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Provider 1003102781

NPI: 1003102781Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.2M

$8,169,676

Total Claims

261K

Beneficiaries

235K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$599K
+66%
2019
$992K
-1%
2020
$981K
+28%
2021
$1.3M
+56%
2022
$2.0M
-16%
2023
$1.6M
-55%
2024
$737K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99221 (Initial hospital care, straightforward/low)) accounts for 16% of total spending.

99221Normal range

Initial hospital care, straightforward/low

$1.3M

37K claims · 16.0%

Your Cost: $35.20/claim|Median: $39.96
0.9× median
0515Top 10%

$1.0M

33K claims · 12.7%

Your Cost: $31.19/claim|Median: $17.73
1.8× median
0636Top 5%

$664K

1,142 claims · 8.1%

Your Cost: $581.56/claim|Median: $5.41
107.5× median
99281Normal range

Emergency dept visit, minimal complexity

$625K

18K claims · 7.6%

Your Cost: $35.38/claim|Median: $52.03
0.7× median
0450Normal range

Emergency room visit

$521K

20K claims · 6.4%

Your Cost: $25.60/claim|Median: $44.95
0.6× median
0123Normal range

$502K

247 claims · 6.1%

Your Cost: $2,031.86/claim|Median: $3,178.88
0.6× median
70553Top 5%

MRI brain without contrast, then with contrast

$336K

371 claims · 4.1%

Your Cost: $905.44/claim|Median: $133.68
6.8× median
70551Top 5%

MRI brain without contrast

$295K

622 claims · 3.6%

Your Cost: $474.14/claim|Median: $85.39
5.6× median
0360Normal range

$240K

2,819 claims · 2.9%

Your Cost: $85.18/claim|Median: $95.40
0.9× median
97010Top 5%

Hot/cold packs application

$181K

2,744 claims · 2.2%

Your Cost: $65.93/claim|Median: $4.47
14.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$170K

975 claims · 2.1%

Your Cost: $174.23/claim|Median: $54.68
3.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$154K

3,838 claims · 1.9%

Your Cost: $40.08/claim|Median: $63.08
0.6× median
97530Top 25%

Therapeutic activities, each 15 min

$150K

2,092 claims · 1.8%

Your Cost: $71.55/claim|Median: $33.11
2.2× median
0761Top 25%

$131K

3,187 claims · 1.6%

Your Cost: $41.02/claim|Median: $24.10
1.7× median
93325Top 5%

$128K

1,113 claims · 1.6%

Your Cost: $115.32/claim|Median: $14.61
7.9× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$104K

1,364 claims · 1.3%

Your Cost: $76.05/claim|Median: $37.35
2.0× median
Q3014Top 25%

Telehealth originating site facility fee

$88K

3,996 claims · 1.1%

Your Cost: $22.05/claim|Median: $15.37
1.4× median
97110Top 10%

Therapeutic exercises, each 15 min

$86K

1,202 claims · 1.1%

Your Cost: $71.65/claim|Median: $24.49
2.9× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$84K

654 claims · 1.0%

Your Cost: $128.97/claim|Median: $79.28
1.6× median
95812Normal range

$70K

1,526 claims · 0.9%

Your Cost: $46.18/claim|Median: $104.99
0.4× median
97799Top 25%

$64K

1,241 claims · 0.8%

Your Cost: $51.78/claim|Median: $16.72
3.1× median
0710Normal range

$59K

2,913 claims · 0.7%

Your Cost: $20.41/claim|Median: $18.49
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$54K

1,307 claims · 0.7%

Your Cost: $41.42/claim|Median: $39.70
1.0× median
76827Top 5%

$52K

421 claims · 0.6%

Your Cost: $123.38/claim|Median: $39.58
3.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$49K

1,615 claims · 0.6%

Your Cost: $30.63/claim|Median: $21.76
1.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$44K

203 claims · 0.5%

Your Cost: $216.81/claim|Median: $233.73
0.9× median
80053Normal range

Comprehensive metabolic panel

$39K

4,399 claims · 0.5%

Your Cost: $8.95/claim|Median: $7.24
1.2× median
97750Top 25%

$38K

550 claims · 0.5%

Your Cost: $68.99/claim|Median: $30.89
2.2× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$38K

556 claims · 0.5%

Your Cost: $67.90/claim|Median: $12.70
5.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$37K

2,136 claims · 0.5%

Your Cost: $17.37/claim|Median: $7.50
2.3× median
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