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Provider 1942521810

NPI: 1942521810Share
Active Billing Period:2018-01→2024-12(75 months)

Total Paid

$8.1M

$8,119,335

Total Claims

352K

Beneficiaries

298K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$110K
-100%
2019
$530
+21063%
2020
$112K
+482%
2021
$652K
+226%
2022
$2.1M
+17%
2023
$2.5M
+5%
2024
$2.6M

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 44% of total spending.

99214Normal range

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

$3.6M

69K claims · 44.2%

Your Cost: $51.72/claim|Median: $53.41
1.0× median
G9012Normal range

Other specified case management service, per 15 minutes

$1.7M

7,029 claims · 20.9%

Your Cost: $241.55/claim|Median: $137.85
1.8× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$741K

22K claims · 9.1%

Your Cost: $33.34/claim|Median: $14.00
2.4× median
G2087Top 25%

$367K

1,433 claims · 4.5%

Your Cost: $255.97/claim|Median: $48.10
5.3× median
99213Normal range

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

$358K

8,600 claims · 4.4%

Your Cost: $41.65/claim|Median: $37.81
1.1× median
S9470Normal range

Nutritional counseling

$246K

10K claims · 3.0%

Your Cost: $24.45/claim|Median: $16.62
1.5× median
99204Normal range

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

$128K

1,415 claims · 1.6%

Your Cost: $90.35/claim|Median: $84.03
1.1× median
99483Top 25%

$121K

1,216 claims · 1.5%

Your Cost: $99.17/claim|Median: $34.89
2.8× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$120K

4,268 claims · 1.5%

Your Cost: $28.17/claim|Median: $9.79
2.9× median
99484Top 25%

$105K

3,345 claims · 1.3%

Your Cost: $31.53/claim|Median: $7.13
4.4× median
99215Normal range

Office/outpatient visit, high complexity

$94K

1,170 claims · 1.2%

Your Cost: $80.19/claim|Median: $74.09
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$88K

1,120 claims · 1.1%

Your Cost: $78.95/claim|Median: $76.06
1.0× median
99406Normal range

$78K

11K claims · 1.0%

Your Cost: $7.28/claim|Median: $6.53
1.1× median
99305Top 25%

$77K

1,542 claims · 0.9%

Your Cost: $49.96/claim|Median: $19.28
2.6× median
93923Normal range

$54K

773 claims · 0.7%

Your Cost: $70.07/claim|Median: $38.08
1.8× median
99401Normal range

$46K

4,008 claims · 0.6%

Your Cost: $11.53/claim|Median: $16.53
0.7× median
99306Top 25%

$19K

319 claims · 0.2%

Your Cost: $58.89/claim|Median: $29.97
2.0× median
99497Top 25%

$16K

550 claims · 0.2%

Your Cost: $29.98/claim|Median: $10.99
2.7× median
99203Normal range

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

$16K

260 claims · 0.2%

Your Cost: $62.05/claim|Median: $57.85
1.1× median
G0439Top 10%

Annual wellness visit, subsequent visit

$15K

172 claims · 0.2%

Your Cost: $89.53/claim|Median: $5.42
16.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$13K

627 claims · 0.2%

Your Cost: $20.07/claim|Median: $22.44
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$12K

3,406 claims · 0.1%

Your Cost: $3.53/claim|Median: $3.67
1.0× median
99315Top 25%

$12K

324 claims · 0.1%

Your Cost: $36.62/claim|Median: $14.17
2.6× median
3079FNormal range

$12K

21K claims · 0.1%

Your Cost: $0.57/claim|Median: $0.12
4.8× median
3074FNormal range

$10K

22K claims · 0.1%

Your Cost: $0.46/claim|Median: $0.11
4.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$9K

132 claims · 0.1%

Your Cost: $70.58/claim|Median: $72.71
1.0× median
96160Normal range

Patient-focused health risk assessment

$9K

3,855 claims · 0.1%

Your Cost: $2.28/claim|Median: $2.10
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$9K

9,870 claims · 0.1%

Your Cost: $0.88/claim|Median: $1.57
0.6× median
90674Normal range

$6K

548 claims · 0.1%

Your Cost: $10.89/claim|Median: $15.16
0.7× median
3078FNormal range

$6K

12K claims · 0.1%

Your Cost: $0.51/claim|Median: $0.08
6.3× median
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