Provider 1861743601
NPI: 1861743601Share
Active Billing Period:2018-01→2024-12(82 months)
Total Paid
$9.4M
$9,351,913
Total Claims
24K
Beneficiaries
23K
1.0 claims/patient
Avg Cost/Claim
$396
Monthly Spending Trend
Yearly Spending
2018
$348K
+70%
2019
$592K
+74%
2020
$1.0M
+75%
2021
$1.8M
+1%
2022
$1.8M
+8%
2023
$2.0M
-9%
2024
$1.8M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 10 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 52% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
43239Top 25%
Upper GI endoscopy with biopsy
$4.9M
12K claims · 52.1%
Your Cost: $403.10/claim|Median: $151.68
2.7× median45380Top 25%
Colonoscopy with biopsy
$2.2M
5,484 claims · 23.5%
Your Cost: $400.03/claim|Median: $200.68
2.0× median$1.3M
2,609 claims
$479.89
$255.17
1.9×
Top 25%
45385Top 25%
Colonoscopy with polyp removal, snare technique
$1.3M
2,609 claims · 13.4%
Your Cost: $479.89/claim|Median: $255.17
1.9× median45378Top 25%
Colonoscopy, diagnostic
$818K
1,498 claims · 8.7%
Your Cost: $545.88/claim|Median: $225.49
2.4× median43251Normal range
$148K
341 claims · 1.6%
Your Cost: $434.78/claim|Median: $170.26
2.6× median00731Top 25%
$51K
481 claims · 0.5%
Your Cost: $106.21/claim|Median: $64.75
1.6× median00811Top 25%
$20K
237 claims · 0.2%
Your Cost: $86.38/claim|Median: $56.15
1.5× medianG8907Normal range
$0
392 claims · 0.0%
Your Cost: $0.00/claim|Median: $0.38
$0
79 claims
$0.00
$37.81
—
Normal range
99213Normal range
Office/outpatient visit, est. patient, low-mod complexity
$0
79 claims · 0.0%
Your Cost: $0.00/claim|Median: $37.81
G8918Normal range
$0
390 claims · 0.0%
Your Cost: $0.00/claim|Median: $1.03