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Provider 1063495836

NPI: 1063495836Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.0M

$14,978,407

Total Claims

643K

Beneficiaries

502K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$837K
+122%
2019
$1.9M
-24%
2020
$1.4M
+103%
2021
$2.9M
+21%
2022
$3.5M
-12%
2023
$3.0M
-49%
2024
$1.5M

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 25%

Emergency dept visit, moderate complexity

$3.6M

46K claims · 24.2%

Your Cost: $78.40/claim|Median: $42.48
1.8× median
99284Normal range

Emergency dept visit, high complexity

$3.1M

37K claims · 20.5%

Your Cost: $83.95/claim|Median: $69.51
1.2× median
99282Normal range

Emergency dept visit, low complexity

$1.8M

24K claims · 12.2%

Your Cost: $76.15/claim|Median: $37.72
2.0× median
99281Normal range

Emergency dept visit, minimal complexity

$986K

12K claims · 6.6%

Your Cost: $81.55/claim|Median: $52.03
1.6× median
96361Normal range

IV infusion, hydration, each additional hour

$557K

8,086 claims · 3.7%

Your Cost: $68.90/claim|Median: $38.92
1.8× median
74177Normal range

CT abdomen and pelvis with contrast

$470K

3,000 claims · 3.1%

Your Cost: $156.55/claim|Median: $65.76
2.4× median
99214Normal range

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

$324K

13K claims · 2.2%

Your Cost: $25.00/claim|Median: $53.41
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$324K

6,615 claims · 2.2%

Your Cost: $48.93/claim|Median: $63.08
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$319K

5,994 claims · 2.1%

Your Cost: $53.28/claim|Median: $85.65
0.6× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$193K

4,718 claims · 1.3%

Your Cost: $40.92/claim|Median: $23.39
1.7× median
70450Normal range

CT head/brain without contrast

$193K

2,899 claims · 1.3%

Your Cost: $66.51/claim|Median: $45.53
1.5× median
74176Normal range

CT abdomen and pelvis without contrast

$151K

1,232 claims · 1.0%

Your Cost: $122.90/claim|Median: $60.19
2.0× median
80053Normal range

Comprehensive metabolic panel

$146K

27K claims · 1.0%

Your Cost: $5.50/claim|Median: $7.24
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$142K

31K claims · 0.9%

Your Cost: $4.58/claim|Median: $1.57
2.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$139K

6,666 claims · 0.9%

Your Cost: $20.84/claim|Median: $28.46
0.7× median
G0378Normal range

Hospital observation service, per hour

$125K

14K claims · 0.8%

Your Cost: $9.24/claim|Median: $99.39
0.1× median
71275Normal range

CT angiography, chest, with contrast

$121K

879 claims · 0.8%

Your Cost: $137.24/claim|Median: $92.96
1.5× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$100K

4,140 claims · 0.7%

Your Cost: $24.13/claim|Median: $3.42
7.1× median
99215Normal range

Office/outpatient visit, high complexity

$98K

1,812 claims · 0.7%

Your Cost: $53.88/claim|Median: $74.09
0.7× median
82962Top 5%

Blood glucose test by monitoring device

$96K

8,833 claims · 0.6%

Your Cost: $10.88/claim|Median: $1.40
7.8× median
U0002Normal range

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

$88K

4,115 claims · 0.6%

Your Cost: $21.33/claim|Median: $34.62
0.6× median
96360Normal range

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

$87K

2,070 claims · 0.6%

Your Cost: $41.99/claim|Median: $61.57
0.7× median
71046Normal range

Chest X-ray, 2 views

$78K

6,863 claims · 0.5%

Your Cost: $11.43/claim|Median: $8.92
1.3× median
96365Normal range

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

$77K

2,766 claims · 0.5%

Your Cost: $27.87/claim|Median: $54.77
0.5× median
29580Top 25%

$76K

1,584 claims · 0.5%

Your Cost: $47.74/claim|Median: $26.60
1.8× median
81025Normal range

Urine pregnancy test

$73K

14K claims · 0.5%

Your Cost: $5.25/claim|Median: $4.81
1.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$71K

5,050 claims · 0.5%

Your Cost: $14.05/claim|Median: $10.88
1.3× median
80048Normal range

Basic metabolic panel

$64K

13K claims · 0.4%

Your Cost: $4.86/claim|Median: $5.78
0.8× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$58K

1,022 claims · 0.4%

Your Cost: $56.60/claim|Median: $65.45
0.9× median
84702Normal range

$55K

12K claims · 0.4%

Your Cost: $4.76/claim|Median: $8.25
0.6× median
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