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Provider 1891797148

NPI: 1891797148Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,083,602

Total Claims

365K

Beneficiaries

270K

1.4 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-18%
2019
$2.1M
+13%
2020
$2.3M
+32%
2021
$3.1M
+1%
2022
$3.1M
-9%
2023
$2.9M
-30%
2024
$2.0M

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 23% of total spending.

99214Normal range

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

$4.1M

66K claims · 22.7%

Your Cost: $62.38/claim|Median: $53.41
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.5M

58K claims · 13.8%

Your Cost: $42.68/claim|Median: $35.30
1.2× median
99213Normal range

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

$1.8M

41K claims · 10.2%

Your Cost: $45.41/claim|Median: $37.81
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$1.6M

22K claims · 8.9%

Your Cost: $72.61/claim|Median: $74.09
1.0× median
99204Normal range

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

$1.4M

15K claims · 7.8%

Your Cost: $91.69/claim|Median: $84.03
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.4M

34K claims · 7.7%

Your Cost: $40.77/claim|Median: $35.80
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$853K

24K claims · 4.7%

Your Cost: $35.62/claim|Median: $23.99
1.5× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$723K

11K claims · 4.0%

Your Cost: $64.82/claim|Median: $59.38
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$557K

8,495 claims · 3.1%

Your Cost: $65.54/claim|Median: $67.32
1.0× median
99203Normal range

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

$433K

8,036 claims · 2.4%

Your Cost: $53.85/claim|Median: $57.85
0.9× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$339K

10K claims · 1.9%

Your Cost: $33.87/claim|Median: $29.03
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$239K

3,978 claims · 1.3%

Your Cost: $60.06/claim|Median: $43.85
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$227K

3,585 claims · 1.3%

Your Cost: $63.34/claim|Median: $101.24
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$167K

1,852 claims · 0.9%

Your Cost: $90.28/claim|Median: $111.09
0.8× median
95720Normal range

$145K

1,265 claims · 0.8%

Your Cost: $114.78/claim|Median: $120.95
0.9× median
99220Top 25%

$119K

1,222 claims · 0.7%

Your Cost: $97.62/claim|Median: $73.56
1.3× median
88341Normal range

$115K

2,476 claims · 0.6%

Your Cost: $46.54/claim|Median: $45.31
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$99K

2,365 claims · 0.5%

Your Cost: $41.89/claim|Median: $51.25
0.8× median
88342Normal range

$89K

4,618 claims · 0.5%

Your Cost: $19.32/claim|Median: $23.66
0.8× median
85060Top 25%

$84K

5,866 claims · 0.5%

Your Cost: $14.29/claim|Median: $10.92
1.3× median
88312Normal range

$82K

4,149 claims · 0.5%

Your Cost: $19.77/claim|Median: $24.56
0.8× median
99225Top 25%

$63K

1,253 claims · 0.3%

Your Cost: $50.12/claim|Median: $20.96
2.4× median
99217Top 25%

$61K

1,356 claims · 0.3%

Your Cost: $44.86/claim|Median: $31.89
1.4× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$55K

213 claims · 0.3%

Your Cost: $258.09/claim|Median: $293.45
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$54K

674 claims · 0.3%

Your Cost: $80.27/claim|Median: $69.35
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$52K

731 claims · 0.3%

Your Cost: $71.47/claim|Median: $62.48
1.1× median
99219Top 25%

$48K

490 claims · 0.3%

Your Cost: $97.20/claim|Median: $63.35
1.5× median
95816Normal range

$47K

1,644 claims · 0.3%

Your Cost: $28.45/claim|Median: $56.87
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$36K

733 claims · 0.2%

Your Cost: $48.75/claim|Median: $37.22
1.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$33K

1,519 claims · 0.2%

Your Cost: $21.99/claim|Median: $16.77
1.3× median
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