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Provider 1962766899

NPI: 1962766899Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.0M

$9,974,388

Total Claims

154K

Beneficiaries

127K

1.2 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$77K
+34%
2019
$103K
+820%
2020
$946K
+99%
2021
$1.9M
+25%
2022
$2.3M
+12%
2023
$2.6M
-23%
2024
$2.0M

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 28% of total spending.

99214Top 10%

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

$2.8M

28K claims · 27.7%

Your Cost: $99.32/claim|Median: $53.41
1.9× median
99213Top 25%

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

$1.8M

30K claims · 18.2%

Your Cost: $59.92/claim|Median: $37.81
1.6× median
99204Top 10%

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

$1.5M

9,767 claims · 14.7%

Your Cost: $149.89/claim|Median: $84.03
1.8× median
99203Top 25%

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

$997K

12K claims · 10.0%

Your Cost: $86.38/claim|Median: $57.85
1.5× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$564K

14K claims · 5.7%

Your Cost: $41.29/claim|Median: $29.03
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$280K

7,117 claims · 2.8%

Your Cost: $39.37/claim|Median: $24.49
1.6× median
L3809Top 25%

$247K

1,482 claims · 2.5%

Your Cost: $166.95/claim|Median: $115.28
1.4× median
L4361Top 25%

$231K

1,109 claims · 2.3%

Your Cost: $208.64/claim|Median: $161.24
1.3× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$213K

1,023 claims · 2.1%

Your Cost: $208.33/claim|Median: $111.09
1.9× median
J3301Top 5%

Injection, triamcinolone acetonide, per ten milligrams

$166K

12K claims · 1.7%

Your Cost: $13.42/claim|Median: $2.91
4.6× median
73565Top 10%

$122K

3,594 claims · 1.2%

Your Cost: $33.98/claim|Median: $13.75
2.5× median
73560Top 25%

$112K

5,201 claims · 1.1%

Your Cost: $21.50/claim|Median: $10.28
2.1× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$100K

4,311 claims · 1.0%

Your Cost: $23.29/claim|Median: $12.06
1.9× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$89K

3,686 claims · 0.9%

Your Cost: $24.25/claim|Median: $13.55
1.8× median
73130Top 25%

$82K

3,176 claims · 0.8%

Your Cost: $25.84/claim|Median: $10.69
2.4× median
L1820Top 25%

$78K

716 claims · 0.8%

Your Cost: $108.75/claim|Median: $73.16
1.5× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$68K

2,226 claims · 0.7%

Your Cost: $30.72/claim|Median: $12.64
2.4× median
72100Top 25%

$64K

2,247 claims · 0.6%

Your Cost: $28.68/claim|Median: $15.14
1.9× median
95913Top 25%

$56K

232 claims · 0.6%

Your Cost: $239.76/claim|Median: $166.25
1.4× median
73030Top 25%

$44K

1,618 claims · 0.4%

Your Cost: $27.40/claim|Median: $10.94
2.5× median
20550Top 25%

$42K

832 claims · 0.4%

Your Cost: $49.93/claim|Median: $29.96
1.7× median
L3908Top 25%

$41K

843 claims · 0.4%

Your Cost: $48.64/claim|Median: $35.79
1.4× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$40K

1,786 claims · 0.4%

Your Cost: $22.50/claim|Median: $20.04
1.1× median
99215Top 10%

Office/outpatient visit, high complexity

$39K

259 claims · 0.4%

Your Cost: $149.73/claim|Median: $74.09
2.0× median
95886Top 25%

$34K

249 claims · 0.3%

Your Cost: $134.76/claim|Median: $67.70
2.0× median
97161Normal range

Physical therapy evaluation, low complexity

$25K

395 claims · 0.3%

Your Cost: $64.15/claim|Median: $47.89
1.3× median
25600Top 25%

$19K

65 claims · 0.2%

Your Cost: $293.20/claim|Median: $193.19
1.5× median
L4360Normal range

$15K

105 claims · 0.2%

Your Cost: $146.76/claim|Median: $149.34
1.0× median
72040Top 25%

$14K

490 claims · 0.1%

Your Cost: $27.74/claim|Median: $16.49
1.7× median
L1810Top 25%

$12K

158 claims · 0.1%

Your Cost: $74.26/claim|Median: $62.31
1.2× median