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Provider 1083655997

NPI: 1083655997Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.7M

$13,689,308

Total Claims

1.6M

Beneficiaries

1.3M

1.3 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+17%
2019
$2.9M
-25%
2020
$2.2M
+18%
2021
$2.6M
-38%
2022
$1.6M
-9%
2023
$1.4M
-61%
2024
$567K

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 21% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.8M

62K claims · 20.6%

Your Cost: $45.77/claim|Median: $69.51
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$2.3M

68K claims · 16.6%

Your Cost: $33.16/claim|Median: $42.48
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.0M

27K claims · 14.4%

Your Cost: $72.99/claim|Median: $85.65
0.9× median
A0430Normal range

ALS mileage, per mile, fixed wing

$1.6M

1,098 claims · 11.8%

Your Cost: $1,476.51/claim|Median: $1,588.22
0.9× median
A0435Normal range

ALS mileage, per mile, fixed wing, level 2

$1.4M

1,105 claims · 10.0%

Your Cost: $1,235.61/claim|Median: $1,235.61
1.0× median
A0431Normal range

Ambulance service, conventional air, transport, one way

$744K

522 claims · 5.4%

Your Cost: $1,425.72/claim|Median: $1,650.68
0.9× median
A0436Normal range

ALS mileage, per mile, level 2

$460K

523 claims · 3.4%

Your Cost: $880.21/claim|Median: $705.08
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$279K

2,880 claims · 2.0%

Your Cost: $97.01/claim|Median: $151.68
0.6× median
99214Normal range

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

$234K

4,141 claims · 1.7%

Your Cost: $56.54/claim|Median: $53.41
1.1× median
G0378Normal range

Hospital observation service, per hour

$227K

14K claims · 1.7%

Your Cost: $16.70/claim|Median: $99.39
0.2× median
70450Normal range

CT head/brain without contrast

$81K

7,072 claims · 0.6%

Your Cost: $11.52/claim|Median: $45.53
0.3× median
74177Normal range

CT abdomen and pelvis with contrast

$68K

5,815 claims · 0.5%

Your Cost: $11.77/claim|Median: $65.76
0.2× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$59K

1,235 claims · 0.4%

Your Cost: $47.55/claim|Median: $144.30
0.3× median
A0425Normal range

Ground mileage, per statute mile

$53K

1,252 claims · 0.4%

Your Cost: $42.49/claim|Median: $23.36
1.8× median
99213Normal range

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

$53K

1,674 claims · 0.4%

Your Cost: $31.72/claim|Median: $37.81
0.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$52K

23K claims · 0.4%

Your Cost: $2.24/claim|Median: $21.76
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$50K

470 claims · 0.4%

Your Cost: $106.52/claim|Median: $74.09
1.4× median
99282Normal range

Emergency dept visit, low complexity

$48K

3,493 claims · 0.4%

Your Cost: $13.84/claim|Median: $37.72
0.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$44K

11K claims · 0.3%

Your Cost: $3.86/claim|Median: $63.08
0.1× median
95886Normal range

$38K

1,120 claims · 0.3%

Your Cost: $33.49/claim|Median: $67.70
0.5× median
97110Normal range

Therapeutic exercises, each 15 min

$31K

26K claims · 0.2%

Your Cost: $1.16/claim|Median: $24.49
0.0× median
J3490Normal range

Unclassified drugs

$29K

121K claims · 0.2%

Your Cost: $0.24/claim|Median: $5.70
0.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$29K

4,165 claims · 0.2%

Your Cost: $6.94/claim|Median: $10.88
0.6× median
45380Normal range

Colonoscopy with biopsy

$28K

1,195 claims · 0.2%

Your Cost: $23.78/claim|Median: $200.68
0.1× median
71046Normal range

Chest X-ray, 2 views

$27K

7,126 claims · 0.2%

Your Cost: $3.79/claim|Median: $8.92
0.4× median
70553Normal range

MRI brain without contrast, then with contrast

$27K

882 claims · 0.2%

Your Cost: $30.45/claim|Median: $133.68
0.2× median
82306Normal range

Vitamin D, 25 hydroxy

$26K

14K claims · 0.2%

Your Cost: $1.92/claim|Median: $18.18
0.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$26K

3,225 claims · 0.2%

Your Cost: $8.04/claim|Median: $91.47
0.1× median
80053Normal range

Comprehensive metabolic panel

$22K

74K claims · 0.2%

Your Cost: $0.31/claim|Median: $7.24
0.0× median
70551Normal range

MRI brain without contrast

$22K

1,522 claims · 0.2%

Your Cost: $14.35/claim|Median: $85.39
0.2× median
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