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Provider 1952402612

NPI: 1952402612Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.7M

$10,744,533

Total Claims

136K

Beneficiaries

123K

1.1 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-0%
2019
$2.0M
-18%
2020
$1.7M
-7%
2021
$1.5M
-7%
2022
$1.4M
-15%
2023
$1.2M
-32%
2024
$827K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (95819 (Electroencephalogram with sleep recording)) accounts for 17% of total spending.

95819Normal range

Electroencephalogram with sleep recording

$1.9M

13K claims · 17.5%

Your Cost: $150.07/claim|Median: $62.75
2.4× median
99215Normal range

Office/outpatient visit, high complexity

$1.8M

22K claims · 17.1%

Your Cost: $82.26/claim|Median: $74.09
1.1× median
99214Normal range

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

$1.0M

18K claims · 9.6%

Your Cost: $56.10/claim|Median: $53.41
1.1× median
95886Normal range

$941K

9,789 claims · 8.8%

Your Cost: $96.08/claim|Median: $67.70
1.4× median
20526Normal range

$862K

15K claims · 8.0%

Your Cost: $56.34/claim|Median: $48.63
1.2× median
95912Normal range

$772K

5,747 claims · 7.2%

Your Cost: $134.26/claim|Median: $141.23
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$691K

7,115 claims · 6.4%

Your Cost: $97.05/claim|Median: $67.32
1.4× median
64405Normal range

$578K

11K claims · 5.4%

Your Cost: $51.91/claim|Median: $48.36
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$556K

5,025 claims · 5.2%

Your Cost: $110.65/claim|Median: $111.09
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$354K

9,484 claims · 3.3%

Your Cost: $37.31/claim|Median: $23.99
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$313K

5,543 claims · 2.9%

Your Cost: $56.41/claim|Median: $35.30
1.6× median
95911Normal range

$296K

2,505 claims · 2.8%

Your Cost: $118.19/claim|Median: $122.86
1.0× median
92585Normal range

$157K

2,300 claims · 1.5%

Your Cost: $68.30/claim|Median: $77.69
0.9× median
99220Normal range

$117K

1,235 claims · 1.1%

Your Cost: $94.96/claim|Median: $73.56
1.3× median
99213Normal range

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

$107K

2,607 claims · 1.0%

Your Cost: $40.95/claim|Median: $37.81
1.1× median
92653Normal range

$74K

1,760 claims · 0.7%

Your Cost: $41.87/claim|Median: $42.12
1.0× median
99236Normal range

Observation care same day admit and discharge

$51K

412 claims · 0.5%

Your Cost: $123.09/claim|Median: $128.23
1.0× median
95930Normal range

Visual evoked potential testing

$46K

1,262 claims · 0.4%

Your Cost: $36.15/claim|Median: $35.54
1.0× median
95909Normal range

$23K

306 claims · 0.2%

Your Cost: $73.99/claim|Median: $73.56
1.0× median
99204Normal range

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

$22K

255 claims · 0.2%

Your Cost: $86.90/claim|Median: $84.03
1.0× median
95913Normal range

$16K

105 claims · 0.1%

Your Cost: $151.72/claim|Median: $166.25
0.9× median
99218Normal range

$11K

202 claims · 0.1%

Your Cost: $54.75/claim|Median: $51.50
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$11K

181 claims · 0.1%

Your Cost: $60.97/claim|Median: $51.25
1.2× median
99406Normal range

$3K

417 claims · 0.0%

Your Cost: $7.25/claim|Median: $6.53
1.1× median
95910Normal range

$1K

12 claims · 0.0%

Your Cost: $97.84/claim|Median: $97.13
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$465

21 claims · 0.0%

Your Cost: $22.14/claim|Median: $16.77
1.3× median