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Provider 1053424648

NPI: 1053424648Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,402,823

Total Claims

451K

Beneficiaries

335K

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$545K
+198%
2019
$1.6M
-6%
2020
$1.5M
+10%
2021
$1.7M
+1%
2022
$1.7M
-47%
2023
$898K
-49%
2024
$458K

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 20% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

22K claims · 19.9%

Your Cost: $76.16/claim|Median: $42.48
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$815K

7,568 claims · 9.7%

Your Cost: $107.73/claim|Median: $38.92
2.8× median
99284Normal range

Emergency dept visit, high complexity

$647K

12K claims · 7.7%

Your Cost: $53.75/claim|Median: $69.51
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$499K

8,127 claims · 5.9%

Your Cost: $61.36/claim|Median: $85.65
0.7× median
Q9967Top 5%

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

$345K

3,484 claims · 4.1%

Your Cost: $99.00/claim|Median: $3.42
28.9× median
36415Top 5%

Collection of venous blood by venipuncture

$341K

39K claims · 4.1%

Your Cost: $8.84/claim|Median: $1.57
5.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$300K

1,832 claims · 3.6%

Your Cost: $163.84/claim|Median: $65.76
2.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$258K

1,903 claims · 3.1%

Your Cost: $135.83/claim|Median: $60.19
2.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$243K

3,728 claims · 2.9%

Your Cost: $65.11/claim|Median: $24.49
2.7× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$238K

1,821 claims · 2.8%

Your Cost: $130.88/claim|Median: $61.57
2.1× median
80053Normal range

Comprehensive metabolic panel

$232K

29K claims · 2.8%

Your Cost: $8.14/claim|Median: $7.24
1.1× median
70450Normal range

CT head/brain without contrast

$214K

3,477 claims · 2.5%

Your Cost: $61.62/claim|Median: $45.53
1.4× median
99282Normal range

Emergency dept visit, low complexity

$191K

3,173 claims · 2.3%

Your Cost: $60.14/claim|Median: $37.72
1.6× median
96365Normal range

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

$183K

2,384 claims · 2.2%

Your Cost: $76.71/claim|Median: $54.77
1.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$164K

8,314 claims · 1.9%

Your Cost: $19.70/claim|Median: $21.76
0.9× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$159K

5,555 claims · 1.9%

Your Cost: $28.54/claim|Median: $9.56
3.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$133K

3,959 claims · 1.6%

Your Cost: $33.61/claim|Median: $35.43
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$89K

903 claims · 1.1%

Your Cost: $98.60/claim|Median: $54.68
1.8× median
59025Top 25%

Fetal non-stress test

$85K

907 claims · 1.0%

Your Cost: $93.20/claim|Median: $26.45
3.5× median
71046Normal range

Chest X-ray, 2 views

$82K

7,728 claims · 1.0%

Your Cost: $10.67/claim|Median: $8.92
1.2× median
87086Normal range

Urine culture, colony count, with identification

$81K

12K claims · 1.0%

Your Cost: $6.86/claim|Median: $5.31
1.3× median
J3490Normal range

Unclassified drugs

$73K

8,056 claims · 0.9%

Your Cost: $9.05/claim|Median: $5.70
1.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$68K

1,180 claims · 0.8%

Your Cost: $57.30/claim|Median: $74.78
0.8× median
71260Normal range

CT chest with contrast

$66K

610 claims · 0.8%

Your Cost: $107.55/claim|Median: $48.36
2.2× median
99281Normal range

Emergency dept visit, minimal complexity

$60K

755 claims · 0.7%

Your Cost: $79.99/claim|Median: $52.03
1.5× median
87804Normal range

Influenza virus detection, rapid test

$56K

4,404 claims · 0.7%

Your Cost: $12.65/claim|Median: $12.59
1.0× median
80048Normal range

Basic metabolic panel

$52K

7,970 claims · 0.6%

Your Cost: $6.57/claim|Median: $5.78
1.1× median
C9803Normal range

$46K

2,892 claims · 0.5%

Your Cost: $15.93/claim|Median: $13.20
1.2× median
H1000Normal range

Prenatal care, at-risk assessment

$44K

717 claims · 0.5%

Your Cost: $61.09/claim|Median: $50.36
1.2× median
87070Top 5%

Bacterial culture, any source except blood or urine

$41K

832 claims · 0.5%

Your Cost: $49.52/claim|Median: $5.89
8.4× median
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