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Provider 1073566246

NPI: 1073566246Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,225,084

Total Claims

538K

Beneficiaries

470K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+2%
2019
$2.6M
-16%
2020
$2.2M
+14%
2021
$2.5M
-8%
2022
$2.3M
+22%
2023
$2.8M
-17%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 13% of total spending.

96361Top 25%

IV infusion, hydration, each additional hour

$2.2M

12K claims · 13.0%

Your Cost: $194.29/claim|Median: $38.92
5.0× median
99284Top 25%

Emergency dept visit, high complexity

$2.2M

18K claims · 12.8%

Your Cost: $123.97/claim|Median: $69.51
1.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

19K claims · 12.5%

Your Cost: $113.36/claim|Median: $42.48
2.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.1M

15K claims · 12.2%

Your Cost: $144.00/claim|Median: $85.65
1.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.2M

4,732 claims · 7.2%

Your Cost: $262.92/claim|Median: $65.76
4.0× median
99282Top 25%

Emergency dept visit, low complexity

$515K

5,649 claims · 3.0%

Your Cost: $91.11/claim|Median: $37.72
2.4× median
70450Top 25%

CT head/brain without contrast

$473K

3,521 claims · 2.7%

Your Cost: $134.36/claim|Median: $45.53
3.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$472K

1,995 claims · 2.7%

Your Cost: $236.48/claim|Median: $60.19
3.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$398K

4,051 claims · 2.3%

Your Cost: $98.14/claim|Median: $36.13
2.7× median
96365Normal range

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

$283K

4,296 claims · 1.6%

Your Cost: $65.84/claim|Median: $54.77
1.2× median
96360Normal range

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

$276K

2,641 claims · 1.6%

Your Cost: $104.51/claim|Median: $61.57
1.7× median
80053Normal range

Comprehensive metabolic panel

$221K

30K claims · 1.3%

Your Cost: $7.41/claim|Median: $7.24
1.0× median
G0378Normal range

Hospital observation service, per hour

$217K

1,495 claims · 1.3%

Your Cost: $145.37/claim|Median: $99.39
1.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$217K

13K claims · 1.3%

Your Cost: $16.37/claim|Median: $21.76
0.8× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$198K

1,590 claims · 1.1%

Your Cost: $124.54/claim|Median: $40.12
3.1× median
99291Top 25%

Critical care, first 30-74 minutes

$170K

941 claims · 1.0%

Your Cost: $180.69/claim|Median: $101.24
1.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$164K

895 claims · 1.0%

Your Cost: $183.76/claim|Median: $54.68
3.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$164K

5,971 claims · 0.9%

Your Cost: $27.39/claim|Median: $35.43
0.8× median
76705Top 25%

Ultrasound, abdominal, limited

$163K

2,119 claims · 0.9%

Your Cost: $76.74/claim|Median: $23.81
3.2× median
71275Top 25%

CT angiography, chest, with contrast

$162K

839 claims · 0.9%

Your Cost: $192.96/claim|Median: $92.96
2.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$152K

11K claims · 0.9%

Your Cost: $13.46/claim|Median: $14.92
0.9× median
76856Normal range

Ultrasound, pelvic, complete

$133K

1,944 claims · 0.8%

Your Cost: $68.59/claim|Median: $47.58
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$129K

30K claims · 0.7%

Your Cost: $4.29/claim|Median: $4.71
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$108K

11K claims · 0.6%

Your Cost: $9.96/claim|Median: $7.50
1.3× median
Q9967Top 25%

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

$104K

8,207 claims · 0.6%

Your Cost: $12.67/claim|Median: $3.42
3.7× median
76830Normal range

Ultrasound, transvaginal

$103K

1,466 claims · 0.6%

Your Cost: $69.95/claim|Median: $57.47
1.2× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$90K

268 claims · 0.5%

Your Cost: $336.98/claim|Median: $123.40
2.7× median
36415Normal range

Collection of venous blood by venipuncture

$87K

37K claims · 0.5%

Your Cost: $2.37/claim|Median: $1.57
1.5× median
G0463Normal range

Hospital outpatient clinic visit

$83K

2,310 claims · 0.5%

Your Cost: $35.91/claim|Median: $26.41
1.4× median
84484Top 25%

Troponin, quantitative

$78K

8,107 claims · 0.5%

Your Cost: $9.63/claim|Median: $4.84
2.0× median
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