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Provider 1962712828

NPI: 1962712828Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.2M

$16,162,195

Total Claims

215K

Beneficiaries

100K

2.1 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$785K
+135%
2019
$1.8M
+33%
2020
$2.5M
+16%
2021
$2.8M
-1%
2022
$2.8M
+13%
2023
$3.2M
-30%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 46% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$7.5M

119K claims · 46.2%

Your Cost: $62.74/claim|Median: $35.30
1.8× median
99291Top 25%

Critical care, first 30-74 minutes

$5.4M

32K claims · 33.4%

Your Cost: $170.83/claim|Median: $101.24
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.0M

50K claims · 12.3%

Your Cost: $39.48/claim|Median: $23.99
1.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.1M

9,922 claims · 7.0%

Your Cost: $113.94/claim|Median: $67.32
1.7× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$107K

1,279 claims · 0.7%

Your Cost: $83.47/claim|Median: $51.25
1.6× median
99213Normal range

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

$26K

651 claims · 0.2%

Your Cost: $40.33/claim|Median: $37.81
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$19K

1,080 claims · 0.1%

Your Cost: $17.15/claim|Median: $16.77
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$15K

200 claims · 0.1%

Your Cost: $72.73/claim|Median: $43.85
1.7× median
99214Normal range

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

$6K

101 claims · 0.0%

Your Cost: $55.24/claim|Median: $53.41
1.0× median
99254Normal range

$5K

54 claims · 0.0%

Your Cost: $97.47/claim|Median: $81.43
1.2× median
99497Normal range

$4K

600 claims · 0.0%

Your Cost: $7.17/claim|Median: $10.99
0.7× median
31500Normal range

$3K

35 claims · 0.0%

Your Cost: $72.45/claim|Median: $62.71
1.2× median
94010Normal range

$1K

215 claims · 0.0%

Your Cost: $5.13/claim|Median: $18.11
0.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$45

17 claims · 0.0%

Your Cost: $2.67/claim|Median: $22.44
0.1× median