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Provider 1881023927

NPI: 1881023927Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$17.9M

$17,936,543

Total Claims

249K

Beneficiaries

219K

1.1 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+88%
2019
$1.9M
-14%
2020
$1.6M
+33%
2021
$2.2M
+34%
2022
$2.9M
+47%
2023
$4.3M
-3%
2024
$4.1M

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 31% of total spending.

99213Top 25%

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

$5.5M

100K claims · 30.7%

Your Cost: $54.95/claim|Median: $37.81
1.5× median
99203Top 25%

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

$4.4M

55K claims · 24.5%

Your Cost: $80.36/claim|Median: $57.85
1.4× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$2.2M

23K claims · 12.5%

Your Cost: $97.60/claim|Median: $59.25
1.6× median
77280Normal range

$1.3M

9,595 claims · 7.4%

Your Cost: $137.72/claim|Median: $65.84
2.1× median
11102Top 25%

$1.3M

16K claims · 7.3%

Your Cost: $82.21/claim|Median: $48.69
1.7× median
77600Top 1%

$569K

2,176 claims · 3.2%

Your Cost: $261.38/claim|Median: $47.41
5.5× median
G6001Top 25%

$351K

5,829 claims · 2.0%

Your Cost: $60.29/claim|Median: $31.80
1.9× median
99214Top 25%

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

$305K

3,781 claims · 1.7%

Your Cost: $80.75/claim|Median: $53.41
1.5× median
11200Top 25%

$211K

3,793 claims · 1.2%

Your Cost: $55.58/claim|Median: $36.51
1.5× median
11900Normal range

$208K

5,480 claims · 1.2%

Your Cost: $37.88/claim|Median: $31.25
1.2× median
77401Top 10%

$190K

7,840 claims · 1.1%

Your Cost: $24.27/claim|Median: $13.00
1.9× median
11103Top 25%

$187K

3,115 claims · 1.0%

Your Cost: $59.92/claim|Median: $37.08
1.6× median
17000Top 25%

$172K

3,834 claims · 1.0%

Your Cost: $44.92/claim|Median: $21.35
2.1× median
11100Top 25%

$155K

1,841 claims · 0.9%

Your Cost: $84.27/claim|Median: $44.58
1.9× median
99204Top 25%

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

$122K

1,068 claims · 0.7%

Your Cost: $114.42/claim|Median: $84.03
1.4× median
12032Top 25%

$121K

678 claims · 0.7%

Your Cost: $177.75/claim|Median: $109.53
1.6× median
17311Top 25%

$116K

279 claims · 0.6%

Your Cost: $416.76/claim|Median: $194.01
2.1× median
17313Normal range

$110K

276 claims · 0.6%

Your Cost: $397.93/claim|Median: $313.94
1.3× median
11104Normal range

$58K

554 claims · 0.3%

Your Cost: $103.91/claim|Median: $76.74
1.4× median
77290Normal range

$39K

172 claims · 0.2%

Your Cost: $227.91/claim|Median: $128.59
1.8× median
17003Top 25%

$38K

2,430 claims · 0.2%

Your Cost: $15.59/claim|Median: $8.67
1.8× median
17312Top 25%

$37K

82 claims · 0.2%

Your Cost: $448.50/claim|Median: $197.44
2.3× median
17314Top 1%

$28K

59 claims · 0.2%

Your Cost: $476.40/claim|Median: $391.62
1.2× median
12031Top 25%

$28K

149 claims · 0.2%

Your Cost: $186.91/claim|Median: $141.97
1.3× median
77300Normal range

$21K

461 claims · 0.1%

Your Cost: $45.13/claim|Median: $87.77
0.5× median
11901Normal range

$15K

308 claims · 0.1%

Your Cost: $48.65/claim|Median: $36.91
1.3× median
77261Top 1%

$11K

238 claims · 0.1%

Your Cost: $45.52/claim|Median: $33.51
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$11K

209 claims · 0.1%

Your Cost: $51.20/claim|Median: $40.11
1.3× median
77427Normal range

$7K

164 claims · 0.0%

Your Cost: $44.67/claim|Median: $83.73
0.5× median
77332Normal range

$7K

273 claims · 0.0%

Your Cost: $26.61/claim|Median: $54.55
0.5× median