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Provider 1922193911

NPI: 1922193911Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.6M

$15,621,898

Total Claims

164K

Beneficiaries

95K

1.7 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+3%
2019
$1.7M
+19%
2020
$2.0M
+62%
2021
$3.3M
-23%
2022
$2.6M
-2%
2023
$2.5M
-29%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (99479 (Subsequent intensive care, 2,501-5,000 grams)) accounts for 34% of total spending.

99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$5.3M

56K claims · 34.2%

Your Cost: $95.42/claim|Median: $103.70
0.9× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$3.8M

13K claims · 24.0%

Your Cost: $294.36/claim|Median: $293.45
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$2.9M

32K claims · 18.7%

Your Cost: $90.84/claim|Median: $98.15
0.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1.2M

24K claims · 7.9%

Your Cost: $52.54/claim|Median: $37.22
1.4× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$937K

3,254 claims · 6.0%

Your Cost: $287.99/claim|Median: $307.98
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$831K

19K claims · 5.3%

Your Cost: $44.86/claim|Median: $62.48
0.7× median
99462Normal range

$400K

17K claims · 2.6%

Your Cost: $24.03/claim|Median: $27.49
0.9× median
99468Normal range

$73K

103 claims · 0.5%

Your Cost: $708.22/claim|Median: $679.18
1.0× median
99478Normal range

$69K

644 claims · 0.4%

Your Cost: $107.39/claim|Median: $106.11
1.0× median
99477Normal range

$45K

167 claims · 0.3%

Your Cost: $267.71/claim|Median: $276.41
1.0× median
99464Normal range

$12K

220 claims · 0.1%

Your Cost: $54.58/claim|Median: $59.94
0.9× median
54150Top 25%

$3K

25 claims · 0.0%

Your Cost: $132.31/claim|Median: $84.60
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2K

37 claims · 0.0%

Your Cost: $46.68/claim|Median: $23.99
1.9× median
99465Normal range

$1K

23 claims · 0.0%

Your Cost: $57.80/claim|Median: $99.16
0.6× median
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