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Provider 1831236272

NPI: 1831236272Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,334,319

Total Claims

615K

Beneficiaries

506K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$754K
+120%
2019
$1.7M
-10%
2020
$1.5M
+97%
2021
$2.9M
-0%
2022
$2.9M
+10%
2023
$3.2M
-26%
2024
$2.4M

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 43% of total spending.

99214Normal range

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

$6.5M

125K claims · 42.6%

Your Cost: $52.24/claim|Median: $53.41
1.0× median
99213Normal range

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

$4.6M

116K claims · 30.2%

Your Cost: $40.00/claim|Median: $37.81
1.1× median
99203Normal range

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

$375K

6,611 claims · 2.4%

Your Cost: $56.73/claim|Median: $57.85
1.0× median
80050Normal range

General health panel

$286K

9,256 claims · 1.9%

Your Cost: $30.91/claim|Median: $25.59
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$242K

3,456 claims · 1.6%

Your Cost: $70.07/claim|Median: $122.30
0.6× median
99204Normal range

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

$234K

3,462 claims · 1.5%

Your Cost: $67.73/claim|Median: $84.03
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$163K

7,827 claims · 1.1%

Your Cost: $20.82/claim|Median: $23.99
0.9× median
59425Normal range

Antepartum care only, 4-6 visits

$149K

2,317 claims · 1.0%

Your Cost: $64.27/claim|Median: $63.63
1.0× median
J0178Normal range

Injection, aflibercept, 1 mg

$148K

225 claims · 1.0%

Your Cost: $657.16/claim|Median: $730.09
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$123K

4,354 claims · 0.8%

Your Cost: $28.18/claim|Median: $47.08
0.6× median
80061Normal range

Lipid panel

$121K

17K claims · 0.8%

Your Cost: $7.06/claim|Median: $8.41
0.8× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$121K

6,411 claims · 0.8%

Your Cost: $18.86/claim|Median: $12.06
1.6× median
99308Normal range

Nursing facility care, subsequent, straightforward

$110K

18K claims · 0.7%

Your Cost: $5.99/claim|Median: $9.79
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$108K

42K claims · 0.7%

Your Cost: $2.55/claim|Median: $1.57
1.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$94K

1,321 claims · 0.6%

Your Cost: $71.00/claim|Median: $63.08
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$88K

1,429 claims · 0.6%

Your Cost: $61.84/claim|Median: $74.09
0.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$76K

15K claims · 0.5%

Your Cost: $5.16/claim|Median: $5.50
0.9× median
80053Normal range

Comprehensive metabolic panel

$75K

15K claims · 0.5%

Your Cost: $4.86/claim|Median: $7.24
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$75K

1,849 claims · 0.5%

Your Cost: $40.31/claim|Median: $36.13
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$74K

2,209 claims · 0.5%

Your Cost: $33.41/claim|Median: $35.43
0.9× median
82306Normal range

Vitamin D, 25 hydroxy

$70K

5,680 claims · 0.5%

Your Cost: $12.33/claim|Median: $18.18
0.7× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$70K

470 claims · 0.5%

Your Cost: $148.21/claim|Median: $268.70
0.6× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$66K

2,095 claims · 0.4%

Your Cost: $31.32/claim|Median: $58.82
0.5× median
90960Normal range

End-stage renal disease services, per month, age 20+

$63K

1,441 claims · 0.4%

Your Cost: $43.91/claim|Median: $52.76
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$60K

19K claims · 0.4%

Your Cost: $3.19/claim|Median: $4.71
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$58K

5,830 claims · 0.4%

Your Cost: $9.89/claim|Median: $14.00
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$58K

1,917 claims · 0.4%

Your Cost: $30.03/claim|Median: $40.11
0.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$55K

1,374 claims · 0.4%

Your Cost: $40.29/claim|Median: $75.28
0.5× median
59430Normal range

$52K

559 claims · 0.3%

Your Cost: $92.30/claim|Median: $80.32
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$50K

6,747 claims · 0.3%

Your Cost: $7.39/claim|Median: $9.87
0.7× median
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