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Provider 1811324882

NPI: 1811324882Share
Active Billing Period:2018-01→2024-09(57 months)

Total Paid

$8.8M

$8,822,358

Total Claims

350K

Beneficiaries

289K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+6%
2019
$2.5M
-5%
2020
$2.4M
-42%
2021
$1.4M
-98%
2022
$25K
+12%
2023
$28K
-43%
2024
$16K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 30% of total spending.

99213Normal range

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

$2.6M

85K claims · 29.7%

Your Cost: $30.89/claim|Median: $37.81
0.8× median
99214Normal range

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

$1.1M

27K claims · 12.2%

Your Cost: $40.09/claim|Median: $53.41
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$485K

15K claims · 5.5%

Your Cost: $31.88/claim|Median: $23.99
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$369K

7,218 claims · 4.2%

Your Cost: $51.16/claim|Median: $69.35
0.7× median
99203Normal range

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

$296K

6,826 claims · 3.4%

Your Cost: $43.36/claim|Median: $57.85
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$223K

4,516 claims · 2.5%

Your Cost: $49.29/claim|Median: $54.68
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$214K

11K claims · 2.4%

Your Cost: $18.76/claim|Median: $25.06
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$201K

3,761 claims · 2.3%

Your Cost: $53.48/claim|Median: $75.18
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$197K

4,999 claims · 2.2%

Your Cost: $39.33/claim|Median: $37.22
1.1× median
59409Normal range

Vaginal delivery only

$187K

387 claims · 2.1%

Your Cost: $482.88/claim|Median: $619.91
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$141K

5,140 claims · 1.6%

Your Cost: $27.52/claim|Median: $39.33
0.7× median
99204Normal range

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

$130K

2,202 claims · 1.5%

Your Cost: $58.83/claim|Median: $84.03
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$129K

29K claims · 1.5%

Your Cost: $4.53/claim|Median: $5.60
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$107K

4,454 claims · 1.2%

Your Cost: $24.09/claim|Median: $49.45
0.5× median
74177Normal range

CT abdomen and pelvis with contrast

$106K

2,101 claims · 1.2%

Your Cost: $50.56/claim|Median: $65.76
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$104K

1,855 claims · 1.2%

Your Cost: $56.14/claim|Median: $76.06
0.7× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$102K

365 claims · 1.2%

Your Cost: $278.32/claim|Median: $283.78
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$94K

2,112 claims · 1.1%

Your Cost: $44.38/claim|Median: $35.30
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$93K

1,738 claims · 1.1%

Your Cost: $53.66/claim|Median: $51.25
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$88K

2,817 claims · 1.0%

Your Cost: $31.13/claim|Median: $74.78
0.4× median
71260Normal range

CT chest with contrast

$83K

1,460 claims · 0.9%

Your Cost: $56.84/claim|Median: $48.36
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$81K

2,882 claims · 0.9%

Your Cost: $28.14/claim|Median: $47.08
0.6× median
70450Normal range

CT head/brain without contrast

$76K

1,721 claims · 0.9%

Your Cost: $44.15/claim|Median: $45.53
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$75K

1,384 claims · 0.8%

Your Cost: $53.99/claim|Median: $74.09
0.7× median
59514Normal range

Cesarean delivery only

$72K

160 claims · 0.8%

Your Cost: $452.80/claim|Median: $452.80
1.0× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$72K

1,033 claims · 0.8%

Your Cost: $69.37/claim|Median: $106.14
0.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$69K

2,516 claims · 0.8%

Your Cost: $27.57/claim|Median: $38.23
0.7× median
99464Normal range

$62K

1,387 claims · 0.7%

Your Cost: $44.65/claim|Median: $59.94
0.7× median
71046Normal range

Chest X-ray, 2 views

$61K

9,165 claims · 0.7%

Your Cost: $6.70/claim|Median: $8.92
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$57K

1,418 claims · 0.6%

Your Cost: $39.99/claim|Median: $62.48
0.6× median
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