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Provider 1023187416

NPI: 1023187416Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,578,246

Total Claims

467K

Beneficiaries

370K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-0%
2019
$1.6M
-11%
2020
$1.4M
+11%
2021
$1.5M
-6%
2022
$1.4M
+17%
2023
$1.7M
-15%
2024
$1.4M

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 17% of total spending.

99213Normal range

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

$1.8M

34K claims · 16.9%

Your Cost: $52.15/claim|Median: $37.81
1.4× median
96361Normal range

IV infusion, hydration, each additional hour

$1.1M

10K claims · 10.3%

Your Cost: $107.23/claim|Median: $38.92
2.8× median
99284Normal range

Emergency dept visit, high complexity

$635K

14K claims · 6.0%

Your Cost: $46.09/claim|Median: $69.51
0.7× median
99214Normal range

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

$492K

10K claims · 4.6%

Your Cost: $49.01/claim|Median: $53.41
0.9× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$450K

7,677 claims · 4.3%

Your Cost: $58.67/claim|Median: $39.70
1.5× median
80053Top 25%

Comprehensive metabolic panel

$416K

20K claims · 3.9%

Your Cost: $20.52/claim|Median: $7.24
2.8× median
99283Normal range

Emergency dept visit, moderate complexity

$386K

7,223 claims · 3.6%

Your Cost: $53.41/claim|Median: $42.48
1.3× median
99212Top 10%

Office/outpatient visit, low complexity

$330K

5,352 claims · 3.1%

Your Cost: $61.70/claim|Median: $25.06
2.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$267K

6,319 claims · 2.5%

Your Cost: $42.22/claim|Median: $85.65
0.5× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$256K

2,503 claims · 2.4%

Your Cost: $102.19/claim|Median: $65.64
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$201K

2,909 claims · 1.9%

Your Cost: $69.07/claim|Median: $65.76
1.1× median
87651Top 10%

Streptococcus Group A detection, nucleic acid, amplified probe

$195K

4,284 claims · 1.8%

Your Cost: $45.59/claim|Median: $28.46
1.6× median
70450Normal range

CT head/brain without contrast

$191K

3,127 claims · 1.8%

Your Cost: $61.07/claim|Median: $45.53
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$181K

8,173 claims · 1.7%

Your Cost: $22.18/claim|Median: $24.49
0.9× median
96360Normal range

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

$180K

2,940 claims · 1.7%

Your Cost: $61.28/claim|Median: $61.57
1.0× median
96365Normal range

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

$171K

3,964 claims · 1.6%

Your Cost: $43.09/claim|Median: $54.77
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$159K

24K claims · 1.5%

Your Cost: $6.71/claim|Median: $4.71
1.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$157K

4,331 claims · 1.5%

Your Cost: $36.18/claim|Median: $91.47
0.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$141K

2,934 claims · 1.3%

Your Cost: $48.19/claim|Median: $35.43
1.4× median
99211Top 10%

Office/outpatient visit, minimal complexity

$131K

1,896 claims · 1.2%

Your Cost: $68.83/claim|Median: $12.93
5.3× median
99203Normal range

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

$123K

2,424 claims · 1.2%

Your Cost: $50.87/claim|Median: $57.85
0.9× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$121K

2,757 claims · 1.1%

Your Cost: $43.94/claim|Median: $24.95
1.8× median
80305Top 5%

$111K

7,142 claims · 1.1%

Your Cost: $15.55/claim|Median: $7.44
2.1× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$94K

2,474 claims · 0.9%

Your Cost: $37.80/claim|Median: $10.88
3.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$93K

5,087 claims · 0.9%

Your Cost: $18.28/claim|Median: $16.79
1.1× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$87K

2,738 claims · 0.8%

Your Cost: $31.90/claim|Median: $23.39
1.4× median
81003Top 1%

Urinalysis, automated without microscopy

$82K

2,104 claims · 0.8%

Your Cost: $38.78/claim|Median: $1.48
26.2× median
87086Top 10%

Urine culture, colony count, with identification

$72K

5,778 claims · 0.7%

Your Cost: $12.49/claim|Median: $5.31
2.4× median
81025Top 10%

Urine pregnancy test

$70K

6,340 claims · 0.7%

Your Cost: $11.03/claim|Median: $4.81
2.3× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$66K

3,897 claims · 0.6%

Your Cost: $16.95/claim|Median: $9.87
1.7× median
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