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Provider 1063470763

NPI: 1063470763Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.6M

$17,631,522

Total Claims

138K

Beneficiaries

126K

1.1 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$4.3M
-8%
2019
$4.0M
-47%
2020
$2.1M
-57%
2021
$911K
+117%
2022
$2.0M
+22%
2023
$2.4M
-22%
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 22% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$3.9M

25K claims · 22.3%

Your Cost: $160.10/claim|Median: $42.48
3.8× median
X4011Top 10%

Healthcare procedure, code X4011

$2.8M

6,316 claims · 16.1%

Your Cost: $450.29/claim|Median: $268.66
1.7× median
99284Top 10%

Emergency dept visit, high complexity

$2.8M

12K claims · 16.0%

Your Cost: $229.24/claim|Median: $69.51
3.3× median
85027Top 1%

Complete blood count (CBC), automated

$1.4M

18K claims · 8.0%

Your Cost: $78.82/claim|Median: $3.72
21.2× median
80053Top 5%

Comprehensive metabolic panel

$1.3M

16K claims · 7.3%

Your Cost: $78.39/claim|Median: $7.24
10.8× median
G0378Top 25%

Hospital observation service, per hour

$825K

2,084 claims · 4.7%

Your Cost: $395.93/claim|Median: $99.39
4.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$695K

2,531 claims · 3.9%

Your Cost: $274.71/claim|Median: $85.65
3.2× median
81025Top 1%

Urine pregnancy test

$692K

6,115 claims · 3.9%

Your Cost: $113.15/claim|Median: $4.81
23.5× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$630K

5,582 claims · 3.6%

Your Cost: $112.85/claim|Median: $21.76
5.2× median
81001Top 1%

Urinalysis, automated, with microscopy

$488K

6,150 claims · 2.8%

Your Cost: $79.33/claim|Median: $2.03
39.1× median
99282Top 25%

Emergency dept visit, low complexity

$385K

3,945 claims · 2.2%

Your Cost: $97.71/claim|Median: $37.72
2.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$292K

4,504 claims · 1.7%

Your Cost: $64.92/claim|Median: $7.50
8.7× median
87804Top 1%

Influenza virus detection, rapid test

$211K

2,122 claims · 1.2%

Your Cost: $99.29/claim|Median: $12.59
7.9× median
87430Top 5%

$153K

2,373 claims · 0.9%

Your Cost: $64.69/claim|Median: $9.41
6.9× median
81003Top 1%

Urinalysis, automated without microscopy

$135K

2,275 claims · 0.8%

Your Cost: $59.50/claim|Median: $1.48
40.2× median
87081Top 5%

Culture screening for pathogenic organisms

$113K

1,509 claims · 0.6%

Your Cost: $74.61/claim|Median: $5.09
14.7× median
71045Top 10%

Chest X-ray, single view

$91K

2,102 claims · 0.5%

Your Cost: $43.41/claim|Median: $4.93
8.8× median
80306Top 5%

$89K

1,137 claims · 0.5%

Your Cost: $78.37/claim|Median: $10.29
7.6× median
71046Top 5%

Chest X-ray, 2 views

$78K

689 claims · 0.4%

Your Cost: $113.10/claim|Median: $8.92
12.7× median
83690Top 5%

$72K

2,358 claims · 0.4%

Your Cost: $30.49/claim|Median: $3.35
9.1× median
U0002Normal range

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

$66K

3,002 claims · 0.4%

Your Cost: $21.99/claim|Median: $34.62
0.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$46K

1,528 claims · 0.3%

Your Cost: $30.30/claim|Median: $14.92
2.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$45K

1,050 claims · 0.3%

Your Cost: $42.72/claim|Median: $9.56
4.5× median
84484Top 25%

Troponin, quantitative

$31K

2,310 claims · 0.2%

Your Cost: $13.59/claim|Median: $4.84
2.8× median
70450Normal range

CT head/brain without contrast

$31K

471 claims · 0.2%

Your Cost: $66.46/claim|Median: $45.53
1.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$28K

147 claims · 0.2%

Your Cost: $193.85/claim|Median: $65.76
2.9× median
J3490Top 25%

Unclassified drugs

$24K

408 claims · 0.1%

Your Cost: $59.34/claim|Median: $5.70
10.4× median
G0463Top 25%

Hospital outpatient clinic visit

$15K

235 claims · 0.1%

Your Cost: $64.08/claim|Median: $26.41
2.4× median
83735Top 25%

Magnesium blood level test

$14K

2,043 claims · 0.1%

Your Cost: $6.64/claim|Median: $2.77
2.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$13K

918 claims · 0.1%

Your Cost: $14.61/claim|Median: $30.04
0.5× median
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