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Provider 1891912432

NPI: 1891912432Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,205,954

Total Claims

352K

Beneficiaries

166K

2.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+87%
2019
$2.1M
-10%
2020
$1.9M
+19%
2021
$2.3M
-1%
2022
$2.2M
-29%
2023
$1.6M
-37%
2024
$1.0M

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 28% of total spending.

99214Top 25%

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

$3.5M

40K claims · 28.3%

Your Cost: $87.05/claim|Median: $53.41
1.6× median
97110Normal range

Therapeutic exercises, each 15 min

$1.9M

94K claims · 15.3%

Your Cost: $19.87/claim|Median: $24.49
0.8× median
99204Normal range

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

$1.6M

14K claims · 13.2%

Your Cost: $111.12/claim|Median: $84.03
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$933K

63K claims · 7.6%

Your Cost: $14.71/claim|Median: $16.79
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$718K

7,632 claims · 5.9%

Your Cost: $94.06/claim|Median: $74.09
1.3× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$416K

6,320 claims · 3.4%

Your Cost: $65.81/claim|Median: $29.03
2.3× median
97010Normal range

Hot/cold packs application

$351K

32K claims · 2.9%

Your Cost: $11.12/claim|Median: $4.47
2.5× median
J0702Top 1%

$336K

6,215 claims · 2.8%

Your Cost: $54.07/claim|Median: $7.64
7.1× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$300K

28K claims · 2.5%

Your Cost: $10.67/claim|Median: $20.04
0.5× median
A4461Normal range

$198K

8,659 claims · 1.6%

Your Cost: $22.84/claim|Median: $22.84
1.0× median
99203Top 25%

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

$181K

2,173 claims · 1.5%

Your Cost: $83.45/claim|Median: $57.85
1.4× median
95886Normal range

$156K

2,078 claims · 1.3%

Your Cost: $75.16/claim|Median: $67.70
1.1× median
99223Top 10%

Initial hospital care, per day, high complexity

$154K

1,110 claims · 1.3%

Your Cost: $139.12/claim|Median: $67.32
2.1× median
99213Top 25%

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

$130K

1,878 claims · 1.1%

Your Cost: $69.34/claim|Median: $37.81
1.8× median
73130Top 25%

$116K

4,265 claims · 0.9%

Your Cost: $27.11/claim|Median: $10.69
2.5× median
97166Normal range

OT evaluation, moderate complexity

$96K

2,526 claims · 0.8%

Your Cost: $37.94/claim|Median: $48.74
0.8× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$85K

2,956 claims · 0.7%

Your Cost: $28.84/claim|Median: $12.64
2.3× median
97163Normal range

PT evaluation, high complexity

$85K

2,196 claims · 0.7%

Your Cost: $38.71/claim|Median: $50.34
0.8× median
29125Top 25%

$75K

929 claims · 0.6%

Your Cost: $80.80/claim|Median: $28.04
2.9× median
01810Normal range

$74K

1,510 claims · 0.6%

Your Cost: $49.25/claim|Median: $54.69
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$63K

510 claims · 0.5%

Your Cost: $124.00/claim|Median: $111.09
1.1× median
97035Top 25%

Ultrasound therapy

$59K

2,831 claims · 0.5%

Your Cost: $20.82/claim|Median: $7.31
2.8× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$58K

1,050 claims · 0.5%

Your Cost: $55.35/claim|Median: $23.99
2.3× median
97014Normal range

Electrical stimulation, unattended

$56K

5,027 claims · 0.5%

Your Cost: $11.20/claim|Median: $8.83
1.3× median
99152Top 5%

$51K

1,004 claims · 0.4%

Your Cost: $50.40/claim|Median: $7.34
6.9× median
J2001Top 5%

Injection, lidocaine HCl for IV infusion

$48K

2,671 claims · 0.4%

Your Cost: $18.14/claim|Median: $0.22
82.4× median
73560Top 25%

$42K

1,422 claims · 0.3%

Your Cost: $29.75/claim|Median: $10.28
2.9× median
73030Top 25%

$40K

1,624 claims · 0.3%

Your Cost: $24.89/claim|Median: $10.94
2.3× median
73564Top 25%

$39K

1,449 claims · 0.3%

Your Cost: $26.68/claim|Median: $15.00
1.8× median
76000Top 25%

$38K

580 claims · 0.3%

Your Cost: $65.17/claim|Median: $17.70
3.7× median
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