,571 claims · 2.3%

Your Cost: $38.42/claim|Median: $23.99
1.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$194K

4,681 claims · 1.8%

Your Cost: $41.36/claim|Median: $35.30
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$169K

1,404 claims · 1.6%

Your Cost: $120.60/claim|Median: $54.68
2.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$159K

1,568 claims · 1.5%

Your Cost: $101.45/claim|Median: $111.09
0.9× median
92134Top 1%

$155K

2,691 claims · 1.4%

Your Cost: $57.48/claim|Median: $15.46
3.7× median
99283Normal range

Emergency dept visit, moderate complexity

$149K

5,603 claims · 1.4%

Your Cost: $26.62/claim|Median: $42.48
0.6× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$146K

1,657 claims · 1.3%

Your Cost: $88.21/claim|Median: $43.71
2.0× median
59409Normal range

Vaginal delivery only

$145K

281 claims · 1.3%

Your Cost: $514.57/claim|Median: $619.91
0.8× median
76641Top 10%

Ultrasound imaging of one breast, complete

$144K

1,222 claims · 1.3%

Your Cost: $117.74/claim|Median: $49.03
2.4× median
S9083Normal range

Global fee, urgent care centers

$143K

3,660 claims · 1.3%

Your Cost: $39.12/claim|Median: $103.99
0.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$140K

38K claims · 1.3%

Your Cost: $3.69/claim|Median: $24.95
0.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$135K

35K claims · 1.2%

Your Cost: $3.86/claim|Median: $23.39
0.2× median
E1390Top 5%

Oxygen concentrator, single delivery port

$123K

1,062 claims · 1.1%

Your Cost: $115.55/claim|Median: $45.11
2.6× median
99203Normal range

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

$118K

4,182 claims · 1.1%

Your Cost: $28.33/claim|Median: $57.85
0.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$118K

2,333 claims · 1.1%

Your Cost: $50.76/claim|Median: $85.65
0.6× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$102K

2,450 claims · 0.9%

Your Cost: $41.54/claim|Median: $38.23
1.1× median
99284Normal range

Emergency dept visit, high complexity

$102K

2,882 claims · 0.9%

Your Cost: $35.23/claim|Median: $69.51
0.5× median
97039Normal range

$101K

3,486 claims · 0.9%

Your Cost: $29.05/claim|Median: $16.74
1.7× median
95144Normal range

$101K

2,538 claims · 0.9%

Your Cost: $39.79/claim|Median: $109.74
0.4× median
92250Top 25%

Fundus photography with interpretation and report

$101K

2,392 claims · 0.9%

Your Cost: $42.14/claim|Median: $27.95
1.5× median
99309Top 1%

Nursing facility care, subsequent, low complexity

$94K

1,171 claims · 0.9%

Your Cost: $80.52/claim|Median: $14.00
5.8× median
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