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Provider 1033475959

NPI: 1033475959Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,498,831

Total Claims

579K

Beneficiaries

492K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$415K
+251%
2019
$1.5M
-30%
2020
$1.0M
+113%
2021
$2.2M
+38%
2022
$3.0M
+0%
2023
$3.0M
-51%
2024
$1.5M

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 28% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.5M

40K claims · 27.8%

Your Cost: $87.88/claim|Median: $42.48
2.1× median
99284Normal range

Emergency dept visit, high complexity

$2.9M

35K claims · 22.9%

Your Cost: $81.98/claim|Median: $69.51
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.2M

14K claims · 9.8%

Your Cost: $87.26/claim|Median: $85.65
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$821K

5,062 claims · 6.6%

Your Cost: $162.24/claim|Median: $65.76
2.5× median
80053Top 25%

Comprehensive metabolic panel

$647K

37K claims · 5.2%

Your Cost: $17.51/claim|Median: $7.24
2.4× median
96361Normal range

IV infusion, hydration, each additional hour

$533K

11K claims · 4.3%

Your Cost: $48.67/claim|Median: $38.92
1.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$261K

1,460 claims · 2.1%

Your Cost: $178.43/claim|Median: $60.19
3.0× median
71275Normal range

CT angiography, chest, with contrast

$253K

2,008 claims · 2.0%

Your Cost: $126.19/claim|Median: $92.96
1.4× median
99282Normal range

Emergency dept visit, low complexity

$245K

2,869 claims · 2.0%

Your Cost: $85.50/claim|Median: $37.72
2.3× median
70450Normal range

CT head/brain without contrast

$207K

6,273 claims · 1.7%

Your Cost: $33.01/claim|Median: $45.53
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$136K

4,455 claims · 1.1%

Your Cost: $30.61/claim|Median: $24.49
1.2× median
99281Normal range

Emergency dept visit, minimal complexity

$121K

1,535 claims · 1.0%

Your Cost: $78.99/claim|Median: $52.03
1.5× median
96360Normal range

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

$91K

3,120 claims · 0.7%

Your Cost: $29.12/claim|Median: $61.57
0.5× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$72K

2,301 claims · 0.6%

Your Cost: $31.49/claim|Median: $3.42
9.2× median
80048Top 25%

Basic metabolic panel

$68K

4,731 claims · 0.5%

Your Cost: $14.44/claim|Median: $5.78
2.5× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$59K

2,766 claims · 0.5%

Your Cost: $21.39/claim|Median: $65.45
0.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$53K

925 claims · 0.4%

Your Cost: $56.99/claim|Median: $54.68
1.0× median
G0378Normal range

Hospital observation service, per hour

$50K

8,915 claims · 0.4%

Your Cost: $5.56/claim|Median: $99.39
0.1× median
87088Top 10%

$49K

4,995 claims · 0.4%

Your Cost: $9.80/claim|Median: $5.45
1.8× median
36415Normal range

Collection of venous blood by venipuncture

$43K

32K claims · 0.3%

Your Cost: $1.34/claim|Median: $1.57
0.9× median
Q0162Top 5%

$40K

915 claims · 0.3%

Your Cost: $44.23/claim|Median: $0.48
92.2× median
87430Top 10%

$39K

1,745 claims · 0.3%

Your Cost: $22.62/claim|Median: $9.41
2.4× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$39K

4,396 claims · 0.3%

Your Cost: $8.86/claim|Median: $0.91
9.7× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$39K

9,261 claims · 0.3%

Your Cost: $4.20/claim|Median: $4.20
1.0× median
96365Normal range

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

$35K

2,218 claims · 0.3%

Your Cost: $15.79/claim|Median: $54.77
0.3× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$34K

7,608 claims · 0.3%

Your Cost: $4.41/claim|Median: $0.58
7.6× median
81003Normal range

Urinalysis, automated without microscopy

$33K

16K claims · 0.3%

Your Cost: $2.07/claim|Median: $1.48
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$33K

1,460 claims · 0.3%

Your Cost: $22.38/claim|Median: $63.08
0.4× median
71046Normal range

Chest X-ray, 2 views

$31K

4,497 claims · 0.2%

Your Cost: $6.92/claim|Median: $8.92
0.8× median
71045Normal range

Chest X-ray, single view

$31K

19K claims · 0.2%

Your Cost: $1.67/claim|Median: $4.93
0.3× median
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