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Provider 1972630705

NPI: 1972630705Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,219,349

Total Claims

532K

Beneficiaries

475K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+8%
2019
$2.2M
-20%
2020
$1.7M
-1%
2021
$1.7M
+42%
2022
$2.5M
+70%
2023
$4.2M
-6%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 30% of total spending.

99284Normal range

Emergency dept visit, high complexity

$5.5M

84K claims · 30.3%

Your Cost: $65.82/claim|Median: $69.51
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$4.0M

108K claims · 21.7%

Your Cost: $36.52/claim|Median: $42.48
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.9M

36K claims · 16.0%

Your Cost: $81.76/claim|Median: $85.65
1.0× median
99214Normal range

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

$1.6M

42K claims · 8.5%

Your Cost: $37.40/claim|Median: $53.41
0.7× median
99213Normal range

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

$1.0M

32K claims · 5.7%

Your Cost: $32.19/claim|Median: $37.81
0.9× median
99204Normal range

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

$790K

11K claims · 4.3%

Your Cost: $74.61/claim|Median: $84.03
0.9× median
99203Normal range

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

$367K

7,589 claims · 2.0%

Your Cost: $48.31/claim|Median: $57.85
0.8× median
99282Normal range

Emergency dept visit, low complexity

$313K

13K claims · 1.7%

Your Cost: $23.74/claim|Median: $37.72
0.6× median
31237Normal range

$167K

866 claims · 0.9%

Your Cost: $193.29/claim|Median: $211.06
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$143K

3,097 claims · 0.8%

Your Cost: $46.31/claim|Median: $54.68
0.8× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$124K

817 claims · 0.7%

Your Cost: $151.59/claim|Median: $111.02
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$123K

24K claims · 0.7%

Your Cost: $5.10/claim|Median: $5.60
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$113K

1,143 claims · 0.6%

Your Cost: $98.61/claim|Median: $101.24
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$107K

2,574 claims · 0.6%

Your Cost: $41.50/claim|Median: $35.30
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$106K

3,110 claims · 0.6%

Your Cost: $34.21/claim|Median: $29.03
1.2× median
00170Normal range

Anesthesia for intraoral procedures

$87K

1,181 claims · 0.5%

Your Cost: $73.75/claim|Median: $132.89
0.6× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$65K

229 claims · 0.4%

Your Cost: $285.85/claim|Median: $283.78
1.0× median
69436Normal range

Tympanostomy, general anesthesia

$58K

509 claims · 0.3%

Your Cost: $114.59/claim|Median: $205.50
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$46K

953 claims · 0.3%

Your Cost: $48.51/claim|Median: $74.09
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$43K

1,299 claims · 0.2%

Your Cost: $33.21/claim|Median: $35.80
0.9× median
64493Normal range

$39K

325 claims · 0.2%

Your Cost: $121.03/claim|Median: $103.44
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$28K

1,170 claims · 0.2%

Your Cost: $23.84/claim|Median: $23.99
1.0× median
95886Normal range

$25K

673 claims · 0.1%

Your Cost: $37.29/claim|Median: $67.70
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$24K

320 claims · 0.1%

Your Cost: $75.83/claim|Median: $111.09
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$23K

507 claims · 0.1%

Your Cost: $44.84/claim|Median: $72.71
0.6× median
27096Normal range

$23K

197 claims · 0.1%

Your Cost: $115.17/claim|Median: $89.16
1.3× median
69210Normal range

$21K

1,040 claims · 0.1%

Your Cost: $20.06/claim|Median: $21.74
0.9× median
31231Normal range

Nasal endoscopy, diagnostic

$20K

221 claims · 0.1%

Your Cost: $91.26/claim|Median: $98.77
0.9× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$20K

1,182 claims · 0.1%

Your Cost: $16.77/claim|Median: $27.28
0.6× median
62321Normal range

$19K

132 claims · 0.1%

Your Cost: $145.26/claim|Median: $132.67
1.1× median
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