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Provider 1033224704

NPI: 1033224704Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,055,978

Total Claims

391K

Beneficiaries

354K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$429K
+88%
2019
$804K
+97%
2020
$1.6M
+44%
2021
$2.3M
+17%
2022
$2.7M
-8%
2023
$2.5M
-26%
2024
$1.8M

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 18% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.2M

11K claims · 18.0%

Your Cost: $204.72/claim|Median: $42.48
4.8× median
99284Top 10%

Emergency dept visit, high complexity

$814K

4,626 claims · 6.8%

Your Cost: $175.93/claim|Median: $69.51
2.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$629K

7,232 claims · 5.2%

Your Cost: $87.02/claim|Median: $63.08
1.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$566K

2,017 claims · 4.7%

Your Cost: $280.44/claim|Median: $38.92
7.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$495K

6,572 claims · 4.1%

Your Cost: $75.29/claim|Median: $24.49
3.1× median
99282Top 5%

Emergency dept visit, low complexity

$478K

2,290 claims · 4.0%

Your Cost: $208.84/claim|Median: $37.72
5.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$435K

3,549 claims · 3.6%

Your Cost: $122.49/claim|Median: $100.62
1.2× median
92507Top 1%

Speech/hearing/language treatment

$388K

2,135 claims · 3.2%

Your Cost: $181.83/claim|Median: $49.45
3.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$315K

1,128 claims · 2.6%

Your Cost: $279.29/claim|Median: $65.76
4.2× median
70450Top 5%

CT head/brain without contrast

$254K

915 claims · 2.1%

Your Cost: $277.36/claim|Median: $45.53
6.1× median
82306Top 25%

Vitamin D, 25 hydroxy

$249K

7,396 claims · 2.1%

Your Cost: $33.73/claim|Median: $18.18
1.9× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$247K

3,068 claims · 2.1%

Your Cost: $80.59/claim|Median: $16.79
4.8× median
80053Top 25%

Comprehensive metabolic panel

$235K

20K claims · 2.0%

Your Cost: $12.02/claim|Median: $7.24
1.7× median
77067Top 25%

Screening mammography, bilateral, including CAD

$223K

2,333 claims · 1.8%

Your Cost: $95.39/claim|Median: $39.33
2.4× median
80048Top 10%

Basic metabolic panel

$213K

11K claims · 1.8%

Your Cost: $19.46/claim|Median: $5.78
3.4× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$201K

2,616 claims · 1.7%

Your Cost: $76.82/claim|Median: $144.30
0.5× median
96360Top 5%

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

$199K

918 claims · 1.6%

Your Cost: $216.69/claim|Median: $61.57
3.5× median
76856Top 1%

Ultrasound, pelvic, complete

$196K

502 claims · 1.6%

Your Cost: $391.14/claim|Median: $47.58
8.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$159K

1,037 claims · 1.3%

Your Cost: $153.64/claim|Median: $85.65
1.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$159K

5,591 claims · 1.3%

Your Cost: $28.44/claim|Median: $23.39
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$152K

5,891 claims · 1.3%

Your Cost: $25.76/claim|Median: $24.95
1.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$134K

14K claims · 1.1%

Your Cost: $9.69/claim|Median: $9.87
1.0× median
97530Top 5%

Therapeutic activities, each 15 min

$132K

1,023 claims · 1.1%

Your Cost: $128.70/claim|Median: $33.11
3.9× median
99214Top 5%

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

$128K

723 claims · 1.1%

Your Cost: $176.42/claim|Median: $53.41
3.3× median
80061Normal range

Lipid panel

$108K

15K claims · 0.9%

Your Cost: $7.29/claim|Median: $8.41
0.9× median
99213Top 1%

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

$106K

534 claims · 0.9%

Your Cost: $198.53/claim|Median: $37.81
5.3× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$105K

10K claims · 0.9%

Your Cost: $10.37/claim|Median: $5.50
1.9× median
U0005Top 5%

Infectious disease detection, COVID-19, antigen

$100K

3,733 claims · 0.8%

Your Cost: $26.90/claim|Median: $15.76
1.7× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$95K

2,053 claims · 0.8%

Your Cost: $46.11/claim|Median: $26.72
1.7× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$94K

1,568 claims · 0.8%

Your Cost: $59.64/claim|Median: $38.35
1.6× median
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