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Provider 1003811290

NPI: 1003811290Share
Active Billing Period:2018-01→2021-08(44 months)
Billing appears to have stoppedLast active: 2021-08

Total Paid

$12.7M

$12,675,826

Total Claims

364K

Beneficiaries

314K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$3.8M
+11%
2019
$4.2M
-31%
2020
$2.9M
-36%
2021
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80053 (Comprehensive metabolic panel)) accounts for 16% of total spending.

80053Top 1%

Comprehensive metabolic panel

$2.0M

17K claims · 15.7%

Your Cost: $120.65/claim|Median: $7.24
16.7× median
36415Top 1%

Collection of venous blood by venipuncture

$1.2M

9,122 claims · 9.5%

Your Cost: $131.45/claim|Median: $1.57
83.7× median
99283Normal range

Emergency dept visit, moderate complexity

$1.1M

18K claims · 8.5%

Your Cost: $58.70/claim|Median: $42.48
1.4× median
80048Top 5%

Basic metabolic panel

$808K

9,750 claims · 6.4%

Your Cost: $82.91/claim|Median: $5.78
14.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$640K

3,547 claims · 5.0%

Your Cost: $180.31/claim|Median: $38.92
4.6× median
81003Top 1%

Urinalysis, automated without microscopy

$607K

19K claims · 4.8%

Your Cost: $32.73/claim|Median: $1.48
22.1× median
99282Top 25%

Emergency dept visit, low complexity

$607K

6,460 claims · 4.8%

Your Cost: $93.95/claim|Median: $37.72
2.5× median
99284Normal range

Emergency dept visit, high complexity

$508K

19K claims · 4.0%

Your Cost: $27.42/claim|Median: $69.51
0.4× median
87804Top 1%

Influenza virus detection, rapid test

$465K

2,391 claims · 3.7%

Your Cost: $194.67/claim|Median: $12.59
15.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$261K

5,848 claims · 2.1%

Your Cost: $44.55/claim|Median: $9.56
4.7× median
96360Top 5%

IV infusion, hydration, initial, 31 minutes to 1 hour

$240K

1,032 claims · 1.9%

Your Cost: $232.67/claim|Median: $61.57
3.8× median
87430Top 1%

$236K

2,811 claims · 1.9%

Your Cost: $83.90/claim|Median: $9.41
8.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$226K

1,594 claims · 1.8%

Your Cost: $141.51/claim|Median: $52.03
2.7× median
84702Top 1%

$211K

1,466 claims · 1.7%

Your Cost: $143.80/claim|Median: $8.25
17.4× median
71046Top 10%

Chest X-ray, 2 views

$206K

5,066 claims · 1.6%

Your Cost: $40.59/claim|Median: $8.92
4.6× median
87210Top 1%

$193K

1,970 claims · 1.5%

Your Cost: $97.94/claim|Median: $3.65
26.8× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$174K

608 claims · 1.4%

Your Cost: $286.00/claim|Median: $106.14
2.7× median
87899Top 1%

$172K

769 claims · 1.4%

Your Cost: $223.48/claim|Median: $7.65
29.2× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$171K

383 claims · 1.4%

Your Cost: $446.85/claim|Median: $36.13
12.4× median
70450Normal range

CT head/brain without contrast

$145K

3,237 claims · 1.1%

Your Cost: $44.94/claim|Median: $45.53
1.0× median
81025Top 5%

Urine pregnancy test

$140K

12K claims · 1.1%

Your Cost: $12.20/claim|Median: $4.81
2.5× median
73130Top 1%

$137K

849 claims · 1.1%

Your Cost: $161.78/claim|Median: $10.69
15.1× median
71045Top 25%

Chest X-ray, single view

$129K

8,132 claims · 1.0%

Your Cost: $15.88/claim|Median: $4.93
3.2× median
87086Top 5%

Urine culture, colony count, with identification

$125K

2,840 claims · 1.0%

Your Cost: $43.86/claim|Median: $5.31
8.3× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$120K

1,162 claims · 0.9%

Your Cost: $103.17/claim|Median: $54.77
1.9× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$113K

3,389 claims · 0.9%

Your Cost: $33.41/claim|Median: $24.95
1.3× median
73030Top 1%

$111K

1,068 claims · 0.9%

Your Cost: $103.83/claim|Median: $10.94
9.5× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$111K

1,167 claims · 0.9%

Your Cost: $94.80/claim|Median: $12.06
7.9× median
73610Top 1%

X-ray of ankle, complete, minimum three views

$108K

736 claims · 0.8%

Your Cost: $146.37/claim|Median: $13.55
10.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$108K

1,326 claims · 0.8%

Your Cost: $81.18/claim|Median: $54.68
1.5× median
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