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Provider 1932145505

NPI: 1932145505Share
Active Billing Period:2018-01→2024-11(80 months)

Total Paid

$9.0M

$8,951,144

Total Claims

12K

Beneficiaries

12K

1.0 claims/patient

Avg Cost/Claim

$733

Monthly Spending Trend

Yearly Spending

2018
$16K
+25%
2019
$20K
+5531%
2020
$1.1M
-11%
2021
$997K
+129%
2022
$2.3M
+71%
2023
$3.9M
-85%
2024
$588K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (42820 (Tonsillectomy and adenoidectomy, under age 12)) accounts for 66% of total spending.

42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$6.0M

1,513 claims · 66.5%

Your Cost: $3,933.77/claim|Median: $331.68
11.9× median
69436Top 25%

Tympanostomy, general anesthesia

$2.5M

3,250 claims · 28.2%

Your Cost: $775.58/claim|Median: $205.50
3.8× median
99283Top 10%

Emergency dept visit, moderate complexity

$227K

1,554 claims · 2.5%

Your Cost: $146.07/claim|Median: $42.48
3.4× median
42830Normal range

$116K

131 claims · 1.3%

Your Cost: $888.34/claim|Median: $341.04
2.6× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$103K

2,023 claims · 1.1%

Your Cost: $50.79/claim|Median: $34.62
1.5× median
99284Top 10%

Emergency dept visit, high complexity

$14K

64 claims · 0.2%

Your Cost: $224.66/claim|Median: $69.51
3.2× median
54360Top 25%

$10K

12 claims · 0.1%

Your Cost: $849.06/claim|Median: $609.21
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$4K

355 claims · 0.0%

Your Cost: $10.67/claim|Median: $26.41
0.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$2K

138 claims · 0.0%

Your Cost: $14.15/claim|Median: $75.28
0.2× median
86328Top 5%

$1K

30 claims · 0.0%

Your Cost: $45.32/claim|Median: $20.52
2.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$667

15 claims · 0.0%

Your Cost: $44.47/claim|Median: $39.70
1.1× median
73562Top 25%

$290

12 claims · 0.0%

Your Cost: $24.17/claim|Median: $12.28
2.0× median
J1100Normal range

$0

3,063 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.52
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.91
31231Normal range

Nasal endoscopy, diagnostic

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $98.77
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