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Provider 1881647253

NPI: 1881647253Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.8M

$11,788,245

Total Claims

1.5M

Beneficiaries

828K

1.8 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$128K
+1132%
2019
$1.6M
-4%
2020
$1.5M
+42%
2021
$2.2M
+49%
2022
$3.2M
-37%
2023
$2.0M
-42%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 25% of total spending.

99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.0M

146K claims · 25.1%

Your Cost: $20.24/claim|Median: $23.99
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$1.9M

33K claims · 16.5%

Your Cost: $59.27/claim|Median: $67.32
0.9× median
99309Normal range

Nursing facility care, subsequent, low complexity

$1.7M

144K claims · 14.6%

Your Cost: $11.96/claim|Median: $14.00
0.9× median
99214Normal range

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

$1.3M

44K claims · 10.8%

Your Cost: $29.09/claim|Median: $53.41
0.5× median
99308Normal range

Nursing facility care, subsequent, straightforward

$941K

106K claims · 8.0%

Your Cost: $8.88/claim|Median: $9.79
0.9× median
99220Normal range

$477K

7,320 claims · 4.0%

Your Cost: $65.18/claim|Median: $73.56
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$399K

14K claims · 3.4%

Your Cost: $28.55/claim|Median: $43.85
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$391K

11K claims · 3.3%

Your Cost: $37.20/claim|Median: $35.30
1.1× median
99306Normal range

$239K

7,641 claims · 2.0%

Your Cost: $31.22/claim|Median: $29.97
1.0× median
99336Normal range

$205K

15K claims · 1.7%

Your Cost: $13.41/claim|Median: $20.35
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$121K

7,300 claims · 1.0%

Your Cost: $16.56/claim|Median: $37.22
0.4× median
99217Normal range

$115K

4,280 claims · 1.0%

Your Cost: $26.97/claim|Median: $31.89
0.8× median
99349Normal range

$113K

7,506 claims · 1.0%

Your Cost: $15.01/claim|Median: $24.29
0.6× median
99335Normal range

$111K

15K claims · 0.9%

Your Cost: $7.45/claim|Median: $14.90
0.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$106K

2,945 claims · 0.9%

Your Cost: $35.87/claim|Median: $51.25
0.7× median
99348Normal range

$102K

9,794 claims · 0.9%

Your Cost: $10.46/claim|Median: $17.17
0.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$93K

13K claims · 0.8%

Your Cost: $7.38/claim|Median: $16.77
0.4× median
99307Normal range

$79K

13K claims · 0.7%

Your Cost: $6.17/claim|Median: $6.57
0.9× median
99213Normal range

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

$62K

3,885 claims · 0.5%

Your Cost: $15.89/claim|Median: $37.81
0.4× median
99310Normal range

$60K

1,628 claims · 0.5%

Your Cost: $36.74/claim|Median: $21.82
1.7× median
99305Normal range

$48K

1,612 claims · 0.4%

Your Cost: $29.69/claim|Median: $19.28
1.5× median
99225Normal range

$33K

1,596 claims · 0.3%

Your Cost: $20.80/claim|Median: $20.96
1.0× median
99253Normal range

$26K

512 claims · 0.2%

Your Cost: $51.35/claim|Median: $55.16
0.9× median
99337Normal range

$24K

1,627 claims · 0.2%

Your Cost: $14.85/claim|Median: $29.39
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$18K

541 claims · 0.2%

Your Cost: $33.43/claim|Median: $76.06
0.4× median
99406Normal range

$16K

17K claims · 0.1%

Your Cost: $0.93/claim|Median: $6.53
0.1× median
99401Normal range

$15K

4,903 claims · 0.1%

Your Cost: $3.01/claim|Median: $16.53
0.2× median
90833Normal range

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

$14K

6,698 claims · 0.1%

Your Cost: $2.07/claim|Median: $38.83
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

661 claims · 0.1%

Your Cost: $20.80/claim|Median: $108.91
0.2× median
99350Normal range

$12K

1,028 claims · 0.1%

Your Cost: $12.03/claim|Median: $35.62
0.3× median
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