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Provider 1033120423

NPI: 1033120423Share
Active Billing Period:2020-07→2024-12(54 months)

Total Paid

$8.5M

$8,512,321

Total Claims

158K

Beneficiaries

144K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2020
$229K
+530%
2021
$1.4M
+40%
2022
$2.0M
+68%
2023
$3.4M
-57%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 24% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.1M

10K claims · 24.2%

Your Cost: $199.00/claim|Median: $69.51
2.9× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$1.4M

421 claims · 16.6%

Your Cost: $3,359.29/claim|Median: $331.68
10.1× median
69436Top 25%

Tympanostomy, general anesthesia

$844K

1,344 claims · 9.9%

Your Cost: $627.91/claim|Median: $205.50
3.1× median
99283Normal range

Emergency dept visit, moderate complexity

$702K

13K claims · 8.2%

Your Cost: $52.14/claim|Median: $42.48
1.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$471K

4,283 claims · 5.5%

Your Cost: $110.05/claim|Median: $97.61
1.1× median
81420Top 5%

Fetal chromosomal aneuploidy genomic sequence analysis

$371K

477 claims · 4.4%

Your Cost: $778.54/claim|Median: $358.21
2.2× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$297K

1,832 claims · 3.5%

Your Cost: $162.35/claim|Median: $74.78
2.2× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$230K

1,428 claims · 2.7%

Your Cost: $161.12/claim|Median: $58.55
2.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$209K

1,828 claims · 2.5%

Your Cost: $114.14/claim|Median: $85.65
1.3× median
42830Top 25%

$191K

138 claims · 2.2%

Your Cost: $1,383.27/claim|Median: $341.04
4.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$151K

1,217 claims · 1.8%

Your Cost: $124.39/claim|Median: $100.62
1.2× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$136K

4,000 claims · 1.6%

Your Cost: $34.08/claim|Median: $24.95
1.4× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$136K

3,998 claims · 1.6%

Your Cost: $34.02/claim|Median: $23.39
1.5× median
80053Top 25%

Comprehensive metabolic panel

$125K

11K claims · 1.5%

Your Cost: $11.30/claim|Median: $7.24
1.6× median
U0003Top 5%

Infectious disease detection (COVID-19)

$121K

1,075 claims · 1.4%

Your Cost: $112.93/claim|Median: $63.08
1.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$100K

15K claims · 1.2%

Your Cost: $6.91/claim|Median: $4.71
1.5× median
81220Top 5%

CFTR gene analysis, common variants

$71K

143 claims · 0.8%

Your Cost: $498.44/claim|Median: $183.31
2.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$70K

2,600 claims · 0.8%

Your Cost: $26.80/claim|Median: $7.50
3.6× median
86780Top 25%

$58K

3,762 claims · 0.7%

Your Cost: $15.53/claim|Median: $9.83
1.6× median
86850Top 10%

$56K

2,182 claims · 0.7%

Your Cost: $25.64/claim|Median: $5.44
4.7× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$56K

2,046 claims · 0.7%

Your Cost: $27.18/claim|Median: $18.03
1.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$41K

833 claims · 0.5%

Your Cost: $49.62/claim|Median: $35.43
1.4× median
87086Normal range

Urine culture, colony count, with identification

$38K

4,933 claims · 0.4%

Your Cost: $7.68/claim|Median: $5.31
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$33K

2,861 claims · 0.4%

Your Cost: $11.49/claim|Median: $9.87
1.2× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$30K

994 claims · 0.4%

Your Cost: $30.14/claim|Median: $21.08
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$28K

936 claims · 0.3%

Your Cost: $30.28/claim|Median: $28.46
1.1× median
86762Top 25%

$28K

1,620 claims · 0.3%

Your Cost: $17.10/claim|Median: $9.97
1.7× median
42821Top 1%

$27K

12 claims · 0.3%

Your Cost: $2,259.09/claim|Median: $613.18
3.7× median
70450Normal range

CT head/brain without contrast

$25K

525 claims · 0.3%

Your Cost: $47.62/claim|Median: $45.53
1.0× median
81001Top 25%

Urinalysis, automated, with microscopy

$23K

6,610 claims · 0.3%

Your Cost: $3.42/claim|Median: $2.03
1.7× median
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