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Provider 1093719932

NPI: 1093719932Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.3M

$12,294,905

Total Claims

385K

Beneficiaries

330K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+5%
2019
$1.1M
-5%
2020
$1.1M
+76%
2021
$1.9M
+34%
2022
$2.6M
+1%
2023
$2.6M
-23%
2024
$2.0M

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 30% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.6M

22K claims · 29.6%

Your Cost: $164.55/claim|Median: $69.51
2.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.8M

28K claims · 22.8%

Your Cost: $100.97/claim|Median: $42.48
2.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$798K

4,027 claims · 6.5%

Your Cost: $198.14/claim|Median: $85.65
2.3× median
74177Top 10%

CT abdomen and pelvis with contrast

$652K

1,758 claims · 5.3%

Your Cost: $371.03/claim|Median: $65.76
5.6× median
99282Normal range

Emergency dept visit, low complexity

$579K

9,796 claims · 4.7%

Your Cost: $59.15/claim|Median: $37.72
1.6× median
70450Top 10%

CT head/brain without contrast

$316K

1,667 claims · 2.6%

Your Cost: $189.36/claim|Median: $45.53
4.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$265K

508 claims · 2.2%

Your Cost: $521.79/claim|Median: $763.43
0.7× median
80053Normal range

Comprehensive metabolic panel

$222K

30K claims · 1.8%

Your Cost: $7.40/claim|Median: $7.24
1.0× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$219K

4,001 claims · 1.8%

Your Cost: $54.68/claim|Median: $60.05
0.9× median
99281Normal range

Emergency dept visit, minimal complexity

$203K

4,418 claims · 1.7%

Your Cost: $45.97/claim|Median: $52.03
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$198K

4,759 claims · 1.6%

Your Cost: $41.63/claim|Median: $35.43
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$180K

33K claims · 1.5%

Your Cost: $5.41/claim|Median: $4.71
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$144K

5,021 claims · 1.2%

Your Cost: $28.69/claim|Median: $39.70
0.7× median
71045Top 25%

Chest X-ray, single view

$139K

8,451 claims · 1.1%

Your Cost: $16.47/claim|Median: $4.93
3.3× median
87804Top 25%

Influenza virus detection, rapid test

$130K

5,700 claims · 1.1%

Your Cost: $22.86/claim|Median: $12.59
1.8× median
69436Normal range

Tympanostomy, general anesthesia

$106K

418 claims · 0.9%

Your Cost: $253.79/claim|Median: $205.50
1.2× median
80061Normal range

Lipid panel

$95K

8,227 claims · 0.8%

Your Cost: $11.61/claim|Median: $8.41
1.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$93K

1,810 claims · 0.8%

Your Cost: $51.41/claim|Median: $74.78
0.7× median
43239Top 25%

Upper GI endoscopy with biopsy

$88K

260 claims · 0.7%

Your Cost: $338.03/claim|Median: $151.68
2.2× median
36415Normal range

Collection of venous blood by venipuncture

$80K

39K claims · 0.7%

Your Cost: $2.07/claim|Median: $1.57
1.3× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$69K

2,074 claims · 0.6%

Your Cost: $33.09/claim|Median: $24.95
1.3× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$68K

2,572 claims · 0.6%

Your Cost: $26.38/claim|Median: $3.42
7.7× median
G0378Normal range

Hospital observation service, per hour

$66K

2,782 claims · 0.5%

Your Cost: $23.87/claim|Median: $99.39
0.2× median
81001Normal range

Urinalysis, automated, with microscopy

$66K

32K claims · 0.5%

Your Cost: $2.10/claim|Median: $2.03
1.0× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$60K

2,805 claims · 0.5%

Your Cost: $21.51/claim|Median: $9.70
2.2× median
80050Normal range

General health panel

$57K

1,407 claims · 0.5%

Your Cost: $40.79/claim|Median: $25.59
1.6× median
82306Normal range

Vitamin D, 25 hydroxy

$56K

2,588 claims · 0.5%

Your Cost: $21.69/claim|Median: $18.18
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$51K

4,069 claims · 0.4%

Your Cost: $12.48/claim|Median: $9.87
1.3× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$48K

10K claims · 0.4%

Your Cost: $4.58/claim|Median: $1.53
3.0× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$44K

1,326 claims · 0.4%

Your Cost: $33.12/claim|Median: $23.39
1.4× median
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