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Provider 1073517058

NPI: 1073517058Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,238,032

Total Claims

327K

Beneficiaries

276K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-4%
2019
$2.0M
-47%
2020
$1.0M
+14%
2021
$1.2M
+52%
2022
$1.8M
+45%
2023
$2.6M
+1%
2024
$2.6M

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 18% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.4M

12K claims · 18.2%

Your Cost: $204.40/claim|Median: $69.51
2.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.2M

7,720 claims · 9.0%

Your Cost: $153.84/claim|Median: $42.48
3.6× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$777K

2,195 claims · 5.9%

Your Cost: $354.07/claim|Median: $169.17
2.1× median
74177Top 10%

CT abdomen and pelvis with contrast

$738K

1,949 claims · 5.6%

Your Cost: $378.80/claim|Median: $65.76
5.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$714K

2,663 claims · 5.4%

Your Cost: $268.09/claim|Median: $85.65
3.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$556K

9,399 claims · 4.2%

Your Cost: $59.16/claim|Median: $24.49
2.4× median
80053Top 25%

Comprehensive metabolic panel

$411K

26K claims · 3.1%

Your Cost: $15.70/claim|Median: $7.24
2.2× median
92507Top 25%

Speech/hearing/language treatment

$367K

5,009 claims · 2.8%

Your Cost: $73.19/claim|Median: $49.45
1.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$354K

7,264 claims · 2.7%

Your Cost: $48.69/claim|Median: $7.50
6.5× median
G0378Top 25%

Hospital observation service, per hour

$352K

998 claims · 2.7%

Your Cost: $352.63/claim|Median: $99.39
3.5× median
96361Normal range

IV infusion, hydration, each additional hour

$331K

3,347 claims · 2.5%

Your Cost: $99.00/claim|Median: $38.92
2.5× median
70450Top 25%

CT head/brain without contrast

$320K

1,941 claims · 2.4%

Your Cost: $164.84/claim|Median: $45.53
3.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$284K

5,479 claims · 2.1%

Your Cost: $51.91/claim|Median: $21.76
2.4× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$214K

4,451 claims · 1.6%

Your Cost: $48.02/claim|Median: $14.92
3.2× median
71045Top 10%

Chest X-ray, single view

$181K

4,157 claims · 1.4%

Your Cost: $43.63/claim|Median: $4.93
8.8× median
76000Top 10%

$177K

1,388 claims · 1.3%

Your Cost: $127.27/claim|Median: $17.70
7.2× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$170K

9,590 claims · 1.3%

Your Cost: $17.76/claim|Median: $9.87
1.8× median
71046Top 5%

Chest X-ray, 2 views

$161K

3,106 claims · 1.2%

Your Cost: $51.97/claim|Median: $8.92
5.8× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$156K

1,043 claims · 1.2%

Your Cost: $149.75/claim|Median: $10.88
13.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$140K

555 claims · 1.1%

Your Cost: $251.52/claim|Median: $60.19
4.2× median
96365Top 25%

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

$137K

1,402 claims · 1.0%

Your Cost: $98.06/claim|Median: $54.77
1.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$133K

3,743 claims · 1.0%

Your Cost: $35.43/claim|Median: $9.56
3.7× median
36415Top 25%

Collection of venous blood by venipuncture

$126K

33K claims · 1.0%

Your Cost: $3.78/claim|Median: $1.57
2.4× median
85027Top 25%

Complete blood count (CBC), automated

$107K

16K claims · 0.8%

Your Cost: $6.63/claim|Median: $3.72
1.8× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$102K

11K claims · 0.8%

Your Cost: $9.14/claim|Median: $4.71
1.9× median
80061Top 10%

Lipid panel

$93K

5,782 claims · 0.7%

Your Cost: $16.09/claim|Median: $8.41
1.9× median
83880Top 25%

$90K

4,020 claims · 0.7%

Your Cost: $22.37/claim|Median: $11.81
1.9× median
99282Top 25%

Emergency dept visit, low complexity

$84K

748 claims · 0.6%

Your Cost: $112.42/claim|Median: $37.72
3.0× median
84484Top 10%

Troponin, quantitative

$76K

5,013 claims · 0.6%

Your Cost: $15.16/claim|Median: $4.84
3.1× median
97597Top 25%

$70K

959 claims · 0.5%

Your Cost: $73.36/claim|Median: $21.22
3.5× median
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