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Provider 1073917126

NPI: 1073917126Share
Active Billing Period:2018-01→2020-11(35 months)
Billing appears to have stoppedLast active: 2020-11

Total Paid

$15.9M

$15,882,598

Total Claims

485K

Beneficiaries

434K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$6.3M
-18%
2019
$5.2M
-14%
2020
$4.4M

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 20% of total spending.

99284Normal range

Emergency dept visit, high complexity

$3.2M

52K claims · 20.0%

Your Cost: $61.19/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.6M

28K claims · 16.4%

Your Cost: $91.83/claim|Median: $85.65
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$1.4M

39K claims · 8.7%

Your Cost: $35.55/claim|Median: $42.48
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.1M

23K claims · 6.9%

Your Cost: $48.06/claim|Median: $35.30
1.4× median
99213Normal range

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

$849K

40K claims · 5.3%

Your Cost: $21.05/claim|Median: $37.81
0.6× median
99214Normal range

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

$816K

22K claims · 5.1%

Your Cost: $36.38/claim|Median: $53.41
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$478K

13K claims · 3.0%

Your Cost: $36.32/claim|Median: $23.99
1.5× median
99223Normal range

Initial hospital care, per day, high complexity

$453K

5,191 claims · 2.9%

Your Cost: $87.32/claim|Median: $67.32
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$383K

55K claims · 2.4%

Your Cost: $6.91/claim|Median: $5.60
1.2× median
77067Top 25%

Screening mammography, bilateral, including CAD

$378K

4,877 claims · 2.4%

Your Cost: $77.57/claim|Median: $39.33
2.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$339K

6,860 claims · 2.1%

Your Cost: $49.39/claim|Median: $54.68
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$292K

7,412 claims · 1.8%

Your Cost: $39.45/claim|Median: $35.80
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$279K

4,712 claims · 1.8%

Your Cost: $59.15/claim|Median: $65.76
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$235K

2,157 claims · 1.5%

Your Cost: $109.00/claim|Median: $101.24
1.1× median
99282Normal range

Emergency dept visit, low complexity

$220K

9,516 claims · 1.4%

Your Cost: $23.11/claim|Median: $37.72
0.6× median
71045Normal range

Chest X-ray, single view

$203K

36K claims · 1.3%

Your Cost: $5.66/claim|Median: $4.93
1.1× median
71046Normal range

Chest X-ray, 2 views

$192K

24K claims · 1.2%

Your Cost: $7.97/claim|Median: $8.92
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$166K

3,469 claims · 1.0%

Your Cost: $47.76/claim|Median: $43.85
1.1× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$156K

2,552 claims · 1.0%

Your Cost: $60.94/claim|Median: $84.03
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$142K

18K claims · 0.9%

Your Cost: $7.99/claim|Median: $25.06
0.3× median
70450Normal range

CT head/brain without contrast

$129K

5,380 claims · 0.8%

Your Cost: $24.05/claim|Median: $45.53
0.5× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$122K

2,959 claims · 0.8%

Your Cost: $41.17/claim|Median: $57.85
0.7× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$109K

1,722 claims · 0.7%

Your Cost: $63.03/claim|Median: $59.38
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$84K

1,298 claims · 0.5%

Your Cost: $64.45/claim|Median: $62.48
1.0× median
76705Normal range

Ultrasound, abdominal, limited

$83K

3,925 claims · 0.5%

Your Cost: $21.16/claim|Median: $23.81
0.9× median
99255Normal range

$79K

678 claims · 0.5%

Your Cost: $116.57/claim|Median: $90.45
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$72K

2,181 claims · 0.5%

Your Cost: $32.89/claim|Median: $75.18
0.4× median
J1050Top 1%

Injection, medroxyprogesterone acetate, one milligram

$70K

152 claims · 0.4%

Your Cost: $463.46/claim|Median: $41.92
11.1× median
76856Normal range

Ultrasound, pelvic, complete

$69K

2,022 claims · 0.4%

Your Cost: $34.06/claim|Median: $47.58
0.7× median
76830Normal range

Ultrasound, transvaginal

$60K

1,687 claims · 0.4%

Your Cost: $35.54/claim|Median: $57.47
0.6× median
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