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Provider 1063923340

NPI: 1063923340Share
Active Billing Period:2018-08→2024-12(77 months)

Total Paid

$18.2M

$18,212,877

Total Claims

272K

Beneficiaries

217K

1.3 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$873K
+261%
2019
$3.2M
-17%
2020
$2.6M
+17%
2021
$3.1M
+6%
2022
$3.2M
-9%
2023
$2.9M
-21%
2024
$2.3M

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 5%

Emergency dept visit, high complexity

$4.3M

12K claims · 23.7%

Your Cost: $363.53/claim|Median: $69.51
5.2× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$3.9M

7,970 claims · 21.4%

Your Cost: $488.58/claim|Median: $85.65
5.7× median
99283Top 5%

Emergency dept visit, moderate complexity

$3.5M

10K claims · 19.2%

Your Cost: $335.79/claim|Median: $42.48
7.9× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.9M

2,115 claims · 10.2%

Your Cost: $874.94/claim|Median: $65.76
13.3× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.3M

1,960 claims · 7.3%

Your Cost: $681.15/claim|Median: $60.19
11.3× median
70450Top 10%

CT head/brain without contrast

$718K

3,049 claims · 3.9%

Your Cost: $235.64/claim|Median: $45.53
5.2× median
99282Top 5%

Emergency dept visit, low complexity

$653K

3,185 claims · 3.6%

Your Cost: $205.13/claim|Median: $37.72
5.4× median
72125Top 5%

CT cervical spine without contrast

$421K

961 claims · 2.3%

Your Cost: $437.80/claim|Median: $32.30
13.6× median
G0378Normal range

Hospital observation service, per hour

$271K

1,417 claims · 1.5%

Your Cost: $190.92/claim|Median: $99.39
1.9× median
71275Top 1%

CT angiography, chest, with contrast

$195K

312 claims · 1.1%

Your Cost: $626.55/claim|Median: $92.96
6.7× median
71046Top 10%

Chest X-ray, 2 views

$113K

2,738 claims · 0.6%

Your Cost: $41.26/claim|Median: $8.92
4.6× median
U0003Top 5%

Infectious disease detection (COVID-19)

$96K

565 claims · 0.5%

Your Cost: $169.96/claim|Median: $63.08
2.7× median
76856Top 10%

Ultrasound, pelvic, complete

$69K

449 claims · 0.4%

Your Cost: $153.90/claim|Median: $47.58
3.2× median
96361Normal range

IV infusion, hydration, each additional hour

$64K

1,415 claims · 0.4%

Your Cost: $45.57/claim|Median: $38.92
1.2× median
Q9967Top 25%

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

$58K

3,945 claims · 0.3%

Your Cost: $14.58/claim|Median: $3.42
4.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$51K

1,179 claims · 0.3%

Your Cost: $43.01/claim|Median: $39.33
1.1× median
96365Normal range

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

$44K

3,966 claims · 0.2%

Your Cost: $11.12/claim|Median: $54.77
0.2× median
73562Top 10%

$39K

900 claims · 0.2%

Your Cost: $42.87/claim|Median: $12.28
3.5× median
J2704Top 25%

$33K

2,868 claims · 0.2%

Your Cost: $11.54/claim|Median: $0.76
15.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$31K

8,668 claims · 0.2%

Your Cost: $3.63/claim|Median: $7.50
0.5× median
73030Top 10%

$31K

904 claims · 0.2%

Your Cost: $34.23/claim|Median: $10.94
3.1× median
M0247Top 1%

$30K

14 claims · 0.2%

Your Cost: $2,159.96/claim|Median: $235.71
9.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$29K

4,015 claims · 0.2%

Your Cost: $7.33/claim|Median: $9.56
0.8× median
76705Top 25%

Ultrasound, abdominal, limited

$29K

487 claims · 0.2%

Your Cost: $59.78/claim|Median: $23.81
2.5× median
99213Top 1%

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

$24K

78 claims · 0.1%

Your Cost: $307.65/claim|Median: $37.81
8.1× median
71250Top 5%

CT scan of chest without contrast

$20K

101 claims · 0.1%

Your Cost: $198.78/claim|Median: $39.11
5.1× median
74018Top 10%

$17K

458 claims · 0.1%

Your Cost: $38.12/claim|Median: $7.00
5.4× median
J0696Top 25%

$16K

1,663 claims · 0.1%

Your Cost: $9.83/claim|Median: $1.34
7.3× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$16K

165 claims · 0.1%

Your Cost: $94.51/claim|Median: $25.43
3.7× median
43239Top 5%

Upper GI endoscopy with biopsy

$16K

24 claims · 0.1%

Your Cost: $648.07/claim|Median: $151.68
4.3× median
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