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Provider 1013998426

NPI: 1013998426Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,044,106

Total Claims

275K

Beneficiaries

244K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$157K
+224%
2019
$509K
+155%
2020
$1.3M
+49%
2021
$1.9M
+3%
2022
$2.0M
+12%
2023
$2.2M
-13%
2024
$1.9M

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 14% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$1.4M

9,260 claims · 14.2%

Your Cost: $153.97/claim|Median: $42.48
3.6× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

8,556 claims · 12.9%

Your Cost: $151.37/claim|Median: $69.51
2.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.0M

4,792 claims · 10.1%

Your Cost: $211.60/claim|Median: $38.92
5.4× median
96365Top 10%

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

$844K

5,209 claims · 8.4%

Your Cost: $162.01/claim|Median: $54.77
3.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$794K

5,348 claims · 7.9%

Your Cost: $148.53/claim|Median: $85.65
1.7× median
70450Top 10%

CT head/brain without contrast

$605K

2,808 claims · 6.0%

Your Cost: $215.34/claim|Median: $45.53
4.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$560K

2,449 claims · 5.6%

Your Cost: $228.78/claim|Median: $65.76
3.5× median
G0378Normal range

Hospital observation service, per hour

$556K

1,926 claims · 5.5%

Your Cost: $288.57/claim|Median: $99.39
2.9× median
99282Top 10%

Emergency dept visit, low complexity

$498K

3,195 claims · 5.0%

Your Cost: $155.84/claim|Median: $37.72
4.1× median
80053Top 25%

Comprehensive metabolic panel

$299K

16K claims · 3.0%

Your Cost: $18.95/claim|Median: $7.24
2.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$282K

1,201 claims · 2.8%

Your Cost: $234.93/claim|Median: $60.19
3.9× median
96360Top 10%

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

$186K

988 claims · 1.8%

Your Cost: $187.86/claim|Median: $61.57
3.1× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$140K

1,008 claims · 1.4%

Your Cost: $138.89/claim|Median: $40.12
3.5× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$123K

3,405 claims · 1.2%

Your Cost: $36.06/claim|Median: $144.30
0.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$112K

1,526 claims · 1.1%

Your Cost: $73.39/claim|Median: $63.08
1.2× median
99281Top 25%

Emergency dept visit, minimal complexity

$109K

721 claims · 1.1%

Your Cost: $151.23/claim|Median: $52.03
2.9× median
71275Top 25%

CT angiography, chest, with contrast

$97K

372 claims · 1.0%

Your Cost: $260.95/claim|Median: $92.96
2.8× median
36415Top 25%

Collection of venous blood by venipuncture

$95K

19K claims · 0.9%

Your Cost: $5.02/claim|Median: $1.57
3.2× median
76856Top 1%

Ultrasound, pelvic, complete

$93K

172 claims · 0.9%

Your Cost: $542.00/claim|Median: $47.58
11.4× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$62K

1,428 claims · 0.6%

Your Cost: $43.18/claim|Median: $34.62
1.2× median
86850Top 10%

$57K

2,126 claims · 0.6%

Your Cost: $26.76/claim|Median: $5.44
4.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$51K

1,501 claims · 0.5%

Your Cost: $33.85/claim|Median: $35.43
1.0× median
86900Top 10%

$48K

2,128 claims · 0.5%

Your Cost: $22.72/claim|Median: $2.55
8.9× median
86901Top 5%

$48K

2,129 claims · 0.5%

Your Cost: $22.37/claim|Median: $2.26
9.9× median
M0243Top 25%

$43K

133 claims · 0.4%

Your Cost: $325.12/claim|Median: $215.21
1.5× median
92507Top 5%

Speech/hearing/language treatment

$43K

375 claims · 0.4%

Your Cost: $113.49/claim|Median: $49.45
2.3× median
83880Top 25%

$42K

1,668 claims · 0.4%

Your Cost: $25.27/claim|Median: $11.81
2.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$33K

1,551 claims · 0.3%

Your Cost: $21.19/claim|Median: $15.76
1.3× median
80048Top 25%

Basic metabolic panel

$30K

2,030 claims · 0.3%

Your Cost: $14.96/claim|Median: $5.78
2.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$28K

5,986 claims · 0.3%

Your Cost: $4.72/claim|Median: $21.76
0.2× median
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