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Provider 1922559558

NPI: 1922559558Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,254,909

Total Claims

175K

Beneficiaries

147K

1.2 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+10%
2019
$2.3M
-26%
2020
$1.7M
+35%
2021
$2.3M
+6%
2022
$2.4M
+0%
2023
$2.4M
-20%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 38% of total spending.

99213Top 5%

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

$5.8M

63K claims · 38.2%

Your Cost: $92.46/claim|Median: $37.81
2.4× median
99214Top 5%

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

$5.3M

44K claims · 34.7%

Your Cost: $119.34/claim|Median: $53.41
2.2× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$942K

13K claims · 6.2%

Your Cost: $73.81/claim|Median: $23.99
3.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$402K

2,855 claims · 2.6%

Your Cost: $140.94/claim|Median: $69.35
2.0× median
99215Top 10%

Office/outpatient visit, high complexity

$308K

2,055 claims · 2.0%

Your Cost: $150.01/claim|Median: $74.09
2.0× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$267K

1,834 claims · 1.7%

Your Cost: $145.33/claim|Median: $75.18
1.9× median
90471Top 5%

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

$246K

11K claims · 1.6%

Your Cost: $22.69/claim|Median: $9.80
2.3× median
98926Top 5%

$237K

4,496 claims · 1.6%

Your Cost: $52.63/claim|Median: $22.66
2.3× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$214K

2,592 claims · 1.4%

Your Cost: $82.38/claim|Median: $37.22
2.2× median
90472Top 5%

Immunization administration, each additional vaccine

$200K

5,540 claims · 1.3%

Your Cost: $36.02/claim|Median: $11.79
3.1× median
95004Normal range

Percutaneous allergy skin tests, each

$193K

1,282 claims · 1.3%

Your Cost: $150.36/claim|Median: $134.97
1.1× median
99203Top 5%

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

$177K

1,423 claims · 1.2%

Your Cost: $124.32/claim|Median: $57.85
2.1× median
98927Top 5%

$132K

1,864 claims · 0.9%

Your Cost: $71.02/claim|Median: $25.15
2.8× median
99221Top 5%

Initial hospital care, straightforward/low

$87K

785 claims · 0.6%

Your Cost: $111.12/claim|Median: $39.96
2.8× median
99223Top 5%

Initial hospital care, per day, high complexity

$84K

483 claims · 0.6%

Your Cost: $174.32/claim|Median: $67.32
2.6× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$68K

420 claims · 0.4%

Your Cost: $161.68/claim|Median: $51.25
3.2× median
99212Top 25%

Office/outpatient visit, low complexity

$62K

1,181 claims · 0.4%

Your Cost: $52.67/claim|Median: $25.06
2.1× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$60K

396 claims · 0.4%

Your Cost: $151.74/claim|Median: $74.82
2.0× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$58K

560 claims · 0.4%

Your Cost: $104.23/claim|Median: $35.30
3.0× median
80305Normal range

$57K

5,859 claims · 0.4%

Your Cost: $9.70/claim|Median: $7.44
1.3× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$42K

1,169 claims · 0.3%

Your Cost: $36.26/claim|Median: $16.77
2.2× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$41K

199 claims · 0.3%

Your Cost: $204.81/claim|Median: $108.91
1.9× median
45380Normal range

Colonoscopy with biopsy

$37K

116 claims · 0.2%

Your Cost: $319.99/claim|Median: $200.68
1.6× median
99204Top 5%

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

$32K

186 claims · 0.2%

Your Cost: $173.68/claim|Median: $84.03
2.1× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$29K

329 claims · 0.2%

Your Cost: $88.05/claim|Median: $40.11
2.2× median
98925Top 5%

$24K

634 claims · 0.2%

Your Cost: $37.25/claim|Median: $13.42
2.8× median
D1206Top 25%

Topical application of fluoride varnish

$23K

883 claims · 0.2%

Your Cost: $26.61/claim|Median: $18.12
1.5× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$12K

224 claims · 0.1%

Your Cost: $54.94/claim|Median: $14.00
3.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$11K

872 claims · 0.1%

Your Cost: $12.98/claim|Median: $11.48
1.1× median
94726Normal range

$9K

779 claims · 0.1%

Your Cost: $11.63/claim|Median: $13.41
0.9× median
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