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Provider 1043279565

NPI: 1043279565Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,478,356

Total Claims

249K

Beneficiaries

220K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$26K
+1650%
2019
$456K
+202%
2020
$1.4M
+114%
2021
$3.0M
+5%
2022
$3.1M
+2%
2023
$3.2M
-24%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 16% of total spending.

99212Top 5%

Office/outpatient visit, low complexity

$2.2M

18K claims · 16.1%

Your Cost: $118.05/claim|Median: $25.06
4.7× median
93458Top 10%

Left heart catheterization with imaging

$1.5M

929 claims · 11.5%

Your Cost: $1,664.73/claim|Median: $183.33
9.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$968K

5,425 claims · 7.2%

Your Cost: $178.46/claim|Median: $54.68
3.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$915K

5,539 claims · 6.8%

Your Cost: $165.23/claim|Median: $85.65
1.9× median
G0378Normal range

Hospital observation service, per hour

$713K

2,703 claims · 5.3%

Your Cost: $263.82/claim|Median: $99.39
2.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$535K

2,399 claims · 4.0%

Your Cost: $222.87/claim|Median: $38.92
5.7× median
99284Top 10%

Emergency dept visit, high complexity

$489K

2,820 claims · 3.6%

Your Cost: $173.39/claim|Median: $69.51
2.5× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$437K

1,597 claims · 3.2%

Your Cost: $273.60/claim|Median: $106.14
2.6× median
78431Top 25%

$407K

531 claims · 3.0%

Your Cost: $767.14/claim|Median: $174.46
4.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$375K

1,928 claims · 2.8%

Your Cost: $194.27/claim|Median: $42.48
4.6× median
96365Top 10%

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

$371K

2,355 claims · 2.7%

Your Cost: $157.39/claim|Median: $54.77
2.9× median
G2066Top 5%

$360K

3,985 claims · 2.7%

Your Cost: $90.43/claim|Median: $14.66
6.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$232K

3,274 claims · 1.7%

Your Cost: $70.91/claim|Median: $63.08
1.1× median
93017Normal range

$216K

4,542 claims · 1.6%

Your Cost: $47.61/claim|Median: $56.03
0.8× median
80053Top 25%

Comprehensive metabolic panel

$214K

13K claims · 1.6%

Your Cost: $16.94/claim|Median: $7.24
2.3× median
70450Top 10%

CT head/brain without contrast

$212K

895 claims · 1.6%

Your Cost: $236.39/claim|Median: $45.53
5.2× median
75574Top 25%

$202K

833 claims · 1.5%

Your Cost: $242.38/claim|Median: $102.06
2.4× median
93226Top 10%

$201K

1,222 claims · 1.5%

Your Cost: $164.41/claim|Median: $38.71
4.2× median
93225Top 10%

$185K

1,285 claims · 1.4%

Your Cost: $144.34/claim|Median: $34.59
4.2× median
J2785Top 25%

$176K

1,441 claims · 1.3%

Your Cost: $122.21/claim|Median: $61.83
2.0× median
99282Top 5%

Emergency dept visit, low complexity

$166K

802 claims · 1.2%

Your Cost: $206.66/claim|Median: $37.72
5.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$159K

600 claims · 1.2%

Your Cost: $265.02/claim|Median: $65.76
4.0× median
83880Top 25%

$125K

4,588 claims · 0.9%

Your Cost: $27.15/claim|Median: $11.81
2.3× median
93880Top 10%

Duplex ultrasound scan of carotid arteries, bilateral

$122K

762 claims · 0.9%

Your Cost: $159.55/claim|Median: $49.03
3.3× median
86850Top 25%

$119K

5,460 claims · 0.9%

Your Cost: $21.75/claim|Median: $5.44
4.0× median
U0002Normal range

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

$107K

2,450 claims · 0.8%

Your Cost: $43.79/claim|Median: $34.62
1.3× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$104K

1,415 claims · 0.8%

Your Cost: $73.35/claim|Median: $64.30
1.1× median
71275Top 10%

CT angiography, chest, with contrast

$97K

359 claims · 0.7%

Your Cost: $269.40/claim|Median: $92.96
2.9× median
36415Top 10%

Collection of venous blood by venipuncture

$94K

16K claims · 0.7%

Your Cost: $5.77/claim|Median: $1.57
3.7× median
86901Top 10%

$90K

5,461 claims · 0.7%

Your Cost: $16.52/claim|Median: $2.26
7.3× median
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