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Provider 1912270257

NPI: 1912270257Share
Active Billing Period:2018-01→2023-12(71 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$17.4M

$17,426,894

Total Claims

35K

Beneficiaries

34K

1.0 claims/patient

Avg Cost/Claim

$493

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+44%
2019
$1.9M
+30%
2020
$2.5M
+42%
2021
$3.6M
+7%
2022
$3.8M
+9%
2023
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (99344) accounts for 66% of total spending.

99344Top 1%

$11.5M

13K claims · 66.0%

Your Cost: $870.20/claim|Median: $50.43
17.3× median
99341Top 5%

$4.3M

11K claims · 24.7%

Your Cost: $379.69/claim|Median: $20.60
18.4× median
G9002Top 10%

Coordinated care fee, maintenance period

$1.1M

4,334 claims · 6.2%

Your Cost: $247.86/claim|Median: $108.80
2.3× median
S0311Top 25%

$210K

407 claims · 1.2%

Your Cost: $515.51/claim|Median: $221.54
2.3× median
0658Normal range

Revenue code, pharmacy, generic drugs

$206K

45 claims · 1.2%

Your Cost: $4,573.24/claim|Median: $4,158.95
1.1× median
0650Top 25%

$116K

28 claims · 0.7%

Your Cost: $4,134.80/claim|Median: $453.45
9.1× median
99497Top 1%

$6K

13 claims · 0.0%

Your Cost: $480.00/claim|Median: $10.99
43.7× median
99203Normal range

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

$455

456 claims · 0.0%

Your Cost: $1.00/claim|Median: $57.85
0.0× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$33

1,661 claims · 0.0%

Your Cost: $0.02/claim|Median: $45.50
0.0× median
1125FNormal range

$0

448 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
1111FNormal range

$0

448 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
G0155Normal range

Services of clinical social worker in home health, per 15 min

$0

1,548 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.04
G0299Normal range

Skilled nursing services, home health, per visit, RN

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.67
1158FNormal range

$0

448 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
1170FNormal range

$0

448 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
G0157Normal range

Services of PT assistant in home health, per 15 min

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.94
1160FNormal range

$0

448 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
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