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Provider 1811992761

NPI: 1811992761Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,732,680

Total Claims

155K

Beneficiaries

152K

1.0 claims/patient

Avg Cost/Claim

$114

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+17%
2019
$2.2M
-24%
2020
$1.7M
+60%
2021
$2.7M
+5%
2022
$2.8M
+14%
2023
$3.2M
+7%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (31231 (Nasal endoscopy, diagnostic)) accounts for 37% of total spending.

31231Top 25%

Nasal endoscopy, diagnostic

$6.6M

36K claims · 37.4%

Your Cost: $183.88/claim|Median: $98.77
1.9× median
99204Top 10%

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

$3.7M

23K claims · 20.7%

Your Cost: $160.67/claim|Median: $84.03
1.9× median
99214Top 10%

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

$2.8M

25K claims · 16.1%

Your Cost: $114.85/claim|Median: $53.41
2.2× median
99213Top 10%

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

$1.2M

16K claims · 6.7%

Your Cost: $74.03/claim|Median: $37.81
2.0× median
31237Top 25%

$697K

2,019 claims · 3.9%

Your Cost: $345.11/claim|Median: $211.06
1.6× median
99203Top 10%

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

$689K

6,566 claims · 3.9%

Your Cost: $104.94/claim|Median: $57.85
1.8× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$527K

15K claims · 3.0%

Your Cost: $34.20/claim|Median: $27.28
1.3× median
70486Top 25%

$222K

1,644 claims · 1.2%

Your Cost: $134.81/claim|Median: $44.28
3.0× median
31575Normal range

$183K

2,121 claims · 1.0%

Your Cost: $86.07/claim|Median: $68.78
1.3× median
92504Top 25%

$175K

6,428 claims · 1.0%

Your Cost: $27.19/claim|Median: $16.07
1.7× median
69210Top 25%

$160K

4,780 claims · 0.9%

Your Cost: $33.53/claim|Median: $21.74
1.5× median
92567Normal range

$126K

9,438 claims · 0.7%

Your Cost: $13.39/claim|Median: $11.50
1.2× median
30520Normal range

$114K

212 claims · 0.6%

Your Cost: $536.23/claim|Median: $369.78
1.5× median
30117Normal range

$81K

230 claims · 0.5%

Your Cost: $350.31/claim|Median: $236.06
1.5× median
30465Normal range

$55K

58 claims · 0.3%

Your Cost: $952.07/claim|Median: $952.07
1.0× median
92553Top 25%

$53K

1,551 claims · 0.3%

Your Cost: $33.97/claim|Median: $20.30
1.7× median
95144Top 10%

$51K

90 claims · 0.3%

Your Cost: $570.13/claim|Median: $109.74
5.2× median
30140Normal range

$45K

233 claims · 0.3%

Your Cost: $192.47/claim|Median: $240.99
0.8× median
G8427Top 5%

$38K

2,351 claims · 0.2%

Your Cost: $16.25/claim|Median: $0.02
812.7× median
30930Normal range

$37K

462 claims · 0.2%

Your Cost: $79.73/claim|Median: $46.83
1.7× median
21026Normal range

$33K

142 claims · 0.2%

Your Cost: $234.07/claim|Median: $1,323.25
0.2× median
30802Normal range

$33K

203 claims · 0.2%

Your Cost: $161.20/claim|Median: $110.05
1.5× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$22K

208 claims · 0.1%

Your Cost: $103.73/claim|Median: $32.55
3.2× median
31295Top 25%

$21K

12 claims · 0.1%

Your Cost: $1,753.21/claim|Median: $866.73
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$14K

314 claims · 0.1%

Your Cost: $43.19/claim|Median: $25.06
1.7× median
95004Top 25%

Percutaneous allergy skin tests, each

$10K

47 claims · 0.1%

Your Cost: $219.31/claim|Median: $134.97
1.6× median
92552Top 25%

Pure tone audiometry, air only, each ear

$9K

336 claims · 0.0%

Your Cost: $26.00/claim|Median: $12.63
2.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$3K

50 claims · 0.0%

Your Cost: $69.42/claim|Median: $40.11
1.7× median
61782Top 25%

$2K

12 claims · 0.0%

Your Cost: $153.09/claim|Median: $111.35
1.4× median
31240Normal range

$2K

13 claims · 0.0%

Your Cost: $129.94/claim|Median: $129.94
1.0× median
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