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Provider 1881109452

NPI: 1881109452Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$16.6M

$16,638,836

Total Claims

597K

Beneficiaries

313K

1.9 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+21%
2019
$2.4M
-11%
2020
$2.2M
+23%
2021
$2.7M
-7%
2022
$2.5M
+1%
2023
$2.5M
-5%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 77% of total spending.

99309Top 25%

Nursing facility care, subsequent, low complexity

$12.7M

446K claims · 76.6%

Your Cost: $28.55/claim|Median: $14.00
2.0× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$1.7M

81K claims · 10.0%

Your Cost: $20.42/claim|Median: $9.79
2.1× median
99310Top 25%

$1.0M

25K claims · 6.3%

Your Cost: $42.35/claim|Median: $21.82
1.9× median
99306Normal range

$535K

12K claims · 3.2%

Your Cost: $44.02/claim|Median: $29.97
1.5× median
99305Normal range

$255K

9,199 claims · 1.5%

Your Cost: $27.71/claim|Median: $19.28
1.4× median
99316Normal range

$183K

6,229 claims · 1.1%

Your Cost: $29.38/claim|Median: $25.78
1.1× median
99497Normal range

$118K

7,570 claims · 0.7%

Your Cost: $15.61/claim|Median: $10.99
1.4× median
99356Normal range

$47K

2,677 claims · 0.3%

Your Cost: $17.63/claim|Median: $22.76
0.8× median
99358Normal range

$25K

2,314 claims · 0.2%

Your Cost: $10.84/claim|Median: $14.34
0.8× median
99307Normal range

$21K

3,251 claims · 0.1%

Your Cost: $6.46/claim|Median: $6.57
1.0× median
99315Top 10%

$5K

114 claims · 0.0%

Your Cost: $40.36/claim|Median: $14.17
2.8× median
99304Top 25%

$3K

86 claims · 0.0%

Your Cost: $38.04/claim|Median: $13.51
2.8× median
99318Normal range

$3K

128 claims · 0.0%

Your Cost: $22.14/claim|Median: $15.64
1.4× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$506

19 claims · 0.0%

Your Cost: $26.62/claim|Median: $36.13
0.7× median
G0317Normal range

$83

28 claims · 0.0%

Your Cost: $2.97/claim|Median: $3.67
0.8× median
99423Normal range

Online digital E/M, 21+ min

$0

89 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.12
G0438Normal range

Annual wellness visit, first visit

$0

143 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.28
G0439Normal range

Annual wellness visit, subsequent visit

-$1K

580 claims · -0.0%

Your Cost: $-1.85/claim|Median: $5.42
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