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Provider 1083696710

NPI: 1083696710Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.0M

$8,029,858

Total Claims

236K

Beneficiaries

171K

1.4 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$322K
+5%
2019
$339K
-4%
2020
$324K
+69%
2021
$548K
-18%
2022
$449K
+731%
2023
$3.7M
-38%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 16% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

11K claims · 16.4%

Your Cost: $117.35/claim|Median: $85.65
1.4× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.2M

3,993 claims · 15.3%

Your Cost: $308.25/claim|Median: $38.92
7.9× median
99284Top 25%

Emergency dept visit, high complexity

$566K

5,099 claims · 7.0%

Your Cost: $111.01/claim|Median: $69.51
1.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$504K

7,951 claims · 6.3%

Your Cost: $63.40/claim|Median: $24.49
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$458K

4,240 claims · 5.7%

Your Cost: $108.04/claim|Median: $42.48
2.5× median
70450Top 10%

CT head/brain without contrast

$328K

1,384 claims · 4.1%

Your Cost: $236.99/claim|Median: $45.53
5.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$319K

1,391 claims · 4.0%

Your Cost: $229.22/claim|Median: $65.76
3.5× median
A0429Normal range

Ambulance, BLS emergency transport

$244K

2,534 claims · 3.0%

Your Cost: $96.15/claim|Median: $138.19
0.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$200K

1,964 claims · 2.5%

Your Cost: $102.00/claim|Median: $91.47
1.1× median
G0378Normal range

Hospital observation service, per hour

$189K

2,285 claims · 2.4%

Your Cost: $82.70/claim|Median: $99.39
0.8× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$181K

295 claims · 2.2%

Your Cost: $611.90/claim|Median: $268.70
2.3× median
96365Top 25%

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

$176K

1,473 claims · 2.2%

Your Cost: $119.48/claim|Median: $54.77
2.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$175K

714 claims · 2.2%

Your Cost: $244.65/claim|Median: $60.19
4.1× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$165K

1,376 claims · 2.0%

Your Cost: $119.58/claim|Median: $164.22
0.7× median
96366Top 25%

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

$164K

1,093 claims · 2.0%

Your Cost: $150.35/claim|Median: $40.12
3.7× median
96360Top 25%

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

$136K

781 claims · 1.7%

Your Cost: $174.25/claim|Median: $61.57
2.8× median
80053Normal range

Comprehensive metabolic panel

$111K

16K claims · 1.4%

Your Cost: $6.76/claim|Median: $7.24
0.9× median
71260Top 25%

CT chest with contrast

$91K

496 claims · 1.1%

Your Cost: $182.95/claim|Median: $48.36
3.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$83K

1,192 claims · 1.0%

Your Cost: $69.86/claim|Median: $36.13
1.9× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$69K

704 claims · 0.9%

Your Cost: $97.47/claim|Median: $10.88
9.0× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$69K

106 claims · 0.9%

Your Cost: $646.58/claim|Median: $233.73
2.8× median
U0003Top 5%

Infectious disease detection (COVID-19)

$66K

570 claims · 0.8%

Your Cost: $116.58/claim|Median: $63.08
1.8× median
G0463Normal range

Hospital outpatient clinic visit

$61K

1,140 claims · 0.8%

Your Cost: $53.26/claim|Median: $26.41
2.0× median
99282Top 25%

Emergency dept visit, low complexity

$58K

534 claims · 0.7%

Your Cost: $109.21/claim|Median: $37.72
2.9× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$43K

167 claims · 0.5%

Your Cost: $256.78/claim|Median: $123.40
2.1× median
76705Top 25%

Ultrasound, abdominal, limited

$40K

506 claims · 0.5%

Your Cost: $78.63/claim|Median: $23.81
3.3× median
71046Normal range

Chest X-ray, 2 views

$31K

1,841 claims · 0.4%

Your Cost: $17.08/claim|Median: $8.92
1.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$29K

1,069 claims · 0.4%

Your Cost: $27.07/claim|Median: $20.04
1.4× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$28K

262 claims · 0.4%

Your Cost: $108.07/claim|Median: $79.28
1.4× median
82805Top 25%

$25K

875 claims · 0.3%

Your Cost: $28.18/claim|Median: $17.63
1.6× median