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Provider 1104897859

NPI: 1104897859Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,148,997

Total Claims

475K

Beneficiaries

373K

1.3 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$603K
+98%
2019
$1.2M
-21%
2020
$946K
+37%
2021
$1.3M
+40%
2022
$1.8M
-23%
2023
$1.4M
-36%
2024
$889K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 21% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$1.7M

28K claims · 21.2%

Your Cost: $61.34/claim|Median: $42.48
1.4× median
99284Normal range

Emergency dept visit, high complexity

$934K

17K claims · 11.5%

Your Cost: $53.59/claim|Median: $69.51
0.8× median
99282Normal range

Emergency dept visit, low complexity

$429K

6,079 claims · 5.3%

Your Cost: $70.65/claim|Median: $37.72
1.9× median
70450Top 25%

CT head/brain without contrast

$427K

4,703 claims · 5.2%

Your Cost: $90.86/claim|Median: $45.53
2.0× median
99281Normal range

Emergency dept visit, minimal complexity

$410K

5,196 claims · 5.0%

Your Cost: $78.90/claim|Median: $52.03
1.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$392K

6,789 claims · 4.8%

Your Cost: $57.74/claim|Median: $24.49
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$389K

2,890 claims · 4.8%

Your Cost: $134.52/claim|Median: $65.76
2.0× median
74176Normal range

CT abdomen and pelvis without contrast

$366K

3,017 claims · 4.5%

Your Cost: $121.44/claim|Median: $60.19
2.0× median
80053Top 25%

Comprehensive metabolic panel

$275K

22K claims · 3.4%

Your Cost: $12.35/claim|Median: $7.24
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$227K

5,622 claims · 2.8%

Your Cost: $40.37/claim|Median: $85.65
0.5× median
G0463Normal range

Hospital outpatient clinic visit

$207K

4,086 claims · 2.5%

Your Cost: $50.59/claim|Median: $26.41
1.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$199K

498 claims · 2.4%

Your Cost: $400.46/claim|Median: $233.73
1.7× median
96361Normal range

IV infusion, hydration, each additional hour

$168K

3,123 claims · 2.1%

Your Cost: $53.70/claim|Median: $38.92
1.4× median
80048Top 25%

Basic metabolic panel

$162K

9,614 claims · 2.0%

Your Cost: $16.83/claim|Median: $5.78
2.9× median
36415Top 5%

Collection of venous blood by venipuncture

$101K

9,539 claims · 1.2%

Your Cost: $10.62/claim|Median: $1.57
6.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$101K

3,541 claims · 1.2%

Your Cost: $28.51/claim|Median: $35.43
0.8× median
C9803Normal range

$89K

6,894 claims · 1.1%

Your Cost: $12.90/claim|Median: $13.20
1.0× median
71275Normal range

CT angiography, chest, with contrast

$89K

675 claims · 1.1%

Your Cost: $131.32/claim|Median: $92.96
1.4× median
87804Normal range

Influenza virus detection, rapid test

$73K

6,385 claims · 0.9%

Your Cost: $11.41/claim|Median: $12.59
0.9× median
83880Normal range

$65K

3,237 claims · 0.8%

Your Cost: $20.00/claim|Median: $11.81
1.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$51K

1,471 claims · 0.6%

Your Cost: $34.77/claim|Median: $35.80
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$48K

34K claims · 0.6%

Your Cost: $1.39/claim|Median: $4.71
0.3× median
86901Top 5%

$45K

1,368 claims · 0.6%

Your Cost: $33.03/claim|Median: $2.26
14.6× median
87420Normal range

$36K

2,919 claims · 0.4%

Your Cost: $12.41/claim|Median: $9.78
1.3× median
71046Normal range

Chest X-ray, 2 views

$36K

3,080 claims · 0.4%

Your Cost: $11.54/claim|Median: $8.92
1.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$34K

2,561 claims · 0.4%

Your Cost: $13.41/claim|Median: $10.88
1.2× median
71045Normal range

Chest X-ray, single view

$33K

12K claims · 0.4%

Your Cost: $2.67/claim|Median: $4.93
0.5× median
G0378Normal range

Hospital observation service, per hour

$29K

1,777 claims · 0.4%

Your Cost: $16.25/claim|Median: $99.39
0.2× median
76700Normal range

Ultrasound, abdominal, complete

$28K

509 claims · 0.3%

Your Cost: $54.15/claim|Median: $50.69
1.1× median
74018Top 25%

$27K

1,203 claims · 0.3%

Your Cost: $22.67/claim|Median: $7.00
3.2× median
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