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Provider 1942247143

NPI: 1942247143Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,003,732

Total Claims

419K

Beneficiaries

371K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+3%
2019
$1.8M
-32%
2020
$1.2M
+11%
2021
$1.4M
-6%
2022
$1.3M
+3%
2023
$1.3M
-6%
2024
$1.2M

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 35% of total spending.

99214Normal range

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

$3.5M

109K claims · 34.6%

Your Cost: $31.74/claim|Median: $53.41
0.6× median
99213Normal range

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

$3.1M

138K claims · 31.4%

Your Cost: $22.76/claim|Median: $37.81
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$379K

16K claims · 3.8%

Your Cost: $24.04/claim|Median: $17.85
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$273K

7,258 claims · 2.7%

Your Cost: $37.56/claim|Median: $75.18
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$253K

7,702 claims · 2.5%

Your Cost: $32.87/claim|Median: $69.35
0.5× median
99204Normal range

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

$207K

4,938 claims · 2.1%

Your Cost: $41.98/claim|Median: $84.03
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$156K

4,210 claims · 1.6%

Your Cost: $37.07/claim|Median: $74.82
0.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$145K

5,067 claims · 1.4%

Your Cost: $28.61/claim|Median: $35.30
0.8× median
99203Normal range

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

$122K

4,329 claims · 1.2%

Your Cost: $28.29/claim|Median: $57.85
0.5× median
43239Normal range

Upper GI endoscopy with biopsy

$117K

1,284 claims · 1.2%

Your Cost: $91.20/claim|Median: $151.68
0.6× median
99308Normal range

Nursing facility care, subsequent, straightforward

$107K

14K claims · 1.1%

Your Cost: $7.70/claim|Median: $9.79
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$95K

1,881 claims · 1.0%

Your Cost: $50.54/claim|Median: $67.32
0.8× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$91K

499 claims · 0.9%

Your Cost: $182.99/claim|Median: $255.17
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$91K

2,135 claims · 0.9%

Your Cost: $42.66/claim|Median: $80.15
0.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$87K

2,806 claims · 0.9%

Your Cost: $30.94/claim|Median: $54.68
0.6× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$81K

284 claims · 0.8%

Your Cost: $284.19/claim|Median: $268.70
1.1× median
45380Normal range

Colonoscopy with biopsy

$69K

657 claims · 0.7%

Your Cost: $104.72/claim|Median: $200.68
0.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$65K

4,956 claims · 0.6%

Your Cost: $13.10/claim|Median: $23.99
0.5× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$62K

5,870 claims · 0.6%

Your Cost: $10.64/claim|Median: $36.13
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$53K

1,337 claims · 0.5%

Your Cost: $39.46/claim|Median: $74.09
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$50K

1,763 claims · 0.5%

Your Cost: $28.29/claim|Median: $43.85
0.6× median
11721Normal range

$45K

6,821 claims · 0.5%

Your Cost: $6.60/claim|Median: $8.56
0.8× median
98926Normal range

$44K

3,853 claims · 0.4%

Your Cost: $11.34/claim|Median: $22.66
0.5× median
95004Normal range

Percutaneous allergy skin tests, each

$40K

278 claims · 0.4%

Your Cost: $143.38/claim|Median: $134.97
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$39K

655 claims · 0.4%

Your Cost: $59.50/claim|Median: $233.73
0.3× median
99406Normal range

$34K

6,760 claims · 0.3%

Your Cost: $4.99/claim|Median: $6.53
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$33K

6,353 claims · 0.3%

Your Cost: $5.17/claim|Median: $5.60
0.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$32K

1,766 claims · 0.3%

Your Cost: $18.36/claim|Median: $22.44
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$29K

2,862 claims · 0.3%

Your Cost: $10.09/claim|Median: $25.06
0.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$26K

626 claims · 0.3%

Your Cost: $41.75/claim|Median: $76.06
0.5× median
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