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Provider 1043267701

NPI: 1043267701Share
Active Billing Period:2019-03→2024-12(61 months)

Total Paid

$8.4M

$8,432,469

Total Claims

158K

Beneficiaries

146K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2019
$27
+406413%
2020
$110K
+1147%
2021
$1.4M
+55%
2022
$2.1M
+43%
2023
$3.0M
-42%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 39% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.3M

14K claims · 38.6%

Your Cost: $235.30/claim|Median: $69.51
3.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

16K claims · 20.9%

Your Cost: $110.49/claim|Median: $42.48
2.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$347K

5,530 claims · 4.1%

Your Cost: $62.75/claim|Median: $7.50
8.4× median
80053Top 5%

Comprehensive metabolic panel

$310K

7,142 claims · 3.7%

Your Cost: $43.43/claim|Median: $7.24
6.0× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$211K

1,255 claims · 2.5%

Your Cost: $168.12/claim|Median: $74.78
2.2× median
80048Top 10%

Basic metabolic panel

$183K

8,496 claims · 2.2%

Your Cost: $21.49/claim|Median: $5.78
3.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$173K

1,610 claims · 2.1%

Your Cost: $107.56/claim|Median: $85.65
1.3× median
85027Top 25%

Complete blood count (CBC), automated

$165K

20K claims · 2.0%

Your Cost: $8.34/claim|Median: $3.72
2.2× median
71045Top 25%

Chest X-ray, single view

$151K

7,587 claims · 1.8%

Your Cost: $19.94/claim|Median: $4.93
4.0× median
87400Top 10%

$146K

5,765 claims · 1.7%

Your Cost: $25.27/claim|Median: $8.40
3.0× median
J3490Top 5%

Unclassified drugs

$143K

383 claims · 1.7%

Your Cost: $374.55/claim|Median: $5.70
65.7× median
80305Top 1%

$132K

1,863 claims · 1.6%

Your Cost: $70.97/claim|Median: $7.44
9.5× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$112K

4,151 claims · 1.3%

Your Cost: $26.97/claim|Median: $34.62
0.8× median
99282Top 25%

Emergency dept visit, low complexity

$106K

1,000 claims · 1.3%

Your Cost: $105.89/claim|Median: $37.72
2.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$96K

5,168 claims · 1.1%

Your Cost: $18.61/claim|Median: $30.04
0.6× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$94K

1,049 claims · 1.1%

Your Cost: $90.02/claim|Median: $9.87
9.1× median
74177Normal range

CT abdomen and pelvis with contrast

$93K

771 claims · 1.1%

Your Cost: $120.53/claim|Median: $65.76
1.8× median
70450Normal range

CT head/brain without contrast

$88K

1,380 claims · 1.0%

Your Cost: $63.89/claim|Median: $45.53
1.4× median
76819Top 5%

Fetal biophysical profile with non-stress test

$87K

656 claims · 1.0%

Your Cost: $132.06/claim|Median: $49.45
2.7× median
80061Top 1%

Lipid panel

$86K

805 claims · 1.0%

Your Cost: $106.64/claim|Median: $8.41
12.7× median
82746Top 5%

$65K

798 claims · 0.8%

Your Cost: $81.29/claim|Median: $6.83
11.9× median
82607Top 5%

Cyanocobalamin (vitamin B-12)

$64K

839 claims · 0.8%

Your Cost: $76.31/claim|Median: $8.72
8.8× median
80076Top 10%

Hepatic function panel

$51K

3,000 claims · 0.6%

Your Cost: $16.89/claim|Median: $4.59
3.7× median
G0330Normal range

$49K

84 claims · 0.6%

Your Cost: $581.64/claim|Median: $1,205.70
0.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$34K

414 claims · 0.4%

Your Cost: $82.57/claim|Median: $58.16
1.4× median
99281Top 25%

Emergency dept visit, minimal complexity

$30K

277 claims · 0.4%

Your Cost: $106.79/claim|Median: $52.03
2.1× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$28K

14 claims · 0.3%

Your Cost: $2,024.12/claim|Median: $331.68
6.1× median
86756Top 25%

$27K

1,017 claims · 0.3%

Your Cost: $26.77/claim|Median: $13.28
2.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$27K

664 claims · 0.3%

Your Cost: $40.05/claim|Median: $39.33
1.0× median
Q9967Top 25%

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

$25K

1,093 claims · 0.3%

Your Cost: $23.12/claim|Median: $3.42
6.8× median
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