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Provider 1982087896

NPI: 1982087896Share
Active Billing Period:2018-04→2024-12(70 months)

Total Paid

$8.1M

$8,106,633

Total Claims

70K

Beneficiaries

25K

2.8 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$10K
+13299%
2019
$1.3M
+25%
2020
$1.6M
+25%
2021
$2.0M
-37%
2022
$1.3M
-3%
2023
$1.2M
-42%
2024
$715K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 44% of total spending.

99213Top 1%

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

$3.6M

22K claims · 44.3%

Your Cost: $163.37/claim|Median: $37.81
4.3× median
99214Top 25%

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

$1.4M

15K claims · 16.8%

Your Cost: $93.45/claim|Median: $53.41
1.7× median
99000Top 1%

$916K

7,244 claims · 11.3%

Your Cost: $126.48/claim|Median: $2.30
55.0× median
99204Normal range

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

$722K

9,539 claims · 8.9%

Your Cost: $75.71/claim|Median: $84.03
0.9× median
99212Top 10%

Office/outpatient visit, low complexity

$594K

9,926 claims · 7.3%

Your Cost: $59.82/claim|Median: $25.06
2.4× median
99203Top 5%

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

$452K

2,463 claims · 5.6%

Your Cost: $183.48/claim|Median: $57.85
3.2× median
81025Top 1%

Urine pregnancy test

$330K

2,927 claims · 4.1%

Your Cost: $112.87/claim|Median: $4.81
23.5× median
99051Top 1%

$81K

741 claims · 1.0%

Your Cost: $109.85/claim|Median: $7.89
13.9× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$42K

479 claims · 0.5%

Your Cost: $87.78/claim|Median: $40.11
2.2× median
J7300Normal range

$10K

13 claims · 0.1%

Your Cost: $739.00/claim|Median: $692.75
1.1× median
90385Normal range

$5K

216 claims · 0.1%

Your Cost: $23.61/claim|Median: $19.10
1.2× median
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