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Provider 1871633099

NPI: 1871633099Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,733,295

Total Claims

108K

Beneficiaries

103K

1.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$852K
-2%
2019
$835K
+18%
2020
$982K
+15%
2021
$1.1M
+5%
2022
$1.2M
+27%
2023
$1.5M
-18%
2024
$1.2M

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 22% of total spending.

99214Normal range

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

$1.7M

44K claims · 21.9%

Your Cost: $38.20/claim|Median: $53.41
0.7× median
45378Normal range

Colonoscopy, diagnostic

$1.4M

4,699 claims · 18.0%

Your Cost: $296.10/claim|Median: $225.49
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$1.2M

5,526 claims · 16.0%

Your Cost: $224.48/claim|Median: $151.68
1.5× median
99204Normal range

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

$689K

9,619 claims · 8.9%

Your Cost: $71.62/claim|Median: $84.03
0.9× median
G0500Top 10%

$644K

13K claims · 8.3%

Your Cost: $51.14/claim|Median: $5.04
10.1× median
99215Normal range

Office/outpatient visit, high complexity

$460K

7,192 claims · 5.9%

Your Cost: $63.95/claim|Median: $74.09
0.9× median
43235Normal range

Upper GI endoscopy, diagnostic, including collection

$401K

2,071 claims · 5.2%

Your Cost: $193.72/claim|Median: $114.30
1.7× median
45380Normal range

Colonoscopy with biopsy

$284K

921 claims · 3.7%

Your Cost: $308.22/claim|Median: $200.68
1.5× median
99213Normal range

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

$247K

9,311 claims · 3.2%

Your Cost: $26.50/claim|Median: $37.81
0.7× median
99203Normal range

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

$182K

3,107 claims · 2.4%

Your Cost: $58.57/claim|Median: $57.85
1.0× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$114K

313 claims · 1.5%

Your Cost: $364.56/claim|Median: $255.17
1.4× median
99152Top 10%

$98K

2,613 claims · 1.3%

Your Cost: $37.64/claim|Median: $7.34
5.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$87K

1,030 claims · 1.1%

Your Cost: $84.81/claim|Median: $111.09
0.8× median
91200Normal range

$59K

1,973 claims · 0.8%

Your Cost: $29.91/claim|Median: $17.80
1.7× median
76981Top 25%

$38K

460 claims · 0.5%

Your Cost: $83.23/claim|Median: $42.75
1.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$37K

859 claims · 0.5%

Your Cost: $43.43/claim|Median: $35.30
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$15K

238 claims · 0.2%

Your Cost: $63.19/claim|Median: $67.32
0.9× median
96369Top 25%

$13K

106 claims · 0.2%

Your Cost: $124.09/claim|Median: $70.59
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$12K

617 claims · 0.2%

Your Cost: $18.98/claim|Median: $25.06
0.8× median
99242Normal range

Office consultation, low complexity

$8K

145 claims · 0.1%

Your Cost: $53.33/claim|Median: $57.97
0.9× median
76705Normal range

Ultrasound, abdominal, limited

$5K

111 claims · 0.1%

Your Cost: $44.13/claim|Median: $23.81
1.9× median
37191Top 1%

$4K

37 claims · 0.0%

Your Cost: $98.95/claim|Median: $98.95
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

182 claims · 0.0%

Your Cost: $13.33/claim|Median: $12.93
1.0× median
47000Normal range

$2K

12 claims · 0.0%

Your Cost: $178.18/claim|Median: $183.17
1.0× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1K

21 claims · 0.0%

Your Cost: $60.91/claim|Median: $54.77
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1K

16 claims · 0.0%

Your Cost: $79.78/claim|Median: $121.58
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$779

14 claims · 0.0%

Your Cost: $55.66/claim|Median: $51.25
1.1× median
J7050Top 10%

Normal saline solution infusion, 250 cc

$641

26 claims · 0.0%

Your Cost: $24.64/claim|Median: $0.82
30.0× median
92100Normal range

$430

18 claims · 0.0%

Your Cost: $23.90/claim|Median: $30.29
0.8× median
76942Normal range

$388

14 claims · 0.0%

Your Cost: $27.69/claim|Median: $24.73
1.1× median
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