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Provider 1083614382

NPI: 1083614382Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.8M

$13,810,945

Total Claims

310K

Beneficiaries

260K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$154K
+191%
2019
$447K
+305%
2020
$1.8M
+90%
2021
$3.4M
-13%
2022
$3.0M
+5%
2023
$3.2M
-45%
2024
$1.8M

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 17% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.4M

28K claims · 17.3%

Your Cost: $85.81/claim|Median: $42.48
2.0× median
99284Top 25%

Emergency dept visit, high complexity

$2.0M

17K claims · 14.3%

Your Cost: $114.14/claim|Median: $69.51
1.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.2M

8,568 claims · 8.5%

Your Cost: $136.26/claim|Median: $85.65
1.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$951K

2,950 claims · 6.9%

Your Cost: $322.36/claim|Median: $65.76
4.9× median
99282Normal range

Emergency dept visit, low complexity

$648K

8,450 claims · 4.7%

Your Cost: $76.66/claim|Median: $37.72
2.0× median
43239Top 10%

Upper GI endoscopy with biopsy

$585K

1,155 claims · 4.2%

Your Cost: $506.37/claim|Median: $151.68
3.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$540K

3,181 claims · 3.9%

Your Cost: $169.63/claim|Median: $38.92
4.4× median
80053Top 10%

Comprehensive metabolic panel

$407K

16K claims · 2.9%

Your Cost: $24.91/claim|Median: $7.24
3.4× median
G0378Top 25%

Hospital observation service, per hour

$381K

1,297 claims · 2.8%

Your Cost: $293.52/claim|Median: $99.39
3.0× median
96365Top 25%

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

$313K

2,367 claims · 2.3%

Your Cost: $132.41/claim|Median: $54.77
2.4× median
70450Top 10%

CT head/brain without contrast

$311K

1,461 claims · 2.2%

Your Cost: $212.65/claim|Median: $45.53
4.7× median
76856Top 5%

Ultrasound, pelvic, complete

$176K

849 claims · 1.3%

Your Cost: $207.85/claim|Median: $47.58
4.4× median
45385Top 10%

Colonoscopy with polyp removal, snare technique

$174K

289 claims · 1.3%

Your Cost: $601.37/claim|Median: $255.17
2.4× median
96360Top 25%

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

$165K

1,039 claims · 1.2%

Your Cost: $159.08/claim|Median: $61.57
2.6× median
36415Top 10%

Collection of venous blood by venipuncture

$149K

22K claims · 1.1%

Your Cost: $6.83/claim|Median: $1.57
4.4× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$141K

609 claims · 1.0%

Your Cost: $232.07/claim|Median: $54.68
4.2× median
45380Top 10%

Colonoscopy with biopsy

$136K

224 claims · 1.0%

Your Cost: $606.07/claim|Median: $200.68
3.0× median
G0399Top 25%

$120K

943 claims · 0.9%

Your Cost: $126.78/claim|Median: $76.81
1.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$119K

1,071 claims · 0.9%

Your Cost: $110.92/claim|Median: $75.28
1.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$102K

1,130 claims · 0.7%

Your Cost: $90.20/claim|Median: $39.33
2.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$98K

2,786 claims · 0.7%

Your Cost: $35.07/claim|Median: $35.80
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$92K

2,705 claims · 0.7%

Your Cost: $34.17/claim|Median: $24.49
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$92K

16K claims · 0.7%

Your Cost: $5.72/claim|Median: $4.71
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$83K

5,051 claims · 0.6%

Your Cost: $16.36/claim|Median: $21.76
0.8× median
71046Top 25%

Chest X-ray, 2 views

$81K

3,393 claims · 0.6%

Your Cost: $23.99/claim|Median: $8.92
2.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$81K

7,174 claims · 0.6%

Your Cost: $11.30/claim|Median: $7.50
1.5× median
93975Top 5%

Duplex scan of arterial inflow and venous outflow, complete

$80K

228 claims · 0.6%

Your Cost: $349.99/claim|Median: $79.28
4.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$80K

1,738 claims · 0.6%

Your Cost: $45.76/claim|Median: $35.43
1.3× median
76705Top 25%

Ultrasound, abdominal, limited

$79K

915 claims · 0.6%

Your Cost: $85.83/claim|Median: $23.81
3.6× median
99281Top 25%

Emergency dept visit, minimal complexity

$75K

648 claims · 0.5%

Your Cost: $116.33/claim|Median: $52.03
2.2× median
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