Provider 1912334533
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
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.
$3.2M
70K claims
$46.09
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$3.2M
70K claims · 36.1%
$2.4M
75K claims
$31.83
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$2.4M
75K claims · 26.6%
$346K
2,928 claims
$118.33
$151.68
Upper GI endoscopy with biopsy
$346K
2,928 claims · 3.9%
$320K
1,743 claims · 3.6%
$237K
5,196 claims
$45.57
$57.85
Office/outpatient visit, new patient, low-mod complexity
$237K
5,196 claims · 2.6%
$216K
3,425 claims
$63.00
$84.03
Office/outpatient visit, new patient, mod-high complexity
$216K
3,425 claims · 2.4%
$192K
3,640 claims
$52.86
$69.35
Preventive medicine, established patient, infant (under 1)
$192K
3,640 claims · 2.2%
$148K
2,300 claims
$64.28
$75.18
Preventive medicine, established patient, age 1-4
$148K
2,300 claims · 1.7%
CT head/brain without contrast
$137K
3,737 claims · 1.5%
$131K
8,821 claims
$14.86
$16.77
Subsequent hospital care, per day, low complexity
$131K
8,821 claims · 1.5%
$116K
4,163 claims
$27.81
$39.33
Screening mammography, bilateral, including CAD
$116K
4,163 claims · 1.3%
$114K
1,592 claims
$71.32
$67.32
Initial hospital care, per day, high complexity
$114K
1,592 claims · 1.3%
$107K
4,081 claims
$26.29
$23.99
Subsequent hospital care, per day, moderate complexity
$107K
4,081 claims · 1.2%
$88K
2,557 claims
$34.40
$29.03
Arthrocentesis, aspiration/injection, major joint
$88K
2,557 claims · 1.0%
$83K
1,512 claims
$54.91
$74.09
Office/outpatient visit, high complexity
$83K
1,512 claims · 0.9%
$82K
5,491 claims
$14.90
$39.63
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
$82K
5,491 claims · 0.9%
$64K
14K claims
$4.61
$5.60
Electrocardiogram, interpretation and report only
$64K
14K claims · 0.7%
$63K
3,151 claims
$19.87
$25.06
Office/outpatient visit, low complexity
$63K
3,151 claims · 0.7%
Chest X-ray, 2 views
$60K
9,156 claims · 0.7%
$55K
1,014 claims
$54.19
$65.76
CT abdomen and pelvis with contrast
$55K
1,014 claims · 0.6%
$53K
1,570 claims · 0.6%
Chest X-ray, single view
$51K
15K claims · 0.6%
Psychotherapy, 45 minutes
$50K
1,564 claims · 0.6%
$46K
1,177 claims
$38.76
$43.85
Hospital discharge day management, more than 30 minutes
$46K
1,177 claims · 0.5%
$43K
786 claims
$54.73
$108.91
Psychiatric diagnostic evaluation with medical services
$43K
786 claims · 0.5%
$40K
1,196 claims
$33.66
$35.30
Subsequent hospital care, per day, high complexity
$40K
1,196 claims · 0.5%
$40K
856 claims
$46.36
$54.68
Echocardiography, transthoracic, complete, with Doppler
$40K
856 claims · 0.4%
$33K
1,077 claims
$30.92
$39.96
Initial hospital care, straightforward/low
$33K
1,077 claims · 0.4%
$25K
1,121 claims
$22.71
$38.83
Psychotherapy, 30 min, add-on to E/M service
$25K
1,121 claims · 0.3%
$21K
341 claims
$62.21
$74.82
Preventive medicine, established patient, age 5-11
$21K
341 claims · 0.2%