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Provider 1861592867

NPI: 1861592867Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,238,972

Total Claims

150K

Beneficiaries

144K

1.0 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+6%
2019
$1.7M
-21%
2020
$1.4M
+57%
2021
$2.2M
+13%
2022
$2.4M
-12%
2023
$2.1M
-16%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 25% of total spending.

99213Top 10%

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

$3.4M

42K claims · 25.4%

Your Cost: $80.79/claim|Median: $37.81
2.1× median
99203Top 10%

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

$1.7M

16K claims · 13.1%

Your Cost: $111.91/claim|Median: $57.85
1.9× median
31231Top 10%

Nasal endoscopy, diagnostic

$1.4M

7,226 claims · 10.8%

Your Cost: $197.12/claim|Median: $98.77
2.0× median
99243Top 5%

Office or other outpatient consultation, low complexity

$1.3M

8,757 claims · 10.1%

Your Cost: $152.85/claim|Median: $82.43
1.9× median
69436Normal range

Tympanostomy, general anesthesia

$1.3M

4,626 claims · 9.7%

Your Cost: $276.90/claim|Median: $205.50
1.3× median
99204Top 5%

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

$797K

4,028 claims · 6.0%

Your Cost: $197.95/claim|Median: $84.03
2.4× median
99214Top 5%

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

$771K

6,334 claims · 5.8%

Your Cost: $121.79/claim|Median: $53.41
2.3× median
99212Top 10%

Office/outpatient visit, low complexity

$490K

8,755 claims · 3.7%

Your Cost: $55.95/claim|Median: $25.06
2.2× median
31575Top 25%

$389K

3,072 claims · 2.9%

Your Cost: $126.55/claim|Median: $68.78
1.8× median
92504Top 25%

$304K

10K claims · 2.3%

Your Cost: $29.58/claim|Median: $16.07
1.8× median
69210Top 10%

$230K

5,163 claims · 1.7%

Your Cost: $44.63/claim|Median: $21.74
2.1× median
99242Top 10%

Office consultation, low complexity

$189K

1,719 claims · 1.4%

Your Cost: $110.03/claim|Median: $57.97
1.9× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$188K

563 claims · 1.4%

Your Cost: $333.54/claim|Median: $331.68
1.0× median
92567Top 25%

$133K

7,809 claims · 1.0%

Your Cost: $16.98/claim|Median: $11.50
1.5× median
92579Top 25%

$112K

2,086 claims · 0.8%

Your Cost: $53.61/claim|Median: $30.58
1.8× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$111K

1,419 claims · 0.8%

Your Cost: $78.07/claim|Median: $40.11
1.9× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$98K

2,650 claims · 0.7%

Your Cost: $36.87/claim|Median: $27.28
1.4× median
31579Top 25%

$63K

277 claims · 0.5%

Your Cost: $226.18/claim|Median: $120.24
1.9× median
31237Top 25%

$39K

121 claims · 0.3%

Your Cost: $322.41/claim|Median: $211.06
1.5× median
99244Top 5%

Office or other outpatient consultation, moderate complexity

$37K

167 claims · 0.3%

Your Cost: $224.53/claim|Median: $121.58
1.8× median
41115Top 25%

$36K

137 claims · 0.3%

Your Cost: $262.17/claim|Median: $128.76
2.0× median
42830Normal range

$34K

187 claims · 0.3%

Your Cost: $179.68/claim|Median: $341.04
0.5× median
92587Normal range

$20K

831 claims · 0.2%

Your Cost: $24.03/claim|Median: $19.24
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$15K

566 claims · 0.1%

Your Cost: $26.73/claim|Median: $12.93
2.1× median
95117Top 10%

$13K

873 claims · 0.1%

Your Cost: $15.16/claim|Median: $8.34
1.8× median
69610Normal range

$10K

26 claims · 0.1%

Your Cost: $400.57/claim|Median: $461.79
0.9× median
92524Top 5%

Behavioral/qualitative analysis of voice

$9K

82 claims · 0.1%

Your Cost: $108.07/claim|Median: $29.36
3.7× median
95004Top 25%

Percutaneous allergy skin tests, each

$3K

12 claims · 0.0%

Your Cost: $261.83/claim|Median: $134.97
1.9× median
92556Top 25%

$2K

51 claims · 0.0%

Your Cost: $45.17/claim|Median: $24.07
1.9× median
92593Top 25%

$2K

48 claims · 0.0%

Your Cost: $41.33/claim|Median: $24.63
1.7× median
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