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Provider 1104830900

NPI: 1104830900Share
Active Billing Period:2019-10→2024-11(55 months)

Total Paid

$9.9M

$9,882,488

Total Claims

129K

Beneficiaries

117K

1.1 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2019
$0
2020
$126K
+946%
2021
$1.3M
+175%
2022
$3.6M
-1%
2023
$3.6M
-67%
2024
$1.2M

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 38% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.8M

8,215 claims · 38.0%

Your Cost: $457.31/claim|Median: $69.51
6.6× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.5M

11K claims · 24.9%

Your Cost: $228.69/claim|Median: $42.48
5.4× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.0M

2,529 claims · 10.3%

Your Cost: $400.66/claim|Median: $85.65
4.7× median
A0429Normal range

Ambulance, BLS emergency transport

$291K

1,965 claims · 2.9%

Your Cost: $148.19/claim|Median: $138.19
1.1× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$290K

1,758 claims · 2.9%

Your Cost: $164.90/claim|Median: $164.22
1.0× median
87426Top 10%

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

$266K

6,245 claims · 2.7%

Your Cost: $42.59/claim|Median: $30.04
1.4× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$235K

3,813 claims · 2.4%

Your Cost: $61.68/claim|Median: $39.70
1.6× median
A0425Normal range

Ground mileage, per statute mile

$213K

4,526 claims · 2.2%

Your Cost: $47.00/claim|Median: $23.36
2.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$202K

166 claims · 2.0%

Your Cost: $1,218.53/claim|Median: $763.43
1.6× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$170K

6,912 claims · 1.7%

Your Cost: $24.66/claim|Median: $11.48
2.1× median
87804Top 25%

Influenza virus detection, rapid test

$158K

6,594 claims · 1.6%

Your Cost: $23.98/claim|Median: $12.59
1.9× median
71045Top 5%

Chest X-ray, single view

$153K

2,659 claims · 1.6%

Your Cost: $57.68/claim|Median: $4.93
11.7× median
80053Normal range

Comprehensive metabolic panel

$75K

8,813 claims · 0.8%

Your Cost: $8.56/claim|Median: $7.24
1.2× median
99282Top 10%

Emergency dept visit, low complexity

$67K

413 claims · 0.7%

Your Cost: $163.31/claim|Median: $37.72
4.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$60K

9,218 claims · 0.6%

Your Cost: $6.47/claim|Median: $4.71
1.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$47K

2,222 claims · 0.5%

Your Cost: $21.02/claim|Median: $9.56
2.2× median
G0382Normal range

$47K

523 claims · 0.5%

Your Cost: $89.25/claim|Median: $80.53
1.1× median
J0561Normal range

$36K

255 claims · 0.4%

Your Cost: $142.56/claim|Median: $96.49
1.5× median
70450Normal range

CT head/brain without contrast

$33K

566 claims · 0.3%

Your Cost: $58.12/claim|Median: $45.53
1.3× median
59025Top 5%

Fetal non-stress test

$32K

183 claims · 0.3%

Your Cost: $175.56/claim|Median: $26.45
6.6× median
96361Normal range

IV infusion, hydration, each additional hour

$26K

1,159 claims · 0.3%

Your Cost: $22.81/claim|Median: $38.92
0.6× median
96365Normal range

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

$21K

1,051 claims · 0.2%

Your Cost: $20.32/claim|Median: $54.77
0.4× median
74018Top 1%

$21K

182 claims · 0.2%

Your Cost: $117.20/claim|Median: $7.00
16.7× median
36415Normal range

Collection of venous blood by venipuncture

$21K

15K claims · 0.2%

Your Cost: $1.33/claim|Median: $1.57
0.8× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$20K

129 claims · 0.2%

Your Cost: $152.24/claim|Median: $74.78
2.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$17K

2,143 claims · 0.2%

Your Cost: $8.09/claim|Median: $7.50
1.1× median
81001Normal range

Urinalysis, automated, with microscopy

$16K

6,596 claims · 0.2%

Your Cost: $2.44/claim|Median: $2.03
1.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$15K

1,384 claims · 0.2%

Your Cost: $10.94/claim|Median: $14.92
0.7× median
71046Top 5%

Chest X-ray, 2 views

$13K

166 claims · 0.1%

Your Cost: $80.06/claim|Median: $8.92
9.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$13K

1,079 claims · 0.1%

Your Cost: $12.07/claim|Median: $21.76
0.6× median
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