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Provider 1821024910

NPI: 1821024910Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,752,775

Total Claims

346K

Beneficiaries

329K

1.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-1%
2019
$1.2M
-25%
2020
$866K
+26%
2021
$1.1M
+11%
2022
$1.2M
-4%
2023
$1.2M
-4%
2024
$1.1M

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 16% of total spending.

99214Normal range

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

$1.2M

21K claims · 15.8%

Your Cost: $59.16/claim|Median: $53.41
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$1.1M

14K claims · 14.8%

Your Cost: $81.57/claim|Median: $74.09
1.1× median
99213Normal range

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

$584K

15K claims · 7.5%

Your Cost: $38.97/claim|Median: $37.81
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$454K

4,860 claims · 5.9%

Your Cost: $93.41/claim|Median: $121.58
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$450K

6,982 claims · 5.8%

Your Cost: $64.43/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$377K

7,946 claims · 4.9%

Your Cost: $47.47/claim|Median: $69.35
0.7× median
99204Normal range

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

$298K

3,486 claims · 3.8%

Your Cost: $85.37/claim|Median: $84.03
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$290K

6,924 claims · 3.7%

Your Cost: $41.93/claim|Median: $23.99
1.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$232K

3,504 claims · 3.0%

Your Cost: $66.13/claim|Median: $74.82
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$210K

2,735 claims · 2.7%

Your Cost: $76.64/claim|Median: $51.25
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$191K

4,545 claims · 2.5%

Your Cost: $41.98/claim|Median: $37.22
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$176K

9,351 claims · 2.3%

Your Cost: $18.77/claim|Median: $11.79
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$166K

2,815 claims · 2.1%

Your Cost: $59.12/claim|Median: $35.30
1.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$149K

15K claims · 1.9%

Your Cost: $9.99/claim|Median: $9.80
1.0× median
99254Normal range

$148K

1,667 claims · 1.9%

Your Cost: $88.70/claim|Median: $81.43
1.1× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$141K

469 claims · 1.8%

Your Cost: $301.51/claim|Median: $307.98
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$135K

2,104 claims · 1.7%

Your Cost: $63.99/claim|Median: $80.15
0.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$124K

1,123 claims · 1.6%

Your Cost: $110.19/claim|Median: $67.32
1.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$123K

2,060 claims · 1.6%

Your Cost: $59.86/claim|Median: $82.43
0.7× median
43239Normal range

Upper GI endoscopy with biopsy

$85K

1,133 claims · 1.1%

Your Cost: $75.10/claim|Median: $151.68
0.5× median
D0190Normal range

$84K

5,417 claims · 1.1%

Your Cost: $15.57/claim|Median: $12.78
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$79K

1,695 claims · 1.0%

Your Cost: $46.84/claim|Median: $54.68
0.9× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$73K

1,099 claims · 0.9%

Your Cost: $66.22/claim|Median: $43.85
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$68K

1,262 claims · 0.9%

Your Cost: $53.53/claim|Median: $62.48
0.9× median
93303Normal range

Echocardiography, transthoracic, limited

$66K

1,637 claims · 0.9%

Your Cost: $40.39/claim|Median: $112.83
0.4× median
96110Top 25%

Developmental screening, per standardized instrument

$64K

4,050 claims · 0.8%

Your Cost: $15.89/claim|Median: $9.10
1.7× median
99203Normal range

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

$45K

884 claims · 0.6%

Your Cost: $50.60/claim|Median: $57.85
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$45K

404 claims · 0.6%

Your Cost: $110.60/claim|Median: $111.09
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$40K

687 claims · 0.5%

Your Cost: $58.60/claim|Median: $73.46
0.8× median
95816Normal range

$36K

1,102 claims · 0.5%

Your Cost: $33.09/claim|Median: $56.87
0.6× median
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