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Provider 1952485351

NPI: 1952485351Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,848,593

Total Claims

420K

Beneficiaries

399K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-4%
2019
$1.5M
-4%
2020
$1.4M
+24%
2021
$1.8M
+8%
2022
$1.9M
+2%
2023
$2.0M
-12%
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 41% of total spending.

99214Normal range

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

$4.9M

92K claims · 41.3%

Your Cost: $53.49/claim|Median: $53.41
1.0× median
99213Normal range

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

$2.6M

62K claims · 22.0%

Your Cost: $41.92/claim|Median: $37.81
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$525K

6,989 claims · 4.4%

Your Cost: $75.08/claim|Median: $76.06
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$498K

6,212 claims · 4.2%

Your Cost: $80.09/claim|Median: $74.09
1.1× median
99204Normal range

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

$455K

5,890 claims · 3.8%

Your Cost: $77.28/claim|Median: $84.03
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$445K

6,674 claims · 3.8%

Your Cost: $66.73/claim|Median: $72.71
0.9× median
99203Normal range

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

$442K

8,862 claims · 3.7%

Your Cost: $49.88/claim|Median: $57.85
0.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$231K

3,966 claims · 1.9%

Your Cost: $58.25/claim|Median: $35.30
1.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$227K

2,046 claims · 1.9%

Your Cost: $111.05/claim|Median: $67.32
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$179K

3,095 claims · 1.5%

Your Cost: $57.68/claim|Median: $75.18
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$167K

2,890 claims · 1.4%

Your Cost: $57.84/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$160K

2,430 claims · 1.4%

Your Cost: $65.92/claim|Median: $80.15
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$134K

3,112 claims · 1.1%

Your Cost: $42.93/claim|Median: $23.99
1.8× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$126K

2,458 claims · 1.1%

Your Cost: $51.41/claim|Median: $14.00
3.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$110K

2,280 claims · 0.9%

Your Cost: $48.26/claim|Median: $69.35
0.7× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$109K

1,454 claims · 0.9%

Your Cost: $74.97/claim|Median: $76.22
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$92K

2,140 claims · 0.8%

Your Cost: $43.18/claim|Median: $37.22
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$85K

2,847 claims · 0.7%

Your Cost: $29.76/claim|Median: $29.03
1.0× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$59K

1,765 claims · 0.5%

Your Cost: $33.25/claim|Median: $9.79
3.4× median
99212Normal range

Office/outpatient visit, low complexity

$58K

2,070 claims · 0.5%

Your Cost: $27.96/claim|Median: $25.06
1.1× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$53K

585 claims · 0.4%

Your Cost: $90.63/claim|Median: $87.82
1.0× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$47K

615 claims · 0.4%

Your Cost: $76.00/claim|Median: $51.25
1.5× median
99306Top 5%

$35K

340 claims · 0.3%

Your Cost: $102.95/claim|Median: $29.97
3.4× median
99421Normal range

Online digital E/M, 5-10 min

$28K

2,911 claims · 0.2%

Your Cost: $9.51/claim|Median: $9.42
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$18K

343 claims · 0.2%

Your Cost: $53.75/claim|Median: $73.46
0.7× median
99406Normal range

$8K

1,068 claims · 0.1%

Your Cost: $7.02/claim|Median: $6.53
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$7K

118 claims · 0.1%

Your Cost: $59.04/claim|Median: $43.85
1.3× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$7K

110 claims · 0.1%

Your Cost: $62.15/claim|Median: $81.92
0.8× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$6K

81 claims · 0.0%

Your Cost: $72.67/claim|Median: $83.63
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$6K

178 claims · 0.0%

Your Cost: $31.25/claim|Median: $40.11
0.8× median
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