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Provider 1033716147

NPI: 1033716147Share
Active Billing Period:2021-01→2024-11(47 months)

Total Paid

$10.0M

$10,026,504

Total Claims

165K

Beneficiaries

147K

1.1 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2021
$2.0M
+67%
2022
$3.3M
-11%
2023
$2.9M
-35%
2024
$1.9M

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 28% of total spending.

0450Top 10%

Emergency room visit

$2.8M

16K claims · 28.1%

Your Cost: $172.30/claim|Median: $44.95
3.8× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$911K

4,864 claims · 9.1%

Your Cost: $187.28/claim|Median: $144.30
1.3× median
74177Top 10%

CT abdomen and pelvis with contrast

$604K

1,302 claims · 6.0%

Your Cost: $463.89/claim|Median: $65.76
7.1× median
99284Top 5%

Emergency dept visit, high complexity

$565K

1,548 claims · 5.6%

Your Cost: $364.94/claim|Median: $69.51
5.3× median
80053Top 5%

Comprehensive metabolic panel

$552K

9,443 claims · 5.5%

Your Cost: $58.45/claim|Median: $7.24
8.1× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$440K

5,083 claims · 4.4%

Your Cost: $86.54/claim|Median: $21.76
4.0× median
70450Top 10%

CT head/brain without contrast

$439K

1,862 claims · 4.4%

Your Cost: $235.61/claim|Median: $45.53
5.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$283K

6,570 claims · 2.8%

Your Cost: $43.15/claim|Median: $7.50
5.8× median
99281Top 1%

Emergency dept visit, minimal complexity

$256K

758 claims · 2.6%

Your Cost: $337.49/claim|Median: $52.03
6.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$219K

1,270 claims · 2.2%

Your Cost: $172.09/claim|Median: $42.48
4.1× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$208K

3,560 claims · 2.1%

Your Cost: $58.51/claim|Median: $14.92
3.9× median
74176Top 10%

CT abdomen and pelvis without contrast

$176K

582 claims · 1.8%

Your Cost: $302.92/claim|Median: $60.19
5.0× median
71045Top 10%

Chest X-ray, single view

$158K

5,502 claims · 1.6%

Your Cost: $28.70/claim|Median: $4.93
5.8× median
96361Normal range

IV infusion, hydration, each additional hour

$110K

1,884 claims · 1.1%

Your Cost: $58.39/claim|Median: $38.92
1.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$103K

11K claims · 1.0%

Your Cost: $9.57/claim|Median: $4.71
2.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$99K

1,260 claims · 1.0%

Your Cost: $78.68/claim|Median: $91.47
0.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$94K

244 claims · 0.9%

Your Cost: $384.40/claim|Median: $85.65
4.5× median
99199Top 25%

Unlisted special service, procedure, or report

$88K

3,158 claims · 0.9%

Your Cost: $27.74/claim|Median: $5.39
5.1× median
83690Top 5%

$82K

3,678 claims · 0.8%

Your Cost: $22.16/claim|Median: $3.35
6.6× median
0270Top 25%

$75K

3,981 claims · 0.8%

Your Cost: $18.89/claim|Median: $5.50
3.4× median
76856Top 10%

Ultrasound, pelvic, complete

$74K

568 claims · 0.7%

Your Cost: $129.92/claim|Median: $47.58
2.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$71K

1,547 claims · 0.7%

Your Cost: $46.19/claim|Median: $9.56
4.8× median
87040Top 5%

$69K

1,107 claims · 0.7%

Your Cost: $62.18/claim|Median: $5.54
11.2× median
83880Top 10%

$68K

2,149 claims · 0.7%

Your Cost: $31.67/claim|Median: $11.81
2.7× median
76705Top 10%

Ultrasound, abdominal, limited

$68K

704 claims · 0.7%

Your Cost: $96.46/claim|Median: $23.81
4.1× median
84703Top 5%

Human chorionic gonadotropin (hCG) quantitative blood test

$67K

1,539 claims · 0.7%

Your Cost: $43.52/claim|Median: $4.20
10.4× median
84484Top 5%

Troponin, quantitative

$67K

1,762 claims · 0.7%

Your Cost: $37.80/claim|Median: $4.84
7.8× median
96365Normal range

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

$65K

757 claims · 0.7%

Your Cost: $86.27/claim|Median: $54.77
1.6× median
87086Top 5%

Urine culture, colony count, with identification

$58K

2,297 claims · 0.6%

Your Cost: $25.47/claim|Median: $5.31
4.8× median
84512Top 25%

$54K

2,725 claims · 0.5%

Your Cost: $19.63/claim|Median: $5.41
3.6× median
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