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Provider 1881642239

NPI: 1881642239Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,897,187

Total Claims

326K

Beneficiaries

302K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$89K
+485%
2019
$520K
+64%
2020
$852K
+38%
2021
$1.2M
+8%
2022
$1.3M
+121%
2023
$2.8M
+49%
2024
$4.2M

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

$2.4M

52K claims · 21.6%

Your Cost: $45.68/claim|Median: $53.41
0.9× median
99213Normal range

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

$1.5M

40K claims · 13.5%

Your Cost: $36.46/claim|Median: $37.81
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$578K

19K claims · 5.3%

Your Cost: $29.78/claim|Median: $35.80
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$482K

11K claims · 4.4%

Your Cost: $44.33/claim|Median: $47.08
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$455K

11K claims · 4.2%

Your Cost: $40.06/claim|Median: $35.30
1.1× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$425K

6,703 claims · 3.9%

Your Cost: $63.44/claim|Median: $59.72
1.1× median
99204Normal range

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

$253K

3,237 claims · 2.3%

Your Cost: $78.16/claim|Median: $84.03
0.9× median
99203Normal range

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

$240K

3,509 claims · 2.2%

Your Cost: $68.48/claim|Median: $57.85
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$229K

8,399 claims · 2.1%

Your Cost: $27.31/claim|Median: $54.68
0.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$199K

2,172 claims · 1.8%

Your Cost: $91.84/claim|Median: $39.33
2.3× median
99223Normal range

Initial hospital care, per day, high complexity

$193K

2,581 claims · 1.8%

Your Cost: $74.79/claim|Median: $67.32
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$180K

2,635 claims · 1.7%

Your Cost: $68.43/claim|Median: $74.09
0.9× median
92015Normal range

Determination of refractive state

$174K

16K claims · 1.6%

Your Cost: $11.07/claim|Median: $10.36
1.1× median
T1002Normal range

RN services, per 15 minutes

$173K

4,350 claims · 1.6%

Your Cost: $39.88/claim|Median: $37.42
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$169K

44K claims · 1.5%

Your Cost: $3.81/claim|Median: $5.60
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$163K

2,353 claims · 1.5%

Your Cost: $69.39/claim|Median: $63.65
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$162K

6,613 claims · 1.5%

Your Cost: $24.48/claim|Median: $19.46
1.3× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$155K

1,829 claims · 1.4%

Your Cost: $84.88/claim|Median: $62.48
1.4× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$138K

3,014 claims · 1.3%

Your Cost: $45.65/claim|Median: $38.83
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$137K

4,879 claims · 1.3%

Your Cost: $28.13/claim|Median: $23.99
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$137K

1,671 claims · 1.3%

Your Cost: $81.88/claim|Median: $75.18
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$131K

2,502 claims · 1.2%

Your Cost: $52.49/claim|Median: $37.22
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$127K

1,390 claims · 1.2%

Your Cost: $91.46/claim|Median: $101.24
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$111K

1,482 claims · 1.0%

Your Cost: $74.91/claim|Median: $69.35
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$110K

2,552 claims · 1.0%

Your Cost: $43.18/claim|Median: $41.28
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$105K

1,324 claims · 1.0%

Your Cost: $79.03/claim|Median: $74.82
1.1× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$99K

3,049 claims · 0.9%

Your Cost: $32.62/claim|Median: $58.82
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$74K

832 claims · 0.7%

Your Cost: $88.53/claim|Median: $80.15
1.1× median
64615Normal range

$73K

1,204 claims · 0.7%

Your Cost: $61.00/claim|Median: $82.82
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$73K

462 claims · 0.7%

Your Cost: $158.40/claim|Median: $233.73
0.7× median
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