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Provider 1972790863

NPI: 1972790863Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.7M

$7,651,997

Total Claims

45K

Beneficiaries

43K

1.0 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$54K
+412%
2019
$274K
+125%
2020
$617K
+97%
2021
$1.2M
+36%
2022
$1.7M
+6%
2023
$1.7M
+20%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (36475) accounts for 52% of total spending.

36475Top 5%

$4.0M

1,754 claims · 52.4%

Your Cost: $2,284.96/claim|Median: $902.80
2.5× median
93970Top 10%

Duplex scan of extremity veins, complete, bilateral

$1.2M

6,540 claims · 15.3%

Your Cost: $178.47/claim|Median: $43.07
4.1× median
99214Normal range

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

$1.0M

20K claims · 13.3%

Your Cost: $50.99/claim|Median: $53.41
1.0× median
99204Normal range

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

$525K

5,978 claims · 6.9%

Your Cost: $87.76/claim|Median: $84.03
1.0× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$337K

3,570 claims · 4.4%

Your Cost: $94.31/claim|Median: $25.43
3.7× median
93923Top 25%

$282K

2,734 claims · 3.7%

Your Cost: $103.32/claim|Median: $38.08
2.7× median
93990Top 25%

$100K

1,449 claims · 1.3%

Your Cost: $69.09/claim|Median: $29.24
2.4× median
93925Normal range

$69K

681 claims · 0.9%

Your Cost: $102.05/claim|Median: $54.12
1.9× median
99213Normal range

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

$65K

1,798 claims · 0.8%

Your Cost: $36.04/claim|Median: $37.81
1.0× median
93985Top 10%

$28K

128 claims · 0.4%

Your Cost: $216.35/claim|Median: $87.88
2.5× median
36465Top 25%

$17K

12 claims · 0.2%

Your Cost: $1,382.85/claim|Median: $792.14
1.7× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$13K

98 claims · 0.2%

Your Cost: $134.21/claim|Median: $49.03
2.7× median
99223Normal range

Initial hospital care, per day, high complexity

$9K

106 claims · 0.1%

Your Cost: $86.07/claim|Median: $67.32
1.3× median
36471Normal range

$5K

62 claims · 0.1%

Your Cost: $84.63/claim|Median: $105.39
0.8× median
93986Top 1%

$4K

38 claims · 0.1%

Your Cost: $115.96/claim|Median: $30.52
3.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$2K

31 claims · 0.0%

Your Cost: $70.69/claim|Median: $36.13
2.0× median
93978Top 10%

$2K

12 claims · 0.0%

Your Cost: $157.10/claim|Median: $60.72
2.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$2K

26 claims · 0.0%

Your Cost: $66.05/claim|Median: $82.43
0.8× median
93926Top 25%

$983

12 claims · 0.0%

Your Cost: $81.92/claim|Median: $26.21
3.1× median
99212Normal range

Office/outpatient visit, low complexity

$676

44 claims · 0.0%

Your Cost: $15.37/claim|Median: $25.06
0.6× median
76937Normal range

$282

24 claims · 0.0%

Your Cost: $11.75/claim|Median: $6.99
1.7× median
99407Top 25%

$275

12 claims · 0.0%

Your Cost: $22.95/claim|Median: $13.29
1.7× median
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