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Provider 1912264862

NPI: 1912264862Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.3M

$13,323,444

Total Claims

281K

Beneficiaries

261K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$911K
+2%
2019
$930K
+109%
2020
$1.9M
+48%
2021
$2.9M
-12%
2022
$2.5M
-10%
2023
$2.3M
-17%
2024
$1.9M

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.

99214Normal range

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

$3.7M

89K claims · 27.5%

Your Cost: $41.06/claim|Median: $53.41
0.8× median
99213Normal range

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

$1.2M

38K claims · 8.7%

Your Cost: $30.21/claim|Median: $37.81
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$993K

8,586 claims · 7.5%

Your Cost: $115.65/claim|Median: $54.68
2.1× median
01967Top 25%

Anesthesia, neuraxial labor analgesia/delivery

$957K

1,737 claims · 7.2%

Your Cost: $550.91/claim|Median: $283.78
1.9× median
J0585Top 5%

Injection, onabotulinumtoxinA, 1 unit

$932K

506 claims · 7.0%

Your Cost: $1,841.62/claim|Median: $470.36
3.9× median
99215Normal range

Office/outpatient visit, high complexity

$756K

13K claims · 5.7%

Your Cost: $59.88/claim|Median: $74.09
0.8× median
99204Normal range

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

$638K

7,744 claims · 4.8%

Your Cost: $82.35/claim|Median: $84.03
1.0× median
99203Normal range

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

$404K

6,237 claims · 3.0%

Your Cost: $64.73/claim|Median: $57.85
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$331K

2,117 claims · 2.5%

Your Cost: $156.45/claim|Median: $151.68
1.0× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$261K

1,131 claims · 2.0%

Your Cost: $230.86/claim|Median: $106.14
2.2× median
01961Top 25%

$248K

1,038 claims · 1.9%

Your Cost: $239.23/claim|Median: $156.02
1.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$206K

1,830 claims · 1.5%

Your Cost: $112.51/claim|Median: $121.58
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$178K

4,994 claims · 1.3%

Your Cost: $35.60/claim|Median: $23.99
1.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$161K

1,928 claims · 1.2%

Your Cost: $83.67/claim|Median: $82.43
1.0× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$159K

1,064 claims · 1.2%

Your Cost: $149.27/claim|Median: $43.07
3.5× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$158K

8,227 claims · 1.2%

Your Cost: $19.26/claim|Median: $9.70
2.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$151K

2,869 claims · 1.1%

Your Cost: $52.53/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$127K

2,765 claims · 1.0%

Your Cost: $46.04/claim|Median: $75.18
0.6× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$112K

7,606 claims · 0.8%

Your Cost: $14.76/claim|Median: $9.80
1.5× median
J2785Top 25%

$99K

690 claims · 0.7%

Your Cost: $142.81/claim|Median: $61.83
2.3× median
99152Top 25%

$97K

3,983 claims · 0.7%

Your Cost: $24.35/claim|Median: $7.34
3.3× median
93015Top 25%

$93K

1,193 claims · 0.7%

Your Cost: $78.06/claim|Median: $41.12
1.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$92K

1,469 claims · 0.7%

Your Cost: $62.65/claim|Median: $51.25
1.2× median
37253Top 25%

$85K

603 claims · 0.6%

Your Cost: $141.06/claim|Median: $49.64
2.8× median
37238Normal range

$82K

402 claims · 0.6%

Your Cost: $204.08/claim|Median: $912.05
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$81K

814 claims · 0.6%

Your Cost: $99.53/claim|Median: $111.09
0.9× median
37252Normal range

$76K

677 claims · 0.6%

Your Cost: $112.46/claim|Median: $175.56
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$75K

929 claims · 0.6%

Your Cost: $81.20/claim|Median: $63.63
1.3× median
93454Normal range

$71K

490 claims · 0.5%

Your Cost: $143.89/claim|Median: $141.82
1.0× median
93224Normal range

ECG monitoring, continuous, up to forty-eight hours, with analysis

$59K

768 claims · 0.4%

Your Cost: $77.38/claim|Median: $67.14
1.2× median
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