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Provider 1942296033

NPI: 1942296033Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,734,130

Total Claims

794K

Beneficiaries

640K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+0%
2019
$3.2M
-19%
2020
$2.6M
+3%
2021
$2.6M
-12%
2022
$2.3M
-5%
2023
$2.2M
-23%
2024
$1.7M

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 19% of total spending.

99214Normal range

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

$3.3M

96K claims · 18.6%

Your Cost: $34.56/claim|Median: $53.41
0.6× median
99213Normal range

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

$2.9M

123K claims · 16.3%

Your Cost: $23.52/claim|Median: $37.81
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.8M

92K claims · 9.9%

Your Cost: $19.14/claim|Median: $23.99
0.8× median
99284Normal range

Emergency dept visit, high complexity

$1.8M

37K claims · 9.9%

Your Cost: $47.24/claim|Median: $69.51
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

20K claims · 7.2%

Your Cost: $62.48/claim|Median: $85.65
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$662K

25K claims · 3.7%

Your Cost: $26.84/claim|Median: $35.30
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$631K

22K claims · 3.6%

Your Cost: $29.16/claim|Median: $42.48
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$488K

32K claims · 2.8%

Your Cost: $15.23/claim|Median: $14.00
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$380K

9,007 claims · 2.1%

Your Cost: $42.14/claim|Median: $51.25
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$378K

8,470 claims · 2.1%

Your Cost: $44.66/claim|Median: $101.24
0.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$338K

8,460 claims · 1.9%

Your Cost: $39.90/claim|Median: $54.68
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$279K

8,455 claims · 1.6%

Your Cost: $32.98/claim|Median: $43.85
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$278K

50K claims · 1.6%

Your Cost: $5.59/claim|Median: $5.60
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$271K

7,984 claims · 1.5%

Your Cost: $33.94/claim|Median: $35.80
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$212K

3,829 claims · 1.2%

Your Cost: $55.38/claim|Median: $67.32
0.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$202K

17K claims · 1.1%

Your Cost: $12.03/claim|Median: $9.79
1.2× median
99203Normal range

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

$180K

6,154 claims · 1.0%

Your Cost: $29.30/claim|Median: $57.85
0.5× median
99204Normal range

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

$140K

2,784 claims · 0.8%

Your Cost: $50.39/claim|Median: $84.03
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$140K

2,755 claims · 0.8%

Your Cost: $50.83/claim|Median: $74.09
0.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$109K

8,592 claims · 0.6%

Your Cost: $12.63/claim|Median: $17.85
0.7× median
90961Normal range

$88K

1,596 claims · 0.5%

Your Cost: $55.40/claim|Median: $47.22
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$87K

1,126 claims · 0.5%

Your Cost: $77.61/claim|Median: $151.68
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$85K

1,987 claims · 0.5%

Your Cost: $42.82/claim|Median: $74.82
0.6× median
90960Normal range

End-stage renal disease services, per month, age 20+

$84K

1,654 claims · 0.5%

Your Cost: $51.01/claim|Median: $52.76
1.0× median
70450Normal range

CT head/brain without contrast

$80K

3,645 claims · 0.5%

Your Cost: $22.03/claim|Median: $45.53
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$77K

1,721 claims · 0.4%

Your Cost: $44.96/claim|Median: $75.18
0.6× median
99254Normal range

$67K

916 claims · 0.4%

Your Cost: $73.33/claim|Median: $81.43
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$63K

1,991 claims · 0.4%

Your Cost: $31.57/claim|Median: $65.76
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$57K

2,112 claims · 0.3%

Your Cost: $26.97/claim|Median: $37.22
0.7× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$56K

2,358 claims · 0.3%

Your Cost: $23.68/claim|Median: $43.07
0.5× median
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