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Provider 1861442824

NPI: 1861442824Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.9M

$12,914,193

Total Claims

250K

Beneficiaries

114K

2.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-32%
2019
$2.7M
-14%
2020
$2.4M
-28%
2021
$1.7M
-31%
2022
$1.2M
-37%
2023
$731K
-67%
2024
$245K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 28% of total spending.

99232Top 25%

Subsequent hospital care, per day, moderate complexity

$3.6M

96K claims · 27.9%

Your Cost: $37.71/claim|Median: $23.99
1.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.3M

61K claims · 25.2%

Your Cost: $53.43/claim|Median: $35.30
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$2.0M

20K claims · 15.7%

Your Cost: $101.48/claim|Median: $67.32
1.5× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1.1M

17K claims · 8.5%

Your Cost: $62.71/claim|Median: $43.85
1.4× median
99255Normal range

$576K

5,684 claims · 4.5%

Your Cost: $101.35/claim|Median: $90.45
1.1× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$450K

12K claims · 3.5%

Your Cost: $38.21/claim|Median: $14.00
2.7× median
99254Normal range

$415K

5,225 claims · 3.2%

Your Cost: $79.34/claim|Median: $81.43
1.0× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$366K

13K claims · 2.8%

Your Cost: $27.20/claim|Median: $9.79
2.8× median
99220Normal range

$281K

2,909 claims · 2.2%

Your Cost: $96.43/claim|Median: $73.56
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$192K

2,931 claims · 1.5%

Your Cost: $65.52/claim|Median: $51.25
1.3× median
99236Normal range

Observation care same day admit and discharge

$187K

1,619 claims · 1.4%

Your Cost: $115.24/claim|Median: $128.23
0.9× median
99217Normal range

$105K

2,759 claims · 0.8%

Your Cost: $38.08/claim|Median: $31.89
1.2× median
99306Top 10%

$82K

920 claims · 0.6%

Your Cost: $88.64/claim|Median: $29.97
3.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$61K

1,678 claims · 0.5%

Your Cost: $36.65/claim|Median: $37.22
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$40K

1,841 claims · 0.3%

Your Cost: $21.86/claim|Median: $16.77
1.3× median
99310Top 25%

$29K

555 claims · 0.2%

Your Cost: $52.04/claim|Median: $21.82
2.4× median
99219Normal range

$28K

402 claims · 0.2%

Your Cost: $69.68/claim|Median: $63.35
1.1× median
99305Top 25%

$21K

410 claims · 0.2%

Your Cost: $50.36/claim|Median: $19.28
2.6× median
99316Normal range

$16K

400 claims · 0.1%

Your Cost: $40.84/claim|Median: $25.78
1.6× median
99235Normal range

$16K

186 claims · 0.1%

Your Cost: $87.69/claim|Median: $110.13
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$14K

162 claims · 0.1%

Your Cost: $84.74/claim|Median: $121.58
0.7× median
99243Normal range

Office or other outpatient consultation, low complexity

$13K

247 claims · 0.1%

Your Cost: $53.66/claim|Median: $82.43
0.7× median
99225Normal range

$7K

743 claims · 0.1%

Your Cost: $9.52/claim|Median: $20.96
0.5× median
99226Normal range

$5K

470 claims · 0.0%

Your Cost: $11.56/claim|Median: $34.09
0.3× median
99307Top 25%

$5K

314 claims · 0.0%

Your Cost: $16.06/claim|Median: $6.57
2.4× median
99335Top 25%

$5K

153 claims · 0.0%

Your Cost: $32.83/claim|Median: $14.90
2.2× median
99318Top 25%

$4K

100 claims · 0.0%

Your Cost: $39.19/claim|Median: $15.64
2.5× median
99336Top 25%

$3K

59 claims · 0.0%

Your Cost: $57.65/claim|Median: $20.35
2.8× median
99253Normal range

$3K

61 claims · 0.0%

Your Cost: $43.31/claim|Median: $55.16
0.8× median
99497Top 25%

$2K

60 claims · 0.0%

Your Cost: $34.56/claim|Median: $10.99
3.1× median
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