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Provider 1912979964

NPI: 1912979964Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.2M

$15,175,135

Total Claims

420K

Beneficiaries

374K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-2%
2019
$2.3M
-14%
2020
$2.0M
+21%
2021
$2.4M
-5%
2022
$2.3M
-16%
2023
$1.9M
-10%
2024
$1.7M

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 49% of total spending.

99214Normal range

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

$7.5M

133K claims · 49.4%

Your Cost: $56.58/claim|Median: $53.41
1.1× median
99213Normal range

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

$2.7M

66K claims · 17.8%

Your Cost: $41.25/claim|Median: $37.81
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.3M

15K claims · 8.8%

Your Cost: $89.63/claim|Median: $54.68
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.0M

24K claims · 6.6%

Your Cost: $41.18/claim|Median: $23.99
1.7× median
99204Normal range

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

$510K

5,885 claims · 3.4%

Your Cost: $86.70/claim|Median: $84.03
1.0× median
99203Normal range

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

$194K

3,543 claims · 1.3%

Your Cost: $54.62/claim|Median: $57.85
0.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$154K

1,490 claims · 1.0%

Your Cost: $103.65/claim|Median: $67.32
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$138K

2,121 claims · 0.9%

Your Cost: $64.90/claim|Median: $35.30
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$132K

1,934 claims · 0.9%

Your Cost: $68.11/claim|Median: $74.09
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$119K

915 claims · 0.8%

Your Cost: $129.89/claim|Median: $121.58
1.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$106K

1,309 claims · 0.7%

Your Cost: $80.97/claim|Median: $51.25
1.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$100K

9,542 claims · 0.7%

Your Cost: $10.51/claim|Median: $9.70
1.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$83K

1,974 claims · 0.6%

Your Cost: $42.29/claim|Median: $29.03
1.5× median
90471Top 25%

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

$62K

3,398 claims · 0.4%

Your Cost: $18.29/claim|Median: $9.80
1.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$60K

11K claims · 0.4%

Your Cost: $5.57/claim|Median: $5.60
1.0× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$57K

606 claims · 0.4%

Your Cost: $93.44/claim|Median: $12.70
7.4× median
43775Normal range

$51K

72 claims · 0.3%

Your Cost: $713.71/claim|Median: $619.12
1.2× median
99243Normal range

Office or other outpatient consultation, low complexity

$51K

583 claims · 0.3%

Your Cost: $87.27/claim|Median: $82.43
1.1× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$50K

545 claims · 0.3%

Your Cost: $92.43/claim|Median: $49.03
1.9× median
36415Top 25%

Collection of venous blood by venipuncture

$43K

14K claims · 0.3%

Your Cost: $3.14/claim|Median: $1.57
2.0× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$41K

564 claims · 0.3%

Your Cost: $72.40/claim|Median: $43.07
1.7× median
95819Top 10%

Electroencephalogram with sleep recording

$39K

112 claims · 0.3%

Your Cost: $350.93/claim|Median: $62.75
5.6× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$39K

2,056 claims · 0.3%

Your Cost: $18.84/claim|Median: $12.06
1.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$38K

188 claims · 0.3%

Your Cost: $203.73/claim|Median: $106.14
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$38K

566 claims · 0.3%

Your Cost: $67.32/claim|Median: $69.35
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$36K

315 claims · 0.2%

Your Cost: $113.95/claim|Median: $151.68
0.8× median
93015Normal range

$29K

693 claims · 0.2%

Your Cost: $42.46/claim|Median: $41.12
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$26K

234 claims · 0.2%

Your Cost: $111.70/claim|Median: $111.09
1.0× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$18K

184 claims · 0.1%

Your Cost: $99.98/claim|Median: $76.06
1.3× median
47562Normal range

$18K

38 claims · 0.1%

Your Cost: $479.26/claim|Median: $731.87
0.7× median