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Provider 1821127002

NPI: 1821127002Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,868,114

Total Claims

133K

Beneficiaries

120K

1.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$27K
-4%
2019
$26K
+1160%
2020
$332K
+522%
2021
$2.1M
+12%
2022
$2.3M
-2%
2023
$2.3M
-20%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (88305 (Surgical pathology, gross and microscopic examination)) accounts for 21% of total spending.

88305Top 5%

Surgical pathology, gross and microscopic examination

$1.9M

8,871 claims · 20.9%

Your Cost: $209.02/claim|Median: $35.80
5.8× median
99213Normal range

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

$1.7M

58K claims · 19.0%

Your Cost: $28.77/claim|Median: $37.81
0.8× median
88342Top 5%

$877K

7,446 claims · 9.9%

Your Cost: $117.82/claim|Median: $23.66
5.0× median
00731Top 10%

$871K

5,374 claims · 9.8%

Your Cost: $162.10/claim|Median: $64.75
2.5× median
99214Normal range

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

$757K

20K claims · 8.5%

Your Cost: $37.76/claim|Median: $53.41
0.7× median
43239Normal range

Upper GI endoscopy with biopsy

$665K

8,407 claims · 7.5%

Your Cost: $79.13/claim|Median: $151.68
0.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$567K

4,755 claims · 6.4%

Your Cost: $119.34/claim|Median: $121.58
1.0× median
00813Top 10%

$371K

2,236 claims · 4.2%

Your Cost: $165.70/claim|Median: $71.82
2.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$356K

4,283 claims · 4.0%

Your Cost: $83.02/claim|Median: $82.43
1.0× median
45380Normal range

Colonoscopy with biopsy

$263K

1,984 claims · 3.0%

Your Cost: $132.62/claim|Median: $200.68
0.7× median
88313Top 10%

$143K

1,901 claims · 1.6%

Your Cost: $75.28/claim|Median: $18.95
4.0× median
76700Normal range

Ultrasound, abdominal, complete

$133K

1,847 claims · 1.5%

Your Cost: $72.17/claim|Median: $50.69
1.4× median
43762Normal range

$124K

773 claims · 1.4%

Your Cost: $160.83/claim|Median: $99.73
1.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$55K

2,705 claims · 0.6%

Your Cost: $20.24/claim|Median: $23.99
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$32K

590 claims · 0.4%

Your Cost: $54.13/claim|Median: $67.32
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$31K

674 claims · 0.3%

Your Cost: $45.37/claim|Median: $51.25
0.9× median
17250Top 25%

$21K

330 claims · 0.2%

Your Cost: $62.36/claim|Median: $19.69
3.2× median
00811Top 25%

$18K

166 claims · 0.2%

Your Cost: $109.31/claim|Median: $56.15
1.9× median
99212Normal range

Office/outpatient visit, low complexity

$15K

629 claims · 0.2%

Your Cost: $23.74/claim|Median: $25.06
0.9× median
99204Normal range

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

$9K

188 claims · 0.1%

Your Cost: $48.12/claim|Median: $84.03
0.6× median
99203Normal range

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

$4K

436 claims · 0.1%

Your Cost: $10.26/claim|Median: $57.85
0.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$3K

64 claims · 0.0%

Your Cost: $54.25/claim|Median: $255.17
0.2× median
46600Normal range

$3K

57 claims · 0.0%

Your Cost: $55.73/claim|Median: $41.00
1.4× median
49905Normal range

$3K

20 claims · 0.0%

Your Cost: $141.39/claim|Median: $251.48
0.6× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$3K

44 claims · 0.0%

Your Cost: $60.65/claim|Median: $79.28
0.8× median
45378Normal range

Colonoscopy, diagnostic

$2K

18 claims · 0.0%

Your Cost: $111.82/claim|Median: $225.49
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$2K

26 claims · 0.0%

Your Cost: $62.53/claim|Median: $74.09
0.8× median
43235Normal range

Upper GI endoscopy, diagnostic, including collection

$1K

56 claims · 0.0%

Your Cost: $24.20/claim|Median: $114.30
0.2× median
76981Normal range

$1K

17 claims · 0.0%

Your Cost: $70.51/claim|Median: $42.75
1.6× median
99252Top 25%

$777

13 claims · 0.0%

Your Cost: $59.74/claim|Median: $38.63
1.5× median
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