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Provider 1932190626

NPI: 1932190626Share
Active Billing Period:2018-01→2019-04(16 months)
Billing appears to have stoppedLast active: 2019-04

Total Paid

$12.2M

$12,175,545

Total Claims

242K

Beneficiaries

192K

1.3 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$11.4M
-94%
2019
$738K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 13% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$1.5M

9,980 claims · 12.6%

Your Cost: $153.20/claim|Median: $69.51
2.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.0M

6,493 claims · 8.5%

Your Cost: $159.42/claim|Median: $42.48
3.8× median
97110Top 1%

Therapeutic exercises, each 15 min

$1.0M

6,243 claims · 8.3%

Your Cost: $161.75/claim|Median: $24.49
6.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$622K

4,272 claims · 5.1%

Your Cost: $145.51/claim|Median: $85.65
1.7× median
97010Top 1%

Hot/cold packs application

$567K

1,602 claims · 4.7%

Your Cost: $354.00/claim|Median: $4.47
79.2× median
99214Top 5%

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

$414K

3,417 claims · 3.4%

Your Cost: $121.20/claim|Median: $53.41
2.3× median
99282Top 25%

Emergency dept visit, low complexity

$404K

2,967 claims · 3.3%

Your Cost: $136.14/claim|Median: $37.72
3.6× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$403K

551 claims · 3.3%

Your Cost: $731.03/claim|Median: $268.70
2.7× median
96361Top 5%

IV infusion, hydration, each additional hour

$383K

952 claims · 3.1%

Your Cost: $402.35/claim|Median: $38.92
10.3× median
99213Top 5%

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

$351K

2,885 claims · 2.9%

Your Cost: $121.60/claim|Median: $37.81
3.2× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$294K

1,913 claims · 2.4%

Your Cost: $153.82/claim|Median: $10.88
14.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$270K

950 claims · 2.2%

Your Cost: $284.27/claim|Median: $65.76
4.3× median
96365Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$257K

1,372 claims · 2.1%

Your Cost: $187.33/claim|Median: $54.77
3.4× median
70450Top 10%

CT head/brain without contrast

$253K

1,322 claims · 2.1%

Your Cost: $191.56/claim|Median: $45.53
4.2× median
G0463Normal range

Hospital outpatient clinic visit

$216K

9,838 claims · 1.8%

Your Cost: $21.91/claim|Median: $26.41
0.8× median
97014Top 1%

Electrical stimulation, unattended

$214K

1,026 claims · 1.8%

Your Cost: $208.21/claim|Median: $8.83
23.6× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$186K

274 claims · 1.5%

Your Cost: $677.74/claim|Median: $233.73
2.9× median
43239Top 10%

Upper GI endoscopy with biopsy

$165K

290 claims · 1.4%

Your Cost: $570.49/claim|Median: $151.68
3.8× median
95811Top 10%

Sleep study with CPAP titration, polysomnography

$157K

239 claims · 1.3%

Your Cost: $656.96/claim|Median: $255.03
2.6× median
74176Top 10%

CT abdomen and pelvis without contrast

$143K

497 claims · 1.2%

Your Cost: $287.97/claim|Median: $60.19
4.8× median
G0378Normal range

Hospital observation service, per hour

$137K

1,399 claims · 1.1%

Your Cost: $97.91/claim|Median: $99.39
1.0× median
45378Top 25%

Colonoscopy, diagnostic

$137K

318 claims · 1.1%

Your Cost: $430.35/claim|Median: $225.49
1.9× median
94660Top 1%

$131K

259 claims · 1.1%

Your Cost: $504.00/claim|Median: $36.43
13.8× median
90853Top 5%

Group psychotherapy

$121K

674 claims · 1.0%

Your Cost: $179.38/claim|Median: $25.02
7.2× median
76700Top 25%

Ultrasound, abdominal, complete

$105K

846 claims · 0.9%

Your Cost: $124.11/claim|Median: $50.69
2.4× median
97162Top 5%

PT evaluation, moderate complexity

$95K

752 claims · 0.8%

Your Cost: $126.50/claim|Median: $46.10
2.7× median
80048Top 25%

Basic metabolic panel

$94K

9,591 claims · 0.8%

Your Cost: $9.82/claim|Median: $5.78
1.7× median
76642Top 5%

$94K

697 claims · 0.8%

Your Cost: $134.74/claim|Median: $32.06
4.2× median
77063Top 10%

Screening digital breast tomosynthesis, bilateral

$90K

1,922 claims · 0.7%

Your Cost: $46.80/claim|Median: $21.41
2.2× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$88K

358 claims · 0.7%

Your Cost: $244.60/claim|Median: $54.68
4.5× median
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