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Provider 1972912228

NPI: 1972912228Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,386,562

Total Claims

310K

Beneficiaries

61K

5.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+12%
2019
$1.5M
+65%
2020
$2.4M
+17%
2021
$2.8M
-21%
2022
$2.2M
+27%
2023
$2.8M
-16%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 35% of total spending.

99309Top 10%

Nursing facility care, subsequent, low complexity

$5.4M

106K claims · 35.1%

Your Cost: $50.79/claim|Median: $14.00
3.6× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$4.7M

137K claims · 30.3%

Your Cost: $34.05/claim|Median: $9.79
3.5× median
99310Top 10%

$2.1M

29K claims · 13.7%

Your Cost: $74.19/claim|Median: $21.82
3.4× median
99291Normal range

Critical care, first 30-74 minutes

$1.6M

12K claims · 10.2%

Your Cost: $125.91/claim|Median: $101.24
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$548K

9,873 claims · 3.6%

Your Cost: $55.49/claim|Median: $35.30
1.6× median
99306Top 10%

$251K

2,845 claims · 1.6%

Your Cost: $88.06/claim|Median: $29.97
2.9× median
99292Top 25%

$247K

2,806 claims · 1.6%

Your Cost: $88.00/claim|Median: $57.64
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$222K

1,984 claims · 1.4%

Your Cost: $112.01/claim|Median: $67.32
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$184K

4,500 claims · 1.2%

Your Cost: $40.93/claim|Median: $23.99
1.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$75K

1,265 claims · 0.5%

Your Cost: $59.35/claim|Median: $43.85
1.4× median
99220Normal range

$53K

565 claims · 0.3%

Your Cost: $94.64/claim|Median: $73.56
1.3× median
99307Top 10%

$43K

1,999 claims · 0.3%

Your Cost: $21.65/claim|Median: $6.57
3.3× median
99217Top 25%

$19K

431 claims · 0.1%

Your Cost: $43.33/claim|Median: $31.89
1.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$4K

116 claims · 0.0%

Your Cost: $31.54/claim|Median: $37.22
0.8× median
99236Top 25%

Observation care same day admit and discharge

$2K

13 claims · 0.0%

Your Cost: $163.67/claim|Median: $128.23
1.3× median
99226Top 25%

$2K

35 claims · 0.0%

Your Cost: $57.69/claim|Median: $34.09
1.7× median
99315Top 25%

$792

24 claims · 0.0%

Your Cost: $33.02/claim|Median: $14.17
2.3× median
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