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Provider 1063412005

NPI: 1063412005Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,357,978

Total Claims

657K

Beneficiaries

605K

1.1 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+41%
2019
$3.1M
-51%
2020
$1.5M
+16%
2021
$1.7M
+35%
2022
$2.3M
+11%
2023
$2.6M
-24%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 23% of total spending.

0450Normal range

Emergency room visit

$3.6M

88K claims · 23.4%

Your Cost: $40.75/claim|Median: $44.95
0.9× median
70450Top 25%

CT head/brain without contrast

$803K

7,834 claims · 5.2%

Your Cost: $102.56/claim|Median: $45.53
2.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$794K

17K claims · 5.2%

Your Cost: $47.37/claim|Median: $21.76
2.2× median
99281Normal range

Emergency dept visit, minimal complexity

$771K

12K claims · 5.0%

Your Cost: $63.98/claim|Median: $52.03
1.2× median
74176Normal range

CT abdomen and pelvis without contrast

$607K

6,430 claims · 4.0%

Your Cost: $94.36/claim|Median: $60.19
1.6× median
Z7502Normal range

$424K

11K claims · 2.8%

Your Cost: $37.02/claim|Median: $37.17
1.0× median
94642Top 25%

$413K

4,257 claims · 2.7%

Your Cost: $96.94/claim|Median: $45.48
2.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$385K

13K claims · 2.5%

Your Cost: $29.47/claim|Median: $14.92
2.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$369K

1,979 claims · 2.4%

Your Cost: $186.41/claim|Median: $85.65
2.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$330K

17K claims · 2.1%

Your Cost: $19.73/claim|Median: $7.50
2.6× median
96365Normal range

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

$319K

5,543 claims · 2.1%

Your Cost: $57.62/claim|Median: $54.77
1.1× median
99284Normal range

Emergency dept visit, high complexity

$313K

4,873 claims · 2.0%

Your Cost: $64.29/claim|Median: $69.51
0.9× median
80053Normal range

Comprehensive metabolic panel

$274K

28K claims · 1.8%

Your Cost: $9.79/claim|Median: $7.24
1.4× median
96361Normal range

IV infusion, hydration, each additional hour

$259K

11K claims · 1.7%

Your Cost: $23.98/claim|Median: $38.92
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$244K

6,739 claims · 1.6%

Your Cost: $36.15/claim|Median: $35.43
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$238K

12K claims · 1.5%

Your Cost: $19.46/claim|Median: $9.56
2.0× median
99199Top 25%

Unlisted special service, procedure, or report

$228K

6,123 claims · 1.5%

Your Cost: $37.30/claim|Median: $5.39
6.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$223K

38K claims · 1.5%

Your Cost: $5.83/claim|Median: $4.71
1.2× median
J3490Normal range

Unclassified drugs

$202K

18K claims · 1.3%

Your Cost: $11.22/claim|Median: $5.70
2.0× median
99283Normal range

Emergency dept visit, moderate complexity

$197K

3,914 claims · 1.3%

Your Cost: $50.42/claim|Median: $42.48
1.2× median
71045Top 25%

Chest X-ray, single view

$172K

14K claims · 1.1%

Your Cost: $12.02/claim|Median: $4.93
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$168K

1,029 claims · 1.1%

Your Cost: $163.26/claim|Median: $65.76
2.5× median
0121Normal range

Revenue code, all-inclusive room and board

$165K

96 claims · 1.1%

Your Cost: $1,714.68/claim|Median: $2,650.78
0.6× median
93970Top 10%

Duplex scan of extremity veins, complete, bilateral

$165K

1,041 claims · 1.1%

Your Cost: $158.03/claim|Median: $43.07
3.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$144K

2,975 claims · 0.9%

Your Cost: $48.32/claim|Median: $58.16
0.8× median
0360Normal range

$140K

1,896 claims · 0.9%

Your Cost: $74.08/claim|Median: $95.40
0.8× median
76700Normal range

Ultrasound, abdominal, complete

$131K

2,047 claims · 0.9%

Your Cost: $64.18/claim|Median: $50.69
1.3× median
0636Top 25%

$130K

9,143 claims · 0.8%

Your Cost: $14.23/claim|Median: $5.41
2.6× median
96360Normal range

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

$118K

2,435 claims · 0.8%

Your Cost: $48.57/claim|Median: $61.57
0.8× median
72125Top 25%

CT cervical spine without contrast

$107K

869 claims · 0.7%

Your Cost: $122.71/claim|Median: $32.30
3.8× median
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