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Provider 1992244438

NPI: 1992244438Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.7M

$13,660,039

Total Claims

327K

Beneficiaries

153K

2.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+7%
2019
$2.6M
-36%
2020
$1.7M
+19%
2021
$2.0M
+10%
2022
$2.2M
-9%
2023
$2.0M
-64%
2024
$717K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 50% of total spending.

99232Normal range

Subsequent hospital care, per day, moderate complexity

$6.8M

203K claims · 49.7%

Your Cost: $33.48/claim|Median: $23.99
1.4× median
99223Top 25%

Initial hospital care, per day, high complexity

$2.5M

24K claims · 18.0%

Your Cost: $104.27/claim|Median: $67.32
1.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.2M

46K claims · 16.2%

Your Cost: $48.37/claim|Median: $35.30
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$919K

17K claims · 6.7%

Your Cost: $52.82/claim|Median: $43.85
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$467K

6,219 claims · 3.4%

Your Cost: $75.06/claim|Median: $51.25
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$301K

8,365 claims · 2.2%

Your Cost: $36.02/claim|Median: $37.22
1.0× median
99220Top 25%

$259K

2,492 claims · 1.9%

Your Cost: $103.75/claim|Median: $73.56
1.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$70K

3,633 claims · 0.5%

Your Cost: $19.29/claim|Median: $16.77
1.2× median
99255Top 25%

$55K

365 claims · 0.4%

Your Cost: $149.79/claim|Median: $90.45
1.7× median
99219Normal range

$49K

610 claims · 0.4%

Your Cost: $79.62/claim|Median: $63.35
1.3× median
99497Normal range

$36K

4,370 claims · 0.3%

Your Cost: $8.28/claim|Median: $10.99
0.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$20K

1,052 claims · 0.1%

Your Cost: $18.66/claim|Median: $36.13
0.5× median
99217Normal range

$8K

219 claims · 0.1%

Your Cost: $38.61/claim|Median: $31.89
1.2× median
99234Normal range

$6K

79 claims · 0.0%

Your Cost: $70.74/claim|Median: $80.89
0.9× median
11045Normal range

$3K

121 claims · 0.0%

Your Cost: $24.89/claim|Median: $27.04
0.9× median
99254Normal range

$976

14 claims · 0.0%

Your Cost: $69.70/claim|Median: $81.43
0.9× median
99218Normal range

$675

17 claims · 0.0%

Your Cost: $39.72/claim|Median: $51.50
0.8× median
97597Normal range

$68

29 claims · 0.0%

Your Cost: $2.36/claim|Median: $21.22
0.1× median
1123FNormal range

$0

3,003 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.49
1124FNormal range

$0

262 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37
G8428Normal range

$0

392 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
G8427Normal range

$0

5,915 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
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