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Provider 1043282338

NPI: 1043282338Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,193,538

Total Claims

352K

Beneficiaries

297K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-10%
2019
$2.7M
-44%
2020
$1.5M
+7%
2021
$1.6M
+0%
2022
$1.6M
+2%
2023
$1.7M
-45%
2024
$926K

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 31% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.1M

29K claims · 31.0%

Your Cost: $140.24/claim|Median: $42.48
3.3× median
99284Top 25%

Emergency dept visit, high complexity

$3.5M

23K claims · 26.5%

Your Cost: $151.37/claim|Median: $69.51
2.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.6M

9,867 claims · 12.1%

Your Cost: $161.57/claim|Median: $85.65
1.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$419K

1,279 claims · 3.2%

Your Cost: $327.70/claim|Median: $151.68
2.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$315K

41K claims · 2.4%

Your Cost: $7.69/claim|Median: $4.71
1.6× median
99282Top 25%

Emergency dept visit, low complexity

$231K

2,342 claims · 1.8%

Your Cost: $98.82/claim|Median: $37.72
2.6× median
G0378Normal range

Hospital observation service, per hour

$226K

1,869 claims · 1.7%

Your Cost: $121.08/claim|Median: $99.39
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$225K

14K claims · 1.7%

Your Cost: $16.15/claim|Median: $21.76
0.7× median
80053Normal range

Comprehensive metabolic panel

$180K

29K claims · 1.4%

Your Cost: $6.12/claim|Median: $7.24
0.8× median
84484Top 25%

Troponin, quantitative

$159K

13K claims · 1.2%

Your Cost: $11.89/claim|Median: $4.84
2.5× median
87426Normal range

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

$153K

6,106 claims · 1.2%

Your Cost: $25.01/claim|Median: $30.04
0.8× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$147K

83 claims · 1.1%

Your Cost: $1,765.70/claim|Median: $331.68
5.3× median
87804Top 25%

Influenza virus detection, rapid test

$134K

7,497 claims · 1.0%

Your Cost: $17.91/claim|Median: $12.59
1.4× median
71045Normal range

Chest X-ray, single view

$115K

16K claims · 0.9%

Your Cost: $7.13/claim|Median: $4.93
1.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$114K

9,236 claims · 0.9%

Your Cost: $12.31/claim|Median: $14.92
0.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$109K

15K claims · 0.8%

Your Cost: $7.04/claim|Median: $7.50
0.9× median
99281Normal range

Emergency dept visit, minimal complexity

$101K

1,115 claims · 0.8%

Your Cost: $90.37/claim|Median: $52.03
1.7× median
G0379Top 25%

Direct admission to hospital observation

$97K

459 claims · 0.7%

Your Cost: $211.76/claim|Median: $48.25
4.4× median
81001Top 25%

Urinalysis, automated, with microscopy

$94K

18K claims · 0.7%

Your Cost: $5.18/claim|Median: $2.03
2.6× median
69436Top 25%

Tympanostomy, general anesthesia

$88K

99 claims · 0.7%

Your Cost: $884.36/claim|Median: $205.50
4.3× median
83735Top 25%

Magnesium blood level test

$78K

12K claims · 0.6%

Your Cost: $6.38/claim|Median: $2.77
2.3× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$69K

1,696 claims · 0.5%

Your Cost: $40.49/claim|Median: $36.13
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$63K

4,286 claims · 0.5%

Your Cost: $14.59/claim|Median: $38.92
0.4× median
81025Top 5%

Urine pregnancy test

$59K

4,171 claims · 0.4%

Your Cost: $14.14/claim|Median: $4.81
2.9× median
80048Top 25%

Basic metabolic panel

$57K

6,527 claims · 0.4%

Your Cost: $8.72/claim|Median: $5.78
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$56K

2,322 claims · 0.4%

Your Cost: $24.14/claim|Median: $35.43
0.7× median
83690Top 25%

$53K

8,042 claims · 0.4%

Your Cost: $6.65/claim|Median: $3.35
2.0× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$45K

1,314 claims · 0.3%

Your Cost: $34.50/claim|Median: $11.48
3.0× median
96365Normal range

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

$43K

2,224 claims · 0.3%

Your Cost: $19.27/claim|Median: $54.77
0.4× median
70450Normal range

CT head/brain without contrast

$42K

1,489 claims · 0.3%

Your Cost: $28.29/claim|Median: $45.53
0.6× median
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