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Provider 1912131392

NPI: 1912131392Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,163,644

Total Claims

401K

Beneficiaries

324K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$655K
+51%
2019
$986K
+41%
2020
$1.4M
+94%
2021
$2.7M
+50%
2022
$4.0M
+23%
2023
$5.0M
-31%
2024
$3.4M

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 12% of total spending.

99214Top 10%

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

$2.1M

19K claims · 11.5%

Your Cost: $112.03/claim|Median: $53.41
2.1× median
99213Top 10%

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

$1.9M

25K claims · 10.5%

Your Cost: $77.34/claim|Median: $37.81
2.0× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$1.4M

26K claims · 8.0%

Your Cost: $55.51/claim|Median: $23.99
2.3× median
99203Top 10%

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

$1.1M

11K claims · 6.2%

Your Cost: $103.64/claim|Median: $57.85
1.8× median
99204Top 10%

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

$1.1M

7,002 claims · 6.1%

Your Cost: $159.48/claim|Median: $84.03
1.9× median
59400Top 10%

Routine obstetric care, vaginal delivery, including postpartum

$1.0M

412 claims · 5.7%

Your Cost: $2,530.95/claim|Median: $1,482.45
1.7× median
31231Top 25%

Nasal endoscopy, diagnostic

$831K

4,327 claims · 4.6%

Your Cost: $191.94/claim|Median: $98.77
1.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$549K

13K claims · 3.0%

Your Cost: $43.03/claim|Median: $35.80
1.2× median
71045Normal range

Chest X-ray, single view

$500K

70K claims · 2.8%

Your Cost: $7.14/claim|Median: $4.93
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$460K

7,063 claims · 2.5%

Your Cost: $65.14/claim|Median: $54.68
1.2× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$410K

12K claims · 2.3%

Your Cost: $35.05/claim|Median: $16.77
2.1× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$387K

4,001 claims · 2.1%

Your Cost: $96.82/claim|Median: $35.30
2.7× median
70450Normal range

CT head/brain without contrast

$381K

14K claims · 2.1%

Your Cost: $26.44/claim|Median: $45.53
0.6× median
70553Normal range

MRI brain without contrast, then with contrast

$374K

3,539 claims · 2.1%

Your Cost: $105.79/claim|Median: $133.68
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$354K

2,570 claims · 1.9%

Your Cost: $137.65/claim|Median: $108.91
1.3× median
99291Top 25%

Critical care, first 30-74 minutes

$345K

1,840 claims · 1.9%

Your Cost: $187.49/claim|Median: $101.24
1.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$340K

49K claims · 1.9%

Your Cost: $6.96/claim|Median: $5.60
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$302K

7,089 claims · 1.7%

Your Cost: $42.61/claim|Median: $49.45
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$255K

4,472 claims · 1.4%

Your Cost: $57.09/claim|Median: $65.76
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$249K

4,898 claims · 1.4%

Your Cost: $50.85/claim|Median: $58.55
0.9× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$248K

2,824 claims · 1.4%

Your Cost: $87.84/claim|Median: $59.38
1.5× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$235K

2,011 claims · 1.3%

Your Cost: $116.63/claim|Median: $51.25
2.3× median
99215Top 10%

Office/outpatient visit, high complexity

$205K

1,220 claims · 1.1%

Your Cost: $168.26/claim|Median: $74.09
2.3× median
70551Normal range

MRI brain without contrast

$180K

3,144 claims · 1.0%

Your Cost: $57.32/claim|Median: $85.39
0.7× median
99223Top 10%

Initial hospital care, per day, high complexity

$174K

1,122 claims · 1.0%

Your Cost: $154.87/claim|Median: $67.32
2.3× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$162K

765 claims · 0.9%

Your Cost: $211.25/claim|Median: $111.09
1.9× median
76705Normal range

Ultrasound, abdominal, limited

$153K

8,719 claims · 0.8%

Your Cost: $17.50/claim|Median: $23.81
0.7× median
71046Normal range

Chest X-ray, 2 views

$151K

18K claims · 0.8%

Your Cost: $8.53/claim|Median: $8.92
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$147K

2,915 claims · 0.8%

Your Cost: $50.29/claim|Median: $25.06
2.0× median
69436Normal range

Tympanostomy, general anesthesia

$143K

635 claims · 0.8%

Your Cost: $225.12/claim|Median: $205.50
1.1× median
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