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Provider 1104899319

NPI: 1104899319Share
Active Billing Period:2018-01→2019-12(24 months)
Billing appears to have stoppedLast active: 2019-12

Total Paid

$11.2M

$11,202,531

Total Claims

412K

Beneficiaries

294K

1.4 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+75%
2019
$7.1M

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 20% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

22K claims · 19.6%

Your Cost: $100.55/claim|Median: $42.48
2.4× median
99284Top 25%

Emergency dept visit, high complexity

$1.7M

16K claims · 15.2%

Your Cost: $108.46/claim|Median: $69.51
1.6× median
96361Top 25%

IV infusion, hydration, each additional hour

$857K

6,046 claims · 7.7%

Your Cost: $141.77/claim|Median: $38.92
3.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$754K

8,993 claims · 6.7%

Your Cost: $83.85/claim|Median: $85.65
1.0× median
70450Top 25%

CT head/brain without contrast

$504K

3,960 claims · 4.5%

Your Cost: $127.23/claim|Median: $45.53
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$374K

1,615 claims · 3.3%

Your Cost: $231.51/claim|Median: $65.76
3.5× median
99282Top 25%

Emergency dept visit, low complexity

$373K

4,112 claims · 3.3%

Your Cost: $90.79/claim|Median: $37.72
2.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$360K

1,861 claims · 3.2%

Your Cost: $193.30/claim|Median: $60.19
3.2× median
96360Top 25%

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

$337K

2,667 claims · 3.0%

Your Cost: $126.22/claim|Median: $61.57
2.1× median
96365Top 25%

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

$271K

2,405 claims · 2.4%

Your Cost: $112.86/claim|Median: $54.77
2.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$222K

5,328 claims · 2.0%

Your Cost: $41.61/claim|Median: $24.49
1.7× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$171K

1,771 claims · 1.5%

Your Cost: $96.33/claim|Median: $36.13
2.7× median
93458Top 25%

Left heart catheterization with imaging

$154K

158 claims · 1.4%

Your Cost: $974.77/claim|Median: $183.33
5.3× median
G0378Normal range

Hospital observation service, per hour

$151K

2,781 claims · 1.3%

Your Cost: $54.16/claim|Median: $99.39
0.5× median
36415Top 10%

Collection of venous blood by venipuncture

$145K

21K claims · 1.3%

Your Cost: $6.99/claim|Median: $1.57
4.4× median
43239Normal range

Upper GI endoscopy with biopsy

$144K

534 claims · 1.3%

Your Cost: $268.74/claim|Median: $151.68
1.8× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$139K

4,063 claims · 1.2%

Your Cost: $34.30/claim|Median: $10.88
3.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$133K

659 claims · 1.2%

Your Cost: $201.22/claim|Median: $54.68
3.7× median
80053Normal range

Comprehensive metabolic panel

$107K

17K claims · 1.0%

Your Cost: $6.16/claim|Median: $7.24
0.9× median
71275Normal range

CT angiography, chest, with contrast

$102K

647 claims · 0.9%

Your Cost: $157.09/claim|Median: $92.96
1.7× median
76817Top 1%

Ultrasound, pregnant uterus, transvaginal

$99K

582 claims · 0.9%

Your Cost: $169.97/claim|Median: $47.65
3.6× median
99281Normal range

Emergency dept visit, minimal complexity

$90K

951 claims · 0.8%

Your Cost: $94.39/claim|Median: $52.03
1.8× median
G0463Top 25%

Hospital outpatient clinic visit

$85K

1,443 claims · 0.8%

Your Cost: $58.73/claim|Median: $26.41
2.2× median
99211Top 5%

Office/outpatient visit, minimal complexity

$72K

593 claims · 0.6%

Your Cost: $121.53/claim|Median: $12.93
9.4× median
11043Top 10%

$72K

336 claims · 0.6%

Your Cost: $213.22/claim|Median: $62.99
3.4× median
76856Top 25%

Ultrasound, pelvic, complete

$69K

874 claims · 0.6%

Your Cost: $78.48/claim|Median: $47.58
1.6× median
P9016Normal range

$67K

329 claims · 0.6%

Your Cost: $203.91/claim|Median: $122.26
1.7× median
72125Normal range

CT cervical spine without contrast

$64K

1,159 claims · 0.6%

Your Cost: $54.90/claim|Median: $32.30
1.7× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$61K

690 claims · 0.5%

Your Cost: $88.32/claim|Median: $25.43
3.5× median
71046Normal range

Chest X-ray, 2 views

$52K

6,013 claims · 0.5%

Your Cost: $8.65/claim|Median: $8.92
1.0× median
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