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Provider 1912334533

NPI: 1912334533Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.9M

$8,944,450

Total Claims

289K

Beneficiaries

242K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-4%
2019
$1.1M
-6%
2020
$1.0M
+14%
2021
$1.2M
+14%
2022
$1.3M
+19%
2023
$1.6M
-5%
2024
$1.5M

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 36% of total spending.

99214Normal range

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

$3.2M

70K claims · 36.1%

Your Cost: $46.09/claim|Median: $53.41
0.9× median
99213Normal range

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

$2.4M

75K claims · 26.6%

Your Cost: $31.83/claim|Median: $37.81
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$346K

2,928 claims · 3.9%

Your Cost: $118.33/claim|Median: $151.68
0.8× median
45384Normal range

$320K

1,743 claims · 3.6%

Your Cost: $183.41/claim|Median: $179.47
1.0× median
99203Normal range

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

$237K

5,196 claims · 2.6%

Your Cost: $45.57/claim|Median: $57.85
0.8× median
99204Normal range

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

$216K

3,425 claims · 2.4%

Your Cost: $63.00/claim|Median: $84.03
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$192K

3,640 claims · 2.2%

Your Cost: $52.86/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$148K

2,300 claims · 1.7%

Your Cost: $64.28/claim|Median: $75.18
0.9× median
70450Normal range

CT head/brain without contrast

$137K

3,737 claims · 1.5%

Your Cost: $36.79/claim|Median: $45.53
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$131K

8,821 claims · 1.5%

Your Cost: $14.86/claim|Median: $16.77
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$116K

4,163 claims · 1.3%

Your Cost: $27.81/claim|Median: $39.33
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$114K

1,592 claims · 1.3%

Your Cost: $71.32/claim|Median: $67.32
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$107K

4,081 claims · 1.2%

Your Cost: $26.29/claim|Median: $23.99
1.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$88K

2,557 claims · 1.0%

Your Cost: $34.40/claim|Median: $29.03
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$83K

1,512 claims · 0.9%

Your Cost: $54.91/claim|Median: $74.09
0.7× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$82K

5,491 claims · 0.9%

Your Cost: $14.90/claim|Median: $39.63
0.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$64K

14K claims · 0.7%

Your Cost: $4.61/claim|Median: $5.60
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$63K

3,151 claims · 0.7%

Your Cost: $19.87/claim|Median: $25.06
0.8× median
71046Normal range

Chest X-ray, 2 views

$60K

9,156 claims · 0.7%

Your Cost: $6.56/claim|Median: $8.92
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$55K

1,014 claims · 0.6%

Your Cost: $54.19/claim|Median: $65.76
0.8× median
43450Normal range

$53K

1,570 claims · 0.6%

Your Cost: $34.05/claim|Median: $25.37
1.3× median
71045Normal range

Chest X-ray, single view

$51K

15K claims · 0.6%

Your Cost: $3.47/claim|Median: $4.93
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$50K

1,564 claims · 0.6%

Your Cost: $32.24/claim|Median: $63.65
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$46K

1,177 claims · 0.5%

Your Cost: $38.76/claim|Median: $43.85
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$43K

786 claims · 0.5%

Your Cost: $54.73/claim|Median: $108.91
0.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$40K

1,196 claims · 0.5%

Your Cost: $33.66/claim|Median: $35.30
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$40K

856 claims · 0.4%

Your Cost: $46.36/claim|Median: $54.68
0.8× median
99221Normal range

Initial hospital care, straightforward/low

$33K

1,077 claims · 0.4%

Your Cost: $30.92/claim|Median: $39.96
0.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$25K

1,121 claims · 0.3%

Your Cost: $22.71/claim|Median: $38.83
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$21K

341 claims · 0.2%

Your Cost: $62.21/claim|Median: $74.82
0.8× median