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Provider 1063443455

NPI: 1063443455Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$16.0M

$15,988,854

Total Claims

304K

Beneficiaries

261K

1.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$986K
+75%
2019
$1.7M
-12%
2020
$1.5M
+62%
2021
$2.5M
+67%
2022
$4.1M
-22%
2023
$3.2M
-41%
2024
$1.9M

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 24% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$3.8M

23K claims · 23.6%

Your Cost: $165.07/claim|Median: $42.48
3.9× median
99284Top 25%

Emergency dept visit, high complexity

$3.4M

23K claims · 21.0%

Your Cost: $149.42/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.0M

23K claims · 18.8%

Your Cost: $129.58/claim|Median: $85.65
1.5× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$1.2M

19K claims · 7.7%

Your Cost: $65.29/claim|Median: $7.50
8.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$992K

18K claims · 6.2%

Your Cost: $54.15/claim|Median: $21.76
2.5× median
71046Top 5%

Chest X-ray, 2 views

$843K

7,452 claims · 5.3%

Your Cost: $113.12/claim|Median: $8.92
12.7× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$394K

4,935 claims · 2.5%

Your Cost: $79.86/claim|Median: $65.64
1.2× median
71045Top 1%

Chest X-ray, single view

$307K

2,093 claims · 1.9%

Your Cost: $146.64/claim|Median: $4.93
29.7× median
96361Normal range

IV infusion, hydration, each additional hour

$292K

8,212 claims · 1.8%

Your Cost: $35.60/claim|Median: $38.92
0.9× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$258K

5,982 claims · 1.6%

Your Cost: $43.09/claim|Median: $34.62
1.2× median
74177Top 10%

CT abdomen and pelvis with contrast

$249K

748 claims · 1.6%

Your Cost: $333.03/claim|Median: $65.76
5.1× median
90837Top 25%

Psychotherapy, 60 minutes

$154K

1,344 claims · 1.0%

Your Cost: $114.39/claim|Median: $85.66
1.3× median
80048Normal range

Basic metabolic panel

$129K

27K claims · 0.8%

Your Cost: $4.74/claim|Median: $5.78
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$116K

30K claims · 0.7%

Your Cost: $3.94/claim|Median: $1.57
2.5× median
87503Top 25%

$102K

4,316 claims · 0.6%

Your Cost: $23.73/claim|Median: $9.26
2.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$94K

2,638 claims · 0.6%

Your Cost: $35.82/claim|Median: $39.70
0.9× median
81025Normal range

Urine pregnancy test

$79K

15K claims · 0.5%

Your Cost: $5.31/claim|Median: $4.81
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$74K

17K claims · 0.5%

Your Cost: $4.43/claim|Median: $4.71
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$62K

1,405 claims · 0.4%

Your Cost: $44.14/claim|Median: $35.43
1.2× median
90853Top 25%

Group psychotherapy

$58K

1,060 claims · 0.4%

Your Cost: $54.83/claim|Median: $25.02
2.2× median
85027Normal range

Complete blood count (CBC), automated

$56K

15K claims · 0.4%

Your Cost: $3.66/claim|Median: $3.72
1.0× median
84484Normal range

Troponin, quantitative

$45K

8,390 claims · 0.3%

Your Cost: $5.37/claim|Median: $4.84
1.1× median
U0004Top 25%

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

$40K

514 claims · 0.3%

Your Cost: $78.34/claim|Median: $60.05
1.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$32K

6,465 claims · 0.2%

Your Cost: $4.88/claim|Median: $14.92
0.3× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$29K

452 claims · 0.2%

Your Cost: $63.38/claim|Median: $37.56
1.7× median
70450Top 25%

CT head/brain without contrast

$21K

213 claims · 0.1%

Your Cost: $100.28/claim|Median: $45.53
2.2× median
80076Normal range

Hepatic function panel

$21K

4,086 claims · 0.1%

Your Cost: $5.12/claim|Median: $4.59
1.1× median
81001Normal range

Urinalysis, automated, with microscopy

$20K

12K claims · 0.1%

Your Cost: $1.73/claim|Median: $2.03
0.9× median
G0463Top 25%

Hospital outpatient clinic visit

$20K

305 claims · 0.1%

Your Cost: $64.87/claim|Median: $26.41
2.5× median
80053Normal range

Comprehensive metabolic panel

$19K

3,471 claims · 0.1%

Your Cost: $5.39/claim|Median: $7.24
0.7× median
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