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Provider 1013251594

NPI: 1013251594Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.2M

$9,166,567

Total Claims

249K

Beneficiaries

183K

1.4 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$468K
+99%
2019
$933K
-1%
2020
$920K
+55%
2021
$1.4M
+40%
2022
$2.0M
+1%
2023
$2.0M
-30%
2024
$1.4M

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 37% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$3.4M

24K claims · 37.1%

Your Cost: $142.60/claim|Median: $42.48
3.4× median
99284Top 25%

Emergency dept visit, high complexity

$933K

9,440 claims · 10.2%

Your Cost: $98.87/claim|Median: $69.51
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$889K

11K claims · 9.7%

Your Cost: $81.74/claim|Median: $85.65
1.0× median
71045Top 5%

Chest X-ray, single view

$691K

7,481 claims · 7.5%

Your Cost: $92.34/claim|Median: $4.93
18.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$490K

9,686 claims · 5.3%

Your Cost: $50.58/claim|Median: $7.50
6.7× median
99282Top 10%

Emergency dept visit, low complexity

$355K

2,384 claims · 3.9%

Your Cost: $148.95/claim|Median: $37.72
3.9× median
G0378Normal range

Hospital observation service, per hour

$279K

3,455 claims · 3.0%

Your Cost: $80.74/claim|Median: $99.39
0.8× median
C9803Top 10%

$274K

5,885 claims · 3.0%

Your Cost: $46.55/claim|Median: $13.20
3.5× median
96361Normal range

IV infusion, hydration, each additional hour

$219K

3,800 claims · 2.4%

Your Cost: $57.60/claim|Median: $38.92
1.5× median
87428Normal range

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

$180K

10K claims · 2.0%

Your Cost: $17.74/claim|Median: $39.63
0.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$157K

4,194 claims · 1.7%

Your Cost: $37.54/claim|Median: $21.76
1.7× median
80053Normal range

Comprehensive metabolic panel

$154K

27K claims · 1.7%

Your Cost: $5.71/claim|Median: $7.24
0.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$133K

1,863 claims · 1.5%

Your Cost: $71.51/claim|Median: $9.56
7.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$125K

28K claims · 1.4%

Your Cost: $4.47/claim|Median: $4.71
0.9× median
71046Top 5%

Chest X-ray, 2 views

$115K

1,245 claims · 1.3%

Your Cost: $92.09/claim|Median: $8.92
10.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$107K

934 claims · 1.2%

Your Cost: $114.10/claim|Median: $100.62
1.1× median
99281Top 25%

Emergency dept visit, minimal complexity

$93K

711 claims · 1.0%

Your Cost: $130.19/claim|Median: $52.03
2.5× median
36415Normal range

Collection of venous blood by venipuncture

$78K

32K claims · 0.9%

Your Cost: $2.44/claim|Median: $1.57
1.6× median
84484Normal range

Troponin, quantitative

$61K

7,914 claims · 0.7%

Your Cost: $7.70/claim|Median: $4.84
1.6× median
87650Normal range

$38K

3,507 claims · 0.4%

Your Cost: $10.96/claim|Median: $14.79
0.7× median
80306Normal range

$38K

4,320 claims · 0.4%

Your Cost: $8.83/claim|Median: $10.29
0.9× median
96365Normal range

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

$33K

940 claims · 0.4%

Your Cost: $35.06/claim|Median: $54.77
0.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$32K

814 claims · 0.3%

Your Cost: $39.23/claim|Median: $63.08
0.6× median
86403Normal range

$32K

5,132 claims · 0.3%

Your Cost: $6.15/claim|Median: $6.03
1.0× median
81001Normal range

Urinalysis, automated, with microscopy

$25K

9,739 claims · 0.3%

Your Cost: $2.52/claim|Median: $2.03
1.2× median
87804Normal range

Influenza virus detection, rapid test

$23K

2,105 claims · 0.3%

Your Cost: $10.93/claim|Median: $12.59
0.9× median
83735Normal range

Magnesium blood level test

$20K

4,281 claims · 0.2%

Your Cost: $4.58/claim|Median: $2.77
1.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$19K

2,577 claims · 0.2%

Your Cost: $7.51/claim|Median: $14.92
0.5× median
76376Top 25%

$19K

919 claims · 0.2%

Your Cost: $21.05/claim|Median: $5.53
3.8× median
80061Normal range

Lipid panel

$15K

2,562 claims · 0.2%

Your Cost: $5.94/claim|Median: $8.41
0.7× median
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