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Provider 1104267848

NPI: 1104267848Share
Active Billing Period:2018-01→2024-12(36 months)

Total Paid

$7.8M

$7,759,219

Total Claims

216K

Beneficiaries

189K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-34%
2019
$2.0M
-100%
2023
$647
+431192%
2024
$2.8M

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

$1.6M

28K claims · 20.9%

Your Cost: $57.62/claim|Median: $69.51
0.8× median
J3490Top 10%

Unclassified drugs

$694K

7,363 claims · 8.9%

Your Cost: $94.25/claim|Median: $5.70
16.5× median
99070Top 25%

$483K

18K claims · 6.2%

Your Cost: $27.43/claim|Median: $8.08
3.4× median
70450Top 10%

CT head/brain without contrast

$375K

1,532 claims · 4.8%

Your Cost: $244.84/claim|Median: $45.53
5.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$348K

4,135 claims · 4.5%

Your Cost: $84.27/claim|Median: $21.76
3.9× median
0450Normal range

Emergency room visit

$325K

5,596 claims · 4.2%

Your Cost: $58.10/claim|Median: $44.95
1.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$324K

1,161 claims · 4.2%

Your Cost: $278.72/claim|Median: $65.76
4.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$307K

7,597 claims · 4.0%

Your Cost: $40.36/claim|Median: $7.50
5.4× median
99221Top 1%

Initial hospital care, straightforward/low

$298K

365 claims · 3.8%

Your Cost: $816.85/claim|Median: $39.96
20.4× median
99218Top 5%

$233K

535 claims · 3.0%

Your Cost: $435.03/claim|Median: $51.50
8.4× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$177K

2,915 claims · 2.3%

Your Cost: $60.56/claim|Median: $14.92
4.1× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$146K

2,041 claims · 1.9%

Your Cost: $71.76/claim|Median: $37.56
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$145K

2,833 claims · 1.9%

Your Cost: $51.13/claim|Median: $38.92
1.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$139K

4,070 claims · 1.8%

Your Cost: $34.19/claim|Median: $9.56
3.6× median
80053Normal range

Comprehensive metabolic panel

$126K

13K claims · 1.6%

Your Cost: $9.44/claim|Median: $7.24
1.3× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$103K

389 claims · 1.3%

Your Cost: $265.19/claim|Median: $54.68
4.8× median
Z7502Normal range

$96K

2,632 claims · 1.2%

Your Cost: $36.42/claim|Median: $37.17
1.0× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$93K

2,618 claims · 1.2%

Your Cost: $35.52/claim|Median: $28.63
1.2× median
96365Top 25%

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

$86K

807 claims · 1.1%

Your Cost: $106.76/claim|Median: $54.77
1.9× median
77067Top 10%

Screening mammography, bilateral, including CAD

$85K

715 claims · 1.1%

Your Cost: $118.27/claim|Median: $39.33
3.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$83K

14K claims · 1.1%

Your Cost: $5.74/claim|Median: $4.71
1.2× median
71046Top 25%

Chest X-ray, 2 views

$81K

3,014 claims · 1.0%

Your Cost: $26.71/claim|Median: $8.92
3.0× median
96360Normal range

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

$73K

796 claims · 0.9%

Your Cost: $92.20/claim|Median: $61.57
1.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$66K

471 claims · 0.8%

Your Cost: $139.44/claim|Median: $60.19
2.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$56K

852 claims · 0.7%

Your Cost: $65.62/claim|Median: $65.64
1.0× median
71045Top 25%

Chest X-ray, single view

$48K

3,378 claims · 0.6%

Your Cost: $14.16/claim|Median: $4.93
2.9× median
83880Normal range

$44K

2,045 claims · 0.6%

Your Cost: $21.52/claim|Median: $11.81
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$44K

1,661 claims · 0.6%

Your Cost: $26.32/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$44K

1,663 claims · 0.6%

Your Cost: $26.21/claim|Median: $23.39
1.1× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$42K

3,069 claims · 0.5%

Your Cost: $13.54/claim|Median: $1.53
8.8× median
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