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Provider 1063422053

NPI: 1063422053Share
Active Billing Period:2018-01→2024-12(77 months)

Total Paid

$10.3M

$10,290,584

Total Claims

397K

Beneficiaries

357K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$32K
-39%
2019
$20K
+3796%
2020
$764K
+552%
2021
$5.0M
-68%
2022
$1.6M
+23%
2023
$1.9M
-49%
2024
$987K

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 24% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.5M

25K claims · 24.2%

Your Cost: $101.33/claim|Median: $69.51
1.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.2M

17K claims · 11.7%

Your Cost: $70.53/claim|Median: $42.48
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.1M

9,330 claims · 10.5%

Your Cost: $115.52/claim|Median: $85.65
1.3× median
U0004Top 10%

COVID-19 test, nucleic acid detection, CDC lab only

$648K

7,178 claims · 6.3%

Your Cost: $90.29/claim|Median: $60.05
1.5× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$378K

10K claims · 3.7%

Your Cost: $36.97/claim|Median: $121.16
0.3× median
G0378Normal range

Hospital observation service, per hour

$375K

1,493 claims · 3.6%

Your Cost: $251.28/claim|Median: $99.39
2.5× median
80053Normal range

Comprehensive metabolic panel

$262K

26K claims · 2.5%

Your Cost: $10.27/claim|Median: $7.24
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$200K

1,160 claims · 1.9%

Your Cost: $172.07/claim|Median: $65.76
2.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$168K

6,499 claims · 1.6%

Your Cost: $25.78/claim|Median: $21.76
1.2× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$146K

171 claims · 1.4%

Your Cost: $854.18/claim|Median: $120.85
7.1× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$142K

1,467 claims · 1.4%

Your Cost: $96.85/claim|Median: $65.64
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$137K

26K claims · 1.3%

Your Cost: $5.26/claim|Median: $4.71
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$118K

3,743 claims · 1.1%

Your Cost: $31.46/claim|Median: $39.70
0.8× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$93K

4,117 claims · 0.9%

Your Cost: $22.67/claim|Median: $9.87
2.3× median
80061Top 25%

Lipid panel

$88K

6,309 claims · 0.9%

Your Cost: $13.98/claim|Median: $8.41
1.7× median
80050Top 25%

General health panel

$83K

1,606 claims · 0.8%

Your Cost: $51.72/claim|Median: $25.59
2.0× median
71046Normal range

Chest X-ray, 2 views

$83K

5,595 claims · 0.8%

Your Cost: $14.75/claim|Median: $8.92
1.7× median
70450Normal range

CT head/brain without contrast

$80K

1,418 claims · 0.8%

Your Cost: $56.30/claim|Median: $45.53
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$78K

2,980 claims · 0.8%

Your Cost: $26.30/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$76K

2,955 claims · 0.7%

Your Cost: $25.70/claim|Median: $23.39
1.1× median
71275Top 25%

CT angiography, chest, with contrast

$74K

403 claims · 0.7%

Your Cost: $182.47/claim|Median: $92.96
2.0× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$72K

5,719 claims · 0.7%

Your Cost: $12.50/claim|Median: $15.76
0.8× median
77067Top 25%

Screening mammography, bilateral, including CAD

$70K

828 claims · 0.7%

Your Cost: $84.29/claim|Median: $39.33
2.1× median
88175Top 10%

Cytopathology, cervical or vaginal, ThinPrep

$58K

1,712 claims · 0.6%

Your Cost: $34.16/claim|Median: $19.06
1.8× median
74176Normal range

CT abdomen and pelvis without contrast

$58K

736 claims · 0.6%

Your Cost: $79.42/claim|Median: $60.19
1.3× median
73721Top 25%

MRI joint of lower extremity without contrast

$55K

208 claims · 0.5%

Your Cost: $264.60/claim|Median: $127.34
2.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$55K

6,634 claims · 0.5%

Your Cost: $8.29/claim|Median: $7.50
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$53K

1,164 claims · 0.5%

Your Cost: $45.88/claim|Median: $35.43
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$52K

228 claims · 0.5%

Your Cost: $230.14/claim|Median: $151.68
1.5× median
82306Top 25%

Vitamin D, 25 hydroxy

$51K

1,749 claims · 0.5%

Your Cost: $29.00/claim|Median: $18.18
1.6× median
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