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Provider 1083661409

NPI: 1083661409Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.9M

$13,927,580

Total Claims

423K

Beneficiaries

373K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+9%
2019
$1.5M
-17%
2020
$1.3M
+116%
2021
$2.7M
+8%
2022
$2.9M
-4%
2023
$2.8M
-53%
2024
$1.3M

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 26% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$3.6M

23K claims · 26.1%

Your Cost: $156.73/claim|Median: $42.48
3.7× median
99284Top 10%

Emergency dept visit, high complexity

$2.0M

8,689 claims · 14.0%

Your Cost: $225.09/claim|Median: $69.51
3.2× median
99282Top 25%

Emergency dept visit, low complexity

$1.9M

19K claims · 13.8%

Your Cost: $100.32/claim|Median: $37.72
2.7× median
99213Normal range

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

$1.5M

56K claims · 10.9%

Your Cost: $27.12/claim|Median: $37.81
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$582K

25K claims · 4.2%

Your Cost: $23.21/claim|Median: $25.06
0.9× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$460K

8,094 claims · 3.3%

Your Cost: $56.83/claim|Median: $7.50
7.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$388K

1,355 claims · 2.8%

Your Cost: $286.19/claim|Median: $85.65
3.3× median
80053Normal range

Comprehensive metabolic panel

$305K

38K claims · 2.2%

Your Cost: $7.96/claim|Median: $7.24
1.1× median
80061Normal range

Lipid panel

$200K

19K claims · 1.4%

Your Cost: $10.43/claim|Median: $8.41
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$155K

28K claims · 1.1%

Your Cost: $5.61/claim|Median: $4.71
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$153K

1,418 claims · 1.1%

Your Cost: $108.18/claim|Median: $91.47
1.2× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$132K

2,071 claims · 0.9%

Your Cost: $63.62/claim|Median: $51.73
1.2× median
76856Top 10%

Ultrasound, pelvic, complete

$128K

813 claims · 0.9%

Your Cost: $157.68/claim|Median: $47.58
3.3× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$128K

1,816 claims · 0.9%

Your Cost: $70.24/claim|Median: $14.92
4.7× median
36415Normal range

Collection of venous blood by venipuncture

$122K

57K claims · 0.9%

Your Cost: $2.15/claim|Median: $1.57
1.4× median
77067Top 25%

Screening mammography, bilateral, including CAD

$117K

1,569 claims · 0.8%

Your Cost: $74.50/claim|Median: $39.33
1.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$115K

2,989 claims · 0.8%

Your Cost: $38.38/claim|Median: $21.76
1.8× median
80050Normal range

General health panel

$111K

3,186 claims · 0.8%

Your Cost: $34.91/claim|Median: $25.59
1.4× median
71046Top 10%

Chest X-ray, 2 views

$107K

2,773 claims · 0.8%

Your Cost: $38.77/claim|Median: $8.92
4.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$96K

13K claims · 0.7%

Your Cost: $7.42/claim|Median: $5.50
1.3× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$92K

3,528 claims · 0.7%

Your Cost: $26.07/claim|Median: $39.63
0.7× median
76830Top 10%

Ultrasound, transvaginal

$85K

771 claims · 0.6%

Your Cost: $109.97/claim|Median: $57.47
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$72K

2,048 claims · 0.5%

Your Cost: $35.13/claim|Median: $38.92
0.9× median
86360Normal range

$70K

1,960 claims · 0.5%

Your Cost: $35.56/claim|Median: $26.97
1.3× median
82306Normal range

Vitamin D, 25 hydroxy

$69K

3,405 claims · 0.5%

Your Cost: $20.20/claim|Median: $18.18
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$57K

4,389 claims · 0.4%

Your Cost: $12.88/claim|Median: $9.87
1.3× median
86359Normal range

$56K

1,967 claims · 0.4%

Your Cost: $28.49/claim|Median: $19.18
1.5× median
74177Top 5%

CT abdomen and pelvis with contrast

$54K

73 claims · 0.4%

Your Cost: $738.19/claim|Median: $65.76
11.2× median
71045Top 10%

Chest X-ray, single view

$50K

1,366 claims · 0.4%

Your Cost: $36.67/claim|Median: $4.93
7.4× median
81025Normal range

Urine pregnancy test

$50K

7,791 claims · 0.4%

Your Cost: $6.43/claim|Median: $4.81
1.3× median
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