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Provider 1003865999

NPI: 1003865999Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,827,098

Total Claims

132K

Beneficiaries

127K

1.0 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$835K
+13%
2019
$940K
-24%
2020
$717K
+67%
2021
$1.2M
+79%
2022
$2.1M
+13%
2023
$2.4M
-35%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 32% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.2M

12K claims · 32.2%

Your Cost: $256.99/claim|Median: $69.51
3.7× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.8M

17K claims · 28.9%

Your Cost: $165.81/claim|Median: $42.48
3.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$891K

2,571 claims · 9.1%

Your Cost: $346.39/claim|Median: $85.65
4.0× median
69436Top 25%

Tympanostomy, general anesthesia

$772K

1,041 claims · 7.9%

Your Cost: $741.42/claim|Median: $205.50
3.6× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$266K

1,976 claims · 2.7%

Your Cost: $134.74/claim|Median: $21.76
6.2× median
99282Normal range

Emergency dept visit, low complexity

$169K

1,973 claims · 1.7%

Your Cost: $85.42/claim|Median: $37.72
2.3× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$144K

3,803 claims · 1.5%

Your Cost: $37.90/claim|Median: $30.04
1.3× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$117K

27 claims · 1.2%

Your Cost: $4,327.00/claim|Median: $331.68
13.0× median
80053Top 25%

Comprehensive metabolic panel

$109K

8,262 claims · 1.1%

Your Cost: $13.22/claim|Median: $7.24
1.8× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$100K

2,888 claims · 1.0%

Your Cost: $34.64/claim|Median: $23.39
1.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$88K

2,870 claims · 0.9%

Your Cost: $30.63/claim|Median: $24.95
1.2× median
69421Top 1%

$66K

44 claims · 0.7%

Your Cost: $1,495.42/claim|Median: $176.91
8.5× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$64K

4,447 claims · 0.7%

Your Cost: $14.49/claim|Median: $11.48
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$56K

8,445 claims · 0.6%

Your Cost: $6.69/claim|Median: $4.71
1.4× median
87804Top 10%

Influenza virus detection, rapid test

$54K

1,871 claims · 0.5%

Your Cost: $28.82/claim|Median: $12.59
2.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$53K

144 claims · 0.5%

Your Cost: $369.31/claim|Median: $151.68
2.4× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$47K

945 claims · 0.5%

Your Cost: $49.89/claim|Median: $39.70
1.3× median
36415Top 25%

Collection of venous blood by venipuncture

$46K

16K claims · 0.5%

Your Cost: $2.84/claim|Median: $1.57
1.8× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$46K

663 claims · 0.5%

Your Cost: $69.65/claim|Median: $60.05
1.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$42K

708 claims · 0.4%

Your Cost: $59.02/claim|Median: $9.56
6.2× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$41K

388 claims · 0.4%

Your Cost: $105.83/claim|Median: $35.80
3.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$36K

839 claims · 0.4%

Your Cost: $42.76/claim|Median: $14.92
2.9× median
80305Top 25%

$30K

2,817 claims · 0.3%

Your Cost: $10.64/claim|Median: $7.44
1.4× median
96361Normal range

IV infusion, hydration, each additional hour

$29K

667 claims · 0.3%

Your Cost: $43.75/claim|Median: $38.92
1.1× median
71046Normal range

Chest X-ray, 2 views

$28K

1,735 claims · 0.3%

Your Cost: $16.13/claim|Median: $8.92
1.8× median
71045Top 25%

Chest X-ray, single view

$27K

1,967 claims · 0.3%

Your Cost: $13.88/claim|Median: $4.93
2.8× median
87529Top 10%

$25K

396 claims · 0.3%

Your Cost: $62.26/claim|Median: $24.98
2.5× median
45378Top 10%

Colonoscopy, diagnostic

$25K

38 claims · 0.3%

Your Cost: $646.70/claim|Median: $225.49
2.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$22K

122 claims · 0.2%

Your Cost: $177.52/claim|Median: $65.76
2.7× median
45385Top 5%

Colonoscopy with polyp removal, snare technique

$21K

29 claims · 0.2%

Your Cost: $730.51/claim|Median: $255.17
2.9× median
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