Provider 1982667663
Total Paid
$13.9M
$13,879,099
Total Claims
247K
Beneficiaries
187K
1.3 claims/patient
Avg Cost/Claim
$56
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 29% of total spending.
$4.0M
33K claims
$120.19
$74.09
Office/outpatient visit, high complexity
$4.0M
33K claims · 28.7%
$2.8M
44K claims
$64.22
$35.30
Subsequent hospital care, per day, high complexity
$2.8M
44K claims · 20.5%
$1.7M
28K claims
$61.34
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$1.7M
28K claims · 12.5%
$716K
14K claims · 5.2%
$524K
2,239 claims
$234.12
$101.24
Critical care, first 30-74 minutes
$524K
2,239 claims · 3.8%
$465K
6,559 claims · 3.4%
$338K
1,766 claims · 2.4%
$337K
7,991 claims
$42.15
$14.00
Nursing facility care, subsequent, low complexity
$337K
7,991 claims · 2.4%
$337K
4,703 claims
$71.57
$112.83
Echocardiography, transthoracic, limited
$337K
4,703 claims · 2.4%
$223K
879 claims · 1.6%
$198K
2,540 claims
$77.85
$54.68
Echocardiography, transthoracic, complete, with Doppler
$198K
2,540 claims · 1.4%
$176K
4,724 claims · 1.3%
$174K
10K claims
$16.81
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$174K
10K claims · 1.3%
$150K
4,539 claims
$32.99
$37.22
Hospital discharge day management, 30 minutes or less
$150K
4,539 claims · 1.1%
$149K
3,523 claims
$42.32
$62.48
Initial hospital or birthing center care, newborn, per day
$149K
3,523 claims · 1.1%
$110K
3,809 claims
$28.89
$9.79
Nursing facility care, subsequent, straightforward
$110K
3,809 claims · 0.8%
$105K
2,230 claims
$47.01
$23.99
Subsequent hospital care, per day, moderate complexity
$105K
2,230 claims · 0.8%
$104K
1,968 claims · 0.8%
$92K
717 claims
$127.69
$103.70
Subsequent intensive care, 2,501-5,000 grams
$92K
717 claims · 0.7%
$85K
460 claims
$184.38
$293.45
Subsequent intensive care, very low birth weight infant
$85K
460 claims · 0.6%
$75K
360 claims · 0.5%
$69K
6,089 claims
$11.41
$5.60
Electrocardiogram, interpretation and report only
$69K
6,089 claims · 0.5%
$67K
6,050 claims · 0.5%
$64K
1,737 claims
$36.91
$75.18
Preventive medicine, established patient, age 1-4
$64K
1,737 claims · 0.5%
$58K
657 claims
$88.79
$67.32
Initial hospital care, per day, high complexity
$58K
657 claims · 0.4%
$56K
973 claims
$57.39
$69.35
Preventive medicine, established patient, infant (under 1)
$56K
973 claims · 0.4%
$53K
1,335 claims
$39.44
$74.82
Preventive medicine, established patient, age 5-11
$53K
1,335 claims · 0.4%
$51K
3,949 claims · 0.4%
$44K
1,400 claims · 0.3%
$43K
219 claims
$197.36
$111.09
Office/outpatient visit, new patient, high complexity
$43K
219 claims · 0.3%