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Provider 1104828383

NPI: 1104828383Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,232,676

Total Claims

310K

Beneficiaries

187K

1.7 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-7%
2019
$1.3M
+7%
2020
$1.4M
+15%
2021
$1.7M
+8%
2022
$1.8M
+14%
2023
$2.0M
-23%
2024
$1.6M

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 10% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$1.2M

8,077 claims · 10.4%

Your Cost: $145.08/claim|Median: $69.51
2.1× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.0M

1,537 claims · 9.3%

Your Cost: $676.82/claim|Median: $60.19
11.2× median
70450Top 5%

CT head/brain without contrast

$562K

1,601 claims · 5.0%

Your Cost: $351.01/claim|Median: $45.53
7.7× median
97110Top 5%

Therapeutic exercises, each 15 min

$544K

6,333 claims · 4.8%

Your Cost: $85.85/claim|Median: $24.49
3.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$522K

3,380 claims · 4.6%

Your Cost: $154.53/claim|Median: $85.65
1.8× median
74177Top 5%

CT abdomen and pelvis with contrast

$504K

798 claims · 4.5%

Your Cost: $631.70/claim|Median: $65.76
9.6× median
80053Top 25%

Comprehensive metabolic panel

$500K

44K claims · 4.4%

Your Cost: $11.29/claim|Median: $7.24
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$435K

4,208 claims · 3.9%

Your Cost: $103.43/claim|Median: $42.48
2.4× median
80061Top 10%

Lipid panel

$321K

13K claims · 2.9%

Your Cost: $24.87/claim|Median: $8.41
3.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$283K

31K claims · 2.5%

Your Cost: $8.99/claim|Median: $4.71
1.9× median
G0378Normal range

Hospital observation service, per hour

$272K

1,020 claims · 2.4%

Your Cost: $266.70/claim|Median: $99.39
2.7× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$267K

9,662 claims · 2.4%

Your Cost: $27.59/claim|Median: $9.87
2.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$224K

5,485 claims · 2.0%

Your Cost: $40.91/claim|Median: $7.50
5.5× median
80306Top 10%

$208K

4,149 claims · 1.9%

Your Cost: $50.17/claim|Median: $10.29
4.9× median
82306Top 10%

Vitamin D, 25 hydroxy

$195K

3,896 claims · 1.7%

Your Cost: $50.13/claim|Median: $18.18
2.8× median
84484Top 5%

Troponin, quantitative

$180K

4,523 claims · 1.6%

Your Cost: $39.90/claim|Median: $4.84
8.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$174K

2,941 claims · 1.6%

Your Cost: $59.26/claim|Median: $9.56
6.2× median
71045Top 5%

Chest X-ray, single view

$171K

3,529 claims · 1.5%

Your Cost: $48.44/claim|Median: $4.93
9.8× median
71046Top 5%

Chest X-ray, 2 views

$164K

2,479 claims · 1.5%

Your Cost: $66.20/claim|Median: $8.92
7.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$161K

1,896 claims · 1.4%

Your Cost: $85.11/claim|Median: $21.76
3.9× median
87428Normal range

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

$144K

3,040 claims · 1.3%

Your Cost: $47.46/claim|Median: $39.63
1.2× median
36000Top 10%

$143K

3,502 claims · 1.3%

Your Cost: $40.87/claim|Median: $6.65
6.1× median
81001Top 5%

Urinalysis, automated, with microscopy

$141K

7,895 claims · 1.3%

Your Cost: $17.91/claim|Median: $2.03
8.8× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$141K

8,404 claims · 1.3%

Your Cost: $16.76/claim|Median: $5.50
3.0× median
81025Top 1%

Urine pregnancy test

$140K

2,221 claims · 1.2%

Your Cost: $63.18/claim|Median: $4.81
13.1× median
83690Top 5%

$137K

4,607 claims · 1.2%

Your Cost: $29.83/claim|Median: $3.35
8.9× median
84439Top 5%

Free thyroxine level blood test

$136K

5,186 claims · 1.2%

Your Cost: $26.20/claim|Median: $6.31
4.2× median
82607Top 5%

Cyanocobalamin (vitamin B-12)

$110K

3,069 claims · 1.0%

Your Cost: $35.86/claim|Median: $8.72
4.1× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$97K

3,283 claims · 0.9%

Your Cost: $29.63/claim|Median: $11.48
2.6× median
87086Top 10%

Urine culture, colony count, with identification

$96K

5,437 claims · 0.9%

Your Cost: $17.62/claim|Median: $5.31
3.3× median
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