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Provider 1912995309

NPI: 1912995309Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,504,835

Total Claims

125K

Beneficiaries

105K

1.2 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$628K
+212%
2019
$2.0M
-21%
2020
$1.5M
+11%
2021
$1.7M
-50%
2022
$861K
-42%
2023
$502K
-40%
2024
$302K

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 23% of total spending.

99214Normal range

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

$1.7M

32K claims · 22.9%

Your Cost: $53.95/claim|Median: $53.41
1.0× median
99213Normal range

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

$1.6M

30K claims · 20.9%

Your Cost: $53.06/claim|Median: $37.81
1.4× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$872K

2,572 claims · 11.6%

Your Cost: $338.85/claim|Median: $255.03
1.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$867K

2,377 claims · 11.6%

Your Cost: $364.88/claim|Median: $233.73
1.6× median
59409Normal range

Vaginal delivery only

$344K

441 claims · 4.6%

Your Cost: $779.12/claim|Median: $619.91
1.3× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$294K

144 claims · 3.9%

Your Cost: $2,043.39/claim|Median: $1,482.45
1.4× median
99204Top 25%

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

$263K

2,232 claims · 3.5%

Your Cost: $117.90/claim|Median: $84.03
1.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$149K

1,543 claims · 2.0%

Your Cost: $96.68/claim|Median: $80.15
1.2× median
99203Top 25%

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

$134K

1,586 claims · 1.8%

Your Cost: $84.62/claim|Median: $57.85
1.5× median
95800Normal range

$126K

1,248 claims · 1.7%

Your Cost: $100.99/claim|Median: $86.65
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$126K

1,427 claims · 1.7%

Your Cost: $87.97/claim|Median: $74.82
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$109K

1,221 claims · 1.4%

Your Cost: $89.05/claim|Median: $75.18
1.2× median
G0399Top 25%

$108K

765 claims · 1.4%

Your Cost: $141.13/claim|Median: $76.81
1.8× median
90471Top 25%

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

$94K

4,941 claims · 1.3%

Your Cost: $19.01/claim|Median: $9.80
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$80K

998 claims · 1.1%

Your Cost: $79.75/claim|Median: $69.35
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$66K

718 claims · 0.9%

Your Cost: $91.51/claim|Median: $54.68
1.7× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$61K

414 claims · 0.8%

Your Cost: $147.58/claim|Median: $121.58
1.2× median
94729Normal range

$61K

2,290 claims · 0.8%

Your Cost: $26.58/claim|Median: $12.24
2.2× median
59514Top 10%

Cesarean delivery only

$59K

66 claims · 0.8%

Your Cost: $888.37/claim|Median: $452.80
2.0× median
94727Normal range

$45K

2,226 claims · 0.6%

Your Cost: $20.43/claim|Median: $14.31
1.4× median
94060Normal range

$42K

1,567 claims · 0.6%

Your Cost: $26.76/claim|Median: $25.18
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$42K

2,616 claims · 0.6%

Your Cost: $15.95/claim|Median: $11.79
1.4× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$30K

294 claims · 0.4%

Your Cost: $100.74/claim|Median: $144.04
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$28K

565 claims · 0.4%

Your Cost: $48.75/claim|Median: $35.30
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$19K

149 claims · 0.3%

Your Cost: $126.05/claim|Median: $111.09
1.1× median
36415Top 25%

Collection of venous blood by venipuncture

$16K

4,987 claims · 0.2%

Your Cost: $3.29/claim|Median: $1.57
2.1× median
99058Normal range

$15K

923 claims · 0.2%

Your Cost: $16.76/claim|Median: $15.38
1.1× median
94010Normal range

$13K

673 claims · 0.2%

Your Cost: $19.59/claim|Median: $18.11
1.1× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$13K

265 claims · 0.2%

Your Cost: $49.69/claim|Median: $49.03
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$13K

981 claims · 0.2%

Your Cost: $12.96/claim|Median: $9.56
1.4× median
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