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Provider 1962454140

NPI: 1962454140Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.7M

$7,744,662

Total Claims

73K

Beneficiaries

54K

1.4 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$277K
+141%
2019
$670K
+87%
2020
$1.3M
-3%
2021
$1.2M
+15%
2022
$1.4M
+14%
2023
$1.6M
-16%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (90960 (End-stage renal disease services, per month, age 20+)) accounts for 54% of total spending.

90960Top 5%

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

$4.2M

21K claims · 53.8%

Your Cost: $198.00/claim|Median: $52.76
3.8× median
90961Top 5%

$1.1M

6,055 claims · 14.1%

Your Cost: $180.59/claim|Median: $47.22
3.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$751K

19K claims · 9.7%

Your Cost: $39.05/claim|Median: $23.99
1.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$562K

13K claims · 7.3%

Your Cost: $42.97/claim|Median: $35.30
1.2× median
90966Top 5%

$364K

1,874 claims · 4.7%

Your Cost: $194.21/claim|Median: $56.49
3.4× median
99214Normal range

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

$211K

4,644 claims · 2.7%

Your Cost: $45.42/claim|Median: $53.41
0.9× median
90962Top 10%

$186K

1,467 claims · 2.4%

Your Cost: $126.97/claim|Median: $40.91
3.1× median
99223Normal range

Initial hospital care, per day, high complexity

$161K

2,035 claims · 2.1%

Your Cost: $79.17/claim|Median: $67.32
1.2× median
99255Normal range

$114K

1,314 claims · 1.5%

Your Cost: $86.58/claim|Median: $90.45
1.0× median
99213Normal range

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

$40K

1,311 claims · 0.5%

Your Cost: $30.24/claim|Median: $37.81
0.8× median
99254Normal range

$26K

311 claims · 0.3%

Your Cost: $84.58/claim|Median: $81.43
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$25K

243 claims · 0.3%

Your Cost: $103.25/claim|Median: $101.24
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$22K

323 claims · 0.3%

Your Cost: $69.12/claim|Median: $51.25
1.3× median
90935Top 25%

Hemodialysis, one evaluation

$17K

306 claims · 0.2%

Your Cost: $54.73/claim|Median: $23.72
2.3× median
99253Normal range

$5K

87 claims · 0.1%

Your Cost: $55.77/claim|Median: $55.16
1.0× median
99204Normal range

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

$937

12 claims · 0.0%

Your Cost: $78.09/claim|Median: $84.03
0.9× median