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Provider 1043240682

NPI: 1043240682Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,475,272

Total Claims

1.0M

Beneficiaries

816K

1.2 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+20%
2019
$2.3M
+3%
2020
$2.3M
+40%
2021
$3.3M
-9%
2022
$3.0M
-25%
2023
$2.2M
-32%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 10% of total spending.

U0003Top 25%

Infectious disease detection (COVID-19)

$1.6M

19K claims · 9.6%

Your Cost: $85.21/claim|Median: $63.08
1.4× median
80047Top 10%

$1.5M

48K claims · 9.4%

Your Cost: $32.11/claim|Median: $6.12
5.2× median
70450Top 25%

CT head/brain without contrast

$744K

9,459 claims · 4.5%

Your Cost: $78.63/claim|Median: $45.53
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$688K

5,436 claims · 4.2%

Your Cost: $126.53/claim|Median: $65.76
1.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$627K

6,407 claims · 3.8%

Your Cost: $97.83/claim|Median: $54.68
1.8× median
70553Top 25%

MRI brain without contrast, then with contrast

$503K

1,671 claims · 3.1%

Your Cost: $301.11/claim|Median: $133.68
2.3× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$470K

4,432 claims · 2.9%

Your Cost: $106.12/claim|Median: $91.47
1.2× median
72148Top 25%

MRI lumbar spine without contrast

$388K

1,944 claims · 2.4%

Your Cost: $199.71/claim|Median: $101.03
2.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$367K

52K claims · 2.2%

Your Cost: $7.08/claim|Median: $4.71
1.5× median
36415Top 10%

Collection of venous blood by venipuncture

$329K

60K claims · 2.0%

Your Cost: $5.47/claim|Median: $1.57
3.5× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$321K

5,157 claims · 2.0%

Your Cost: $62.32/claim|Median: $35.43
1.8× median
71275Top 25%

CT angiography, chest, with contrast

$304K

1,726 claims · 1.8%

Your Cost: $176.04/claim|Median: $92.96
1.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$287K

33K claims · 1.7%

Your Cost: $8.58/claim|Median: $7.50
1.1× median
96365Normal range

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

$271K

5,578 claims · 1.6%

Your Cost: $48.61/claim|Median: $54.77
0.9× median
70551Normal range

MRI brain without contrast

$254K

1,453 claims · 1.5%

Your Cost: $174.90/claim|Median: $85.39
2.0× median
84132Top 10%

$244K

9,109 claims · 1.5%

Your Cost: $26.77/claim|Median: $1.09
24.6× median
72125Top 25%

CT cervical spine without contrast

$235K

2,398 claims · 1.4%

Your Cost: $98.16/claim|Median: $32.30
3.0× median
72141Normal range

MRI of cervical spine without contrast

$234K

1,232 claims · 1.4%

Your Cost: $189.91/claim|Median: $112.68
1.7× median
74176Normal range

CT abdomen and pelvis without contrast

$216K

3,496 claims · 1.3%

Your Cost: $61.91/claim|Median: $60.19
1.0× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$200K

2,676 claims · 1.2%

Your Cost: $74.79/claim|Median: $79.28
0.9× median
80048Top 10%

Basic metabolic panel

$194K

8,618 claims · 1.2%

Your Cost: $22.54/claim|Median: $5.78
3.9× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$166K

998 claims · 1.0%

Your Cost: $165.87/claim|Median: $169.17
1.0× median
80076Top 25%

Hepatic function panel

$158K

14K claims · 1.0%

Your Cost: $11.23/claim|Median: $4.59
2.4× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$157K

14K claims · 1.0%

Your Cost: $11.15/claim|Median: $121.16
0.1× median
86901Top 5%

$154K

6,673 claims · 0.9%

Your Cost: $23.08/claim|Median: $2.26
10.2× median
80061Top 5%

Lipid panel

$128K

4,268 claims · 0.8%

Your Cost: $30.06/claim|Median: $8.41
3.6× median
Q9967Top 25%

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

$124K

4,469 claims · 0.8%

Your Cost: $27.82/claim|Median: $3.42
8.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$121K

12K claims · 0.7%

Your Cost: $10.13/claim|Median: $21.76
0.5× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$120K

1,005 claims · 0.7%

Your Cost: $119.60/claim|Median: $106.14
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$114K

10K claims · 0.7%

Your Cost: $11.05/claim|Median: $9.56
1.2× median
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