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Provider 1093736001

NPI: 1093736001Share
Active Billing Period:2018-01→2018-09(9 months)
Billing appears to have stoppedLast active: 2018-09

Total Paid

$7.9M

$7,928,040

Total Claims

120K

Beneficiaries

98K

1.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

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 16% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$1.3M

3,782 claims · 16.3%

Your Cost: $342.69/claim|Median: $69.51
4.9× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.2M

4,453 claims · 15.2%

Your Cost: $270.29/claim|Median: $42.48
6.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$429K

1,422 claims · 5.4%

Your Cost: $301.89/claim|Median: $85.65
3.5× median
92507Top 5%

Speech/hearing/language treatment

$384K

3,565 claims · 4.8%

Your Cost: $107.85/claim|Median: $49.45
2.2× median
90832Top 10%

Psychotherapy, 30 minutes

$376K

3,183 claims · 4.7%

Your Cost: $118.03/claim|Median: $41.28
2.9× median
G0378Top 25%

Hospital observation service, per hour

$317K

839 claims · 4.0%

Your Cost: $378.28/claim|Median: $99.39
3.8× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$279K

225 claims · 3.5%

Your Cost: $1,238.05/claim|Median: $233.73
5.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$189K

3,964 claims · 2.4%

Your Cost: $47.66/claim|Median: $24.49
1.9× median
99282Top 5%

Emergency dept visit, low complexity

$157K

746 claims · 2.0%

Your Cost: $210.87/claim|Median: $37.72
5.6× median
95782Top 10%

$147K

105 claims · 1.9%

Your Cost: $1,399.41/claim|Median: $216.35
6.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$118K

440 claims · 1.5%

Your Cost: $268.28/claim|Median: $65.76
4.1× median
96365Normal range

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

$102K

1,617 claims · 1.3%

Your Cost: $63.06/claim|Median: $54.77
1.2× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$101K

2,803 claims · 1.3%

Your Cost: $35.96/claim|Median: $16.79
2.1× median
43239Top 5%

Upper GI endoscopy with biopsy

$99K

136 claims · 1.3%

Your Cost: $731.47/claim|Median: $151.68
4.8× median
70450Top 25%

CT head/brain without contrast

$89K

834 claims · 1.1%

Your Cost: $106.90/claim|Median: $45.53
2.3× median
80053Top 25%

Comprehensive metabolic panel

$88K

4,852 claims · 1.1%

Your Cost: $18.05/claim|Median: $7.24
2.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$80K

4,883 claims · 1.0%

Your Cost: $16.44/claim|Median: $4.71
3.5× median
97530Top 25%

Therapeutic activities, each 15 min

$80K

1,200 claims · 1.0%

Your Cost: $66.30/claim|Median: $33.11
2.0× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$77K

816 claims · 1.0%

Your Cost: $94.84/claim|Median: $58.55
1.6× median
90863Top 5%

$75K

468 claims · 0.9%

Your Cost: $159.57/claim|Median: $29.71
5.4× median
96361Normal range

IV infusion, hydration, each additional hour

$73K

1,636 claims · 0.9%

Your Cost: $44.87/claim|Median: $38.92
1.2× median
36415Top 5%

Collection of venous blood by venipuncture

$72K

5,904 claims · 0.9%

Your Cost: $12.22/claim|Median: $1.57
7.8× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$66K

270 claims · 0.8%

Your Cost: $242.98/claim|Median: $54.68
4.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$64K

2,280 claims · 0.8%

Your Cost: $28.26/claim|Median: $7.50
3.8× median
45380Top 5%

Colonoscopy with biopsy

$63K

86 claims · 0.8%

Your Cost: $736.83/claim|Median: $200.68
3.7× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$61K

478 claims · 0.8%

Your Cost: $127.53/claim|Median: $47.65
2.7× median
OP250Top 25%

Orthotic or prosthetic procedure, not otherwise classified

$54K

8,498 claims · 0.7%

Your Cost: $6.33/claim|Median: $1.68
3.8× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$52K

1,757 claims · 0.7%

Your Cost: $29.79/claim|Median: $20.04
1.5× median
59025Top 25%

Fetal non-stress test

$50K

399 claims · 0.6%

Your Cost: $126.52/claim|Median: $26.45
4.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$48K

1,116 claims · 0.6%

Your Cost: $42.86/claim|Median: $14.92
2.9× median
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