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Provider 1003898313

NPI: 1003898313Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,004,831

Total Claims

210K

Beneficiaries

182K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$902K
+9%
2019
$984K
-39%
2020
$602K
+93%
2021
$1.2M
+51%
2022
$1.8M
+60%
2023
$2.8M
-36%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 24% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.4M

19K claims · 24.1%

Your Cost: $125.49/claim|Median: $42.48
3.0× median
99284Top 10%

Emergency dept visit, high complexity

$2.3M

14K claims · 22.9%

Your Cost: $169.32/claim|Median: $69.51
2.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$691K

3,030 claims · 6.9%

Your Cost: $227.96/claim|Median: $85.65
2.7× median
43239Normal range

Upper GI endoscopy with biopsy

$528K

2,170 claims · 5.3%

Your Cost: $243.22/claim|Median: $151.68
1.6× median
80050Normal range

General health panel

$393K

9,764 claims · 3.9%

Your Cost: $40.25/claim|Median: $25.59
1.6× median
74176Top 5%

CT abdomen and pelvis without contrast

$374K

520 claims · 3.7%

Your Cost: $718.67/claim|Median: $60.19
11.9× median
G0378Top 25%

Hospital observation service, per hour

$350K

1,178 claims · 3.5%

Your Cost: $296.75/claim|Median: $99.39
3.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$229K

11K claims · 2.3%

Your Cost: $21.09/claim|Median: $9.56
2.2× median
76856Top 5%

Ultrasound, pelvic, complete

$210K

1,104 claims · 2.1%

Your Cost: $190.24/claim|Median: $47.58
4.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$195K

4,130 claims · 2.0%

Your Cost: $47.24/claim|Median: $35.43
1.3× median
45378Normal range

Colonoscopy, diagnostic

$172K

514 claims · 1.7%

Your Cost: $334.83/claim|Median: $225.49
1.5× median
76830Top 5%

Ultrasound, transvaginal

$157K

809 claims · 1.6%

Your Cost: $194.44/claim|Median: $57.47
3.4× median
71045Top 10%

Chest X-ray, single view

$135K

3,312 claims · 1.4%

Your Cost: $40.89/claim|Median: $4.93
8.3× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$119K

455 claims · 1.2%

Your Cost: $261.92/claim|Median: $255.17
1.0× median
G0379Top 25%

Direct admission to hospital observation

$115K

305 claims · 1.1%

Your Cost: $376.07/claim|Median: $48.25
7.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$111K

1,356 claims · 1.1%

Your Cost: $82.08/claim|Median: $21.76
3.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$95K

4,950 claims · 0.9%

Your Cost: $19.16/claim|Median: $7.50
2.6× median
70450Top 25%

CT head/brain without contrast

$93K

762 claims · 0.9%

Your Cost: $122.04/claim|Median: $45.53
2.7× median
36415Normal range

Collection of venous blood by venipuncture

$72K

31K claims · 0.7%

Your Cost: $2.32/claim|Median: $1.57
1.5× median
J0696Top 5%

$68K

1,638 claims · 0.7%

Your Cost: $41.76/claim|Median: $1.34
31.2× median
80081Normal range

$59K

835 claims · 0.6%

Your Cost: $70.96/claim|Median: $59.44
1.2× median
92507Normal range

Speech/hearing/language treatment

$58K

1,900 claims · 0.6%

Your Cost: $30.42/claim|Median: $49.45
0.6× median
99282Normal range

Emergency dept visit, low complexity

$50K

567 claims · 0.5%

Your Cost: $88.35/claim|Median: $37.72
2.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$50K

1,422 claims · 0.5%

Your Cost: $35.14/claim|Median: $37.81
0.9× median
99281Normal range

Emergency dept visit, minimal complexity

$47K

986 claims · 0.5%

Your Cost: $47.97/claim|Median: $52.03
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$43K

9,478 claims · 0.4%

Your Cost: $4.53/claim|Median: $4.71
1.0× median
97597Normal range

$40K

1,372 claims · 0.4%

Your Cost: $29.48/claim|Median: $21.22
1.4× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$37K

510 claims · 0.4%

Your Cost: $73.15/claim|Median: $37.56
1.9× median
80053Normal range

Comprehensive metabolic panel

$36K

6,247 claims · 0.4%

Your Cost: $5.76/claim|Median: $7.24
0.8× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$32K

603 claims · 0.3%

Your Cost: $53.73/claim|Median: $53.41
1.0× median
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