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Provider 1013985399

NPI: 1013985399Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,254,614

Total Claims

375K

Beneficiaries

342K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$237K
+258%
2019
$849K
+160%
2020
$2.2M
+52%
2021
$3.3M
+48%
2022
$5.0M
-21%
2023
$3.9M
-31%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 14% of total spending.

99213Top 10%

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

$2.6M

33K claims · 14.4%

Your Cost: $79.10/claim|Median: $37.81
2.1× median
G0463Top 5%

Hospital outpatient clinic visit

$2.4M

19K claims · 13.1%

Your Cost: $123.43/claim|Median: $26.41
4.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

21K claims · 9.9%

Your Cost: $87.38/claim|Median: $42.48
2.1× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

10K claims · 7.1%

Your Cost: $124.69/claim|Median: $69.51
1.8× median
99214Top 25%

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

$1.1M

13K claims · 6.3%

Your Cost: $86.56/claim|Median: $53.41
1.6× median
99211Top 5%

Office/outpatient visit, minimal complexity

$1.0M

11K claims · 5.7%

Your Cost: $90.55/claim|Median: $12.93
7.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$719K

10K claims · 3.9%

Your Cost: $71.52/claim|Median: $63.08
1.1× median
96361Top 25%

IV infusion, hydration, each additional hour

$570K

2,227 claims · 3.1%

Your Cost: $255.81/claim|Median: $38.92
6.6× median
99282Top 25%

Emergency dept visit, low complexity

$558K

3,852 claims · 3.1%

Your Cost: $144.98/claim|Median: $37.72
3.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$420K

2,613 claims · 2.3%

Your Cost: $160.91/claim|Median: $85.65
1.9× median
80053Top 10%

Comprehensive metabolic panel

$405K

18K claims · 2.2%

Your Cost: $22.68/claim|Median: $7.24
3.1× median
36415Top 5%

Collection of venous blood by venipuncture

$388K

14K claims · 2.1%

Your Cost: $28.73/claim|Median: $1.57
18.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$387K

6,632 claims · 2.1%

Your Cost: $58.31/claim|Median: $24.49
2.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$382K

1,579 claims · 2.1%

Your Cost: $241.76/claim|Median: $65.76
3.7× median
99203Top 10%

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

$349K

3,528 claims · 1.9%

Your Cost: $98.80/claim|Median: $57.85
1.7× median
70450Top 5%

CT head/brain without contrast

$299K

1,082 claims · 1.6%

Your Cost: $276.34/claim|Median: $45.53
6.1× median
99212Top 10%

Office/outpatient visit, low complexity

$272K

2,983 claims · 1.5%

Your Cost: $91.30/claim|Median: $25.06
3.6× median
96365Top 10%

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

$237K

1,514 claims · 1.3%

Your Cost: $156.66/claim|Median: $54.77
2.9× median
81025Top 1%

Urine pregnancy test

$213K

1,979 claims · 1.2%

Your Cost: $107.56/claim|Median: $4.81
22.4× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$209K

2,008 claims · 1.1%

Your Cost: $104.20/claim|Median: $65.45
1.6× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$159K

6,705 claims · 0.9%

Your Cost: $23.72/claim|Median: $15.76
1.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$126K

2,206 claims · 0.7%

Your Cost: $56.97/claim|Median: $39.33
1.4× median
80048Top 10%

Basic metabolic panel

$111K

5,330 claims · 0.6%

Your Cost: $20.80/claim|Median: $5.78
3.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$104K

2,489 claims · 0.6%

Your Cost: $41.97/claim|Median: $9.56
4.4× median
76856Top 5%

Ultrasound, pelvic, complete

$99K

443 claims · 0.5%

Your Cost: $224.23/claim|Median: $47.58
4.7× median
82306Top 25%

Vitamin D, 25 hydroxy

$92K

3,096 claims · 0.5%

Your Cost: $29.76/claim|Median: $18.18
1.6× median
99204Normal range

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

$89K

821 claims · 0.5%

Your Cost: $108.84/claim|Median: $84.03
1.3× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$89K

575 claims · 0.5%

Your Cost: $154.82/claim|Median: $29.03
5.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$86K

363 claims · 0.5%

Your Cost: $236.43/claim|Median: $60.19
3.9× median
97161Top 25%

Physical therapy evaluation, low complexity

$84K

1,010 claims · 0.5%

Your Cost: $83.13/claim|Median: $47.89
1.7× median
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