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Provider 1043218365

NPI: 1043218365Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,383,103

Total Claims

168K

Beneficiaries

147K

1.1 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+8%
2019
$1.3M
-41%
2020
$779K
+128%
2021
$1.8M
+29%
2022
$2.3M
+22%
2023
$2.8M
-21%
2024
$2.2M

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 47% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$5.8M

23K claims · 46.6%

Your Cost: $246.81/claim|Median: $42.48
5.8× median
99284Top 5%

Emergency dept visit, high complexity

$2.3M

8,446 claims · 18.5%

Your Cost: $271.63/claim|Median: $69.51
3.9× median
99282Top 10%

Emergency dept visit, low complexity

$1.4M

9,164 claims · 11.6%

Your Cost: $156.21/claim|Median: $37.72
4.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$984K

3,663 claims · 7.9%

Your Cost: $268.62/claim|Median: $85.65
3.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$530K

11K claims · 4.3%

Your Cost: $49.15/claim|Median: $9.56
5.1× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$192K

2,857 claims · 1.6%

Your Cost: $67.35/claim|Median: $7.50
9.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$168K

4,831 claims · 1.4%

Your Cost: $34.80/claim|Median: $39.70
0.9× median
80053Normal range

Comprehensive metabolic panel

$117K

16K claims · 0.9%

Your Cost: $7.27/claim|Median: $7.24
1.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$105K

1,900 claims · 0.8%

Your Cost: $55.20/claim|Median: $21.76
2.5× median
80061Normal range

Lipid panel

$56K

5,019 claims · 0.5%

Your Cost: $11.18/claim|Median: $8.41
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$51K

25K claims · 0.4%

Your Cost: $2.06/claim|Median: $1.57
1.3× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$50K

829 claims · 0.4%

Your Cost: $60.58/claim|Median: $14.92
4.1× median
87804Normal range

Influenza virus detection, rapid test

$50K

4,466 claims · 0.4%

Your Cost: $11.20/claim|Median: $12.59
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$49K

9,354 claims · 0.4%

Your Cost: $5.22/claim|Median: $4.71
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$39K

2,786 claims · 0.3%

Your Cost: $14.13/claim|Median: $9.87
1.4× median
74018Top 1%

$39K

266 claims · 0.3%

Your Cost: $147.77/claim|Median: $7.00
21.1× median
96365Top 5%

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

$39K

210 claims · 0.3%

Your Cost: $186.39/claim|Median: $54.77
3.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$36K

2,687 claims · 0.3%

Your Cost: $13.31/claim|Median: $11.48
1.2× median
74177Top 1%

CT abdomen and pelvis with contrast

$36K

29 claims · 0.3%

Your Cost: $1,231.95/claim|Median: $65.76
18.7× median
71045Top 10%

Chest X-ray, single view

$30K

738 claims · 0.2%

Your Cost: $40.13/claim|Median: $4.93
8.1× median
70450Top 5%

CT head/brain without contrast

$27K

90 claims · 0.2%

Your Cost: $301.84/claim|Median: $45.53
6.6× median
71046Top 5%

Chest X-ray, 2 views

$24K

258 claims · 0.2%

Your Cost: $91.57/claim|Median: $8.92
10.3× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$23K

3,776 claims · 0.2%

Your Cost: $6.09/claim|Median: $0.91
6.7× median
85027Normal range

Complete blood count (CBC), automated

$22K

4,911 claims · 0.2%

Your Cost: $4.41/claim|Median: $3.72
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$20K

176 claims · 0.2%

Your Cost: $112.47/claim|Median: $91.47
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$17K

2,145 claims · 0.1%

Your Cost: $7.94/claim|Median: $5.50
1.4× median
M0243Normal range

$17K

90 claims · 0.1%

Your Cost: $183.56/claim|Median: $215.21
0.9× median
81001Normal range

Urinalysis, automated, with microscopy

$16K

7,885 claims · 0.1%

Your Cost: $2.08/claim|Median: $2.03
1.0× median
74176Top 5%

CT abdomen and pelvis without contrast

$14K

20 claims · 0.1%

Your Cost: $684.43/claim|Median: $60.19
11.4× median
87081Normal range

Culture screening for pathogenic organisms

$11K

2,068 claims · 0.1%

Your Cost: $5.45/claim|Median: $5.09
1.1× median
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