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Provider 1053441907

NPI: 1053441907Share
Active Billing Period:2018-10→2024-12(74 months)

Total Paid

$11.7M

$11,671,797

Total Claims

206K

Beneficiaries

187K

1.1 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$3K
+6372%
2019
$210K
+209%
2020
$648K
+233%
2021
$2.2M
+37%
2022
$3.0M
+8%
2023
$3.2M
-23%
2024
$2.5M

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 12% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$1.4M

8,191 claims · 12.3%

Your Cost: $174.86/claim|Median: $69.51
2.5× median
G0378Top 5%

Hospital observation service, per hour

$1.3M

965 claims · 11.3%

Your Cost: $1,365.46/claim|Median: $99.39
13.7× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.1M

5,549 claims · 9.1%

Your Cost: $190.98/claim|Median: $42.48
4.5× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.0M

4,840 claims · 9.0%

Your Cost: $216.33/claim|Median: $38.92
5.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$769K

4,643 claims · 6.6%

Your Cost: $165.55/claim|Median: $85.65
1.9× median
52000Top 1%

$703K

544 claims · 6.0%

Your Cost: $1,292.42/claim|Median: $89.88
14.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$589K

1,975 claims · 5.0%

Your Cost: $298.00/claim|Median: $65.76
4.5× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$457K

4,102 claims · 3.9%

Your Cost: $111.44/claim|Median: $53.41
2.1× median
80053Top 25%

Comprehensive metabolic panel

$352K

18K claims · 3.0%

Your Cost: $19.68/claim|Median: $7.24
2.7× median
43239Top 10%

Upper GI endoscopy with biopsy

$269K

493 claims · 2.3%

Your Cost: $546.02/claim|Median: $151.68
3.6× median
70450Top 5%

CT head/brain without contrast

$262K

1,001 claims · 2.2%

Your Cost: $261.44/claim|Median: $45.53
5.7× median
59025Top 5%

Fetal non-stress test

$258K

1,029 claims · 2.2%

Your Cost: $250.35/claim|Median: $26.45
9.5× median
96360Top 10%

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

$244K

1,341 claims · 2.1%

Your Cost: $181.89/claim|Median: $61.57
3.0× median
74176Top 10%

CT abdomen and pelvis without contrast

$236K

787 claims · 2.0%

Your Cost: $300.45/claim|Median: $60.19
5.0× median
96365Top 10%

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

$220K

1,449 claims · 1.9%

Your Cost: $151.72/claim|Median: $54.77
2.8× median
93975Top 1%

Duplex scan of arterial inflow and venous outflow, complete

$217K

360 claims · 1.9%

Your Cost: $601.43/claim|Median: $79.28
7.6× median
96415Top 10%

Chemotherapy infusion, each additional hour

$208K

505 claims · 1.8%

Your Cost: $411.88/claim|Median: $43.68
9.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$197K

1,975 claims · 1.7%

Your Cost: $99.51/claim|Median: $75.28
1.3× median
99282Top 5%

Emergency dept visit, low complexity

$150K

794 claims · 1.3%

Your Cost: $189.38/claim|Median: $37.72
5.0× median
95251Top 1%

$150K

892 claims · 1.3%

Your Cost: $167.87/claim|Median: $18.02
9.3× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$136K

2,589 claims · 1.2%

Your Cost: $52.40/claim|Median: $65.45
0.8× median
45380Top 10%

Colonoscopy with biopsy

$117K

161 claims · 1.0%

Your Cost: $727.38/claim|Median: $200.68
3.6× median
71275Top 10%

CT angiography, chest, with contrast

$96K

331 claims · 0.8%

Your Cost: $290.99/claim|Median: $92.96
3.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$71K

1,362 claims · 0.6%

Your Cost: $51.96/claim|Median: $24.49
2.1× median
G0463Top 10%

Hospital outpatient clinic visit

$66K

669 claims · 0.6%

Your Cost: $99.28/claim|Median: $26.41
3.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$60K

1,692 claims · 0.5%

Your Cost: $35.66/claim|Median: $35.80
1.0× median
86900Top 10%

$59K

2,619 claims · 0.5%

Your Cost: $22.70/claim|Median: $2.55
8.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$54K

675 claims · 0.5%

Your Cost: $79.76/claim|Median: $74.78
1.1× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$50K

277 claims · 0.4%

Your Cost: $179.81/claim|Median: $40.12
4.5× median
92507Top 5%

Speech/hearing/language treatment

$42K

386 claims · 0.4%

Your Cost: $109.69/claim|Median: $49.45
2.2× median
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