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Provider 1013468172

NPI: 1013468172Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,323,869

Total Claims

393K

Beneficiaries

321K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-8%
2019
$1.5M
+1%
2020
$1.5M
+14%
2021
$1.7M
+14%
2022
$2.0M
+51%
2023
$3.0M
-30%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 13% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$1.7M

21K claims · 12.8%

Your Cost: $79.82/claim|Median: $26.41
3.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

19K claims · 12.7%

Your Cost: $88.33/claim|Median: $42.48
2.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.5M

12K claims · 10.9%

Your Cost: $116.78/claim|Median: $85.65
1.4× median
99284Top 25%

Emergency dept visit, high complexity

$1.4M

15K claims · 10.7%

Your Cost: $93.89/claim|Median: $69.51
1.4× median
99213Normal range

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

$1.4M

35K claims · 10.6%

Your Cost: $40.71/claim|Median: $37.81
1.1× median
99214Normal range

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

$1.1M

29K claims · 8.3%

Your Cost: $37.69/claim|Median: $53.41
0.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.1M

4,576 claims · 8.0%

Your Cost: $231.63/claim|Median: $38.92
6.0× median
U0003Top 25%

Infectious disease detection (COVID-19)

$429K

4,813 claims · 3.2%

Your Cost: $89.24/claim|Median: $63.08
1.4× median
99212Top 10%

Office/outpatient visit, low complexity

$374K

5,019 claims · 2.8%

Your Cost: $74.59/claim|Median: $25.06
3.0× median
70450Top 10%

CT head/brain without contrast

$238K

1,238 claims · 1.8%

Your Cost: $192.22/claim|Median: $45.53
4.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$214K

2,974 claims · 1.6%

Your Cost: $72.00/claim|Median: $24.49
2.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$211K

917 claims · 1.6%

Your Cost: $229.89/claim|Median: $65.76
3.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$207K

960 claims · 1.6%

Your Cost: $215.58/claim|Median: $60.19
3.6× median
80053Top 25%

Comprehensive metabolic panel

$201K

17K claims · 1.5%

Your Cost: $12.04/claim|Median: $7.24
1.7× median
92507Top 25%

Speech/hearing/language treatment

$120K

1,450 claims · 0.9%

Your Cost: $82.43/claim|Median: $49.45
1.7× median
96365Normal range

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

$114K

1,251 claims · 0.9%

Your Cost: $91.06/claim|Median: $54.77
1.7× median
36415Top 5%

Collection of venous blood by venipuncture

$102K

12K claims · 0.8%

Your Cost: $8.55/claim|Median: $1.57
5.4× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$97K

998 claims · 0.7%

Your Cost: $97.67/claim|Median: $10.88
9.0× median
87804Normal range

Influenza virus detection, rapid test

$82K

12K claims · 0.6%

Your Cost: $7.04/claim|Median: $12.59
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$60K

1,926 claims · 0.4%

Your Cost: $30.91/claim|Median: $39.70
0.8× median
96360Top 25%

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

$49K

412 claims · 0.4%

Your Cost: $119.66/claim|Median: $61.57
1.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$47K

20K claims · 0.4%

Your Cost: $2.36/claim|Median: $4.71
0.5× median
87070Top 10%

Bacterial culture, any source except blood or urine

$43K

2,412 claims · 0.3%

Your Cost: $17.73/claim|Median: $5.89
3.0× median
80048Top 25%

Basic metabolic panel

$42K

2,402 claims · 0.3%

Your Cost: $17.51/claim|Median: $5.78
3.0× median
97161Top 25%

Physical therapy evaluation, low complexity

$40K

520 claims · 0.3%

Your Cost: $77.64/claim|Median: $47.89
1.6× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$40K

963 claims · 0.3%

Your Cost: $41.91/claim|Median: $57.85
0.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$38K

5,332 claims · 0.3%

Your Cost: $7.04/claim|Median: $11.48
0.6× median
99281Normal range

Emergency dept visit, minimal complexity

$35K

346 claims · 0.3%

Your Cost: $99.80/claim|Median: $52.03
1.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$29K

1,741 claims · 0.2%

Your Cost: $16.39/claim|Median: $35.30
0.5× median
87400Normal range

$26K

1,886 claims · 0.2%

Your Cost: $13.99/claim|Median: $8.40
1.7× median
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