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Provider 1023000569

NPI: 1023000569Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,117,634

Total Claims

699K

Beneficiaries

576K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+20%
2019
$3.1M
-34%
2020
$2.0M
-13%
2021
$1.8M
+18%
2022
$2.1M
-5%
2023
$2.0M
-15%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 19% of total spending.

0450Normal range

Emergency room visit

$2.9M

61K claims · 19.2%

Your Cost: $47.64/claim|Median: $44.95
1.1× median
0270Top 25%

$852K

47K claims · 5.6%

Your Cost: $18.05/claim|Median: $5.50
3.3× median
70450Top 25%

CT head/brain without contrast

$686K

7,013 claims · 4.5%

Your Cost: $97.80/claim|Median: $45.53
2.1× median
74176Normal range

CT abdomen and pelvis without contrast

$648K

6,377 claims · 4.3%

Your Cost: $101.57/claim|Median: $60.19
1.7× median
J3490Normal range

Unclassified drugs

$476K

44K claims · 3.2%

Your Cost: $10.87/claim|Median: $5.70
1.9× median
Z7502Normal range

$472K

13K claims · 3.1%

Your Cost: $36.63/claim|Median: $37.17
1.0× median
80048Top 10%

Basic metabolic panel

$377K

18K claims · 2.5%

Your Cost: $21.22/claim|Median: $5.78
3.7× median
99281Normal range

Emergency dept visit, minimal complexity

$342K

8,158 claims · 2.3%

Your Cost: $41.97/claim|Median: $52.03
0.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$275K

6,592 claims · 1.8%

Your Cost: $41.69/claim|Median: $21.76
1.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$262K

14K claims · 1.7%

Your Cost: $18.69/claim|Median: $7.50
2.5× median
99199Top 25%

Unlisted special service, procedure, or report

$253K

6,453 claims · 1.7%

Your Cost: $39.13/claim|Median: $5.39
7.3× median
80053Top 25%

Comprehensive metabolic panel

$242K

12K claims · 1.6%

Your Cost: $20.04/claim|Median: $7.24
2.8× median
J7030Top 10%

Normal saline solution infusion, 1000 cc

$239K

10K claims · 1.6%

Your Cost: $23.87/claim|Median: $1.53
15.6× median
S3620Top 25%

Newborn metabolic screening panel

$237K

1,614 claims · 1.6%

Your Cost: $146.62/claim|Median: $11.82
12.4× median
96365Normal range

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

$217K

4,033 claims · 1.4%

Your Cost: $53.77/claim|Median: $54.77
1.0× median
76705Normal range

Ultrasound, abdominal, limited

$192K

4,176 claims · 1.3%

Your Cost: $45.87/claim|Median: $23.81
1.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$190K

4,123 claims · 1.3%

Your Cost: $46.19/claim|Median: $63.08
0.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$187K

5,971 claims · 1.2%

Your Cost: $31.32/claim|Median: $14.92
2.1× median
71045Top 25%

Chest X-ray, single view

$179K

15K claims · 1.2%

Your Cost: $11.99/claim|Median: $4.93
2.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$175K

8,376 claims · 1.2%

Your Cost: $20.94/claim|Median: $9.56
2.2× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$175K

3,458 claims · 1.2%

Your Cost: $50.71/claim|Median: $37.56
1.4× median
Z7610Top 5%

$174K

12K claims · 1.1%

Your Cost: $14.84/claim|Median: $9.46
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$167K

27K claims · 1.1%

Your Cost: $6.23/claim|Median: $4.71
1.3× median
0942Normal range

$164K

9,026 claims · 1.1%

Your Cost: $18.12/claim|Median: $29.55
0.6× median
72125Top 25%

CT cervical spine without contrast

$159K

1,316 claims · 1.0%

Your Cost: $120.55/claim|Median: $32.30
3.7× median
Z6412Top 1%

$156K

5,993 claims · 1.0%

Your Cost: $25.95/claim|Median: $15.32
1.7× median
Z9725Top 1%

$148K

3,430 claims · 1.0%

Your Cost: $43.03/claim|Median: $42.99
1.0× median
0250Normal range

$128K

19K claims · 0.8%

Your Cost: $6.62/claim|Median: $3.70
1.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$125K

705 claims · 0.8%

Your Cost: $176.64/claim|Median: $65.76
2.7× median
96360Normal range

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

$122K

2,795 claims · 0.8%

Your Cost: $43.58/claim|Median: $61.57
0.7× median
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