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Provider 1104899442

NPI: 1104899442Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,975,368

Total Claims

85K

Beneficiaries

72K

1.2 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-21%
2019
$1.8M
-65%
2020
$638K
-43%
2021
$361K
+133%
2022
$841K
+22%
2023
$1.0M
+2%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 19% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$1.5M

4,971 claims · 19.4%

Your Cost: $310.64/claim|Median: $268.66
1.2× median
99284Top 25%

Emergency dept visit, high complexity

$1.5M

8,991 claims · 18.4%

Your Cost: $162.91/claim|Median: $69.51
2.3× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.2M

8,401 claims · 15.4%

Your Cost: $146.01/claim|Median: $42.48
3.4× median
80053Top 5%

Comprehensive metabolic panel

$579K

12K claims · 7.3%

Your Cost: $48.62/claim|Median: $7.24
6.7× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$537K

13K claims · 6.7%

Your Cost: $42.11/claim|Median: $4.71
8.9× median
87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$341K

823 claims · 4.3%

Your Cost: $414.44/claim|Median: $169.17
2.4× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$220K

2,010 claims · 2.8%

Your Cost: $109.38/claim|Median: $21.76
5.0× median
86140Top 1%

$207K

2,990 claims · 2.6%

Your Cost: $69.26/claim|Median: $3.02
22.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$206K

4,831 claims · 2.6%

Your Cost: $42.60/claim|Median: $7.50
5.7× median
83605Top 5%

$187K

3,609 claims · 2.3%

Your Cost: $51.80/claim|Median: $4.66
11.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$177K

941 claims · 2.2%

Your Cost: $188.12/claim|Median: $85.65
2.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$171K

2,496 claims · 2.1%

Your Cost: $68.53/claim|Median: $97.61
0.7× median
71045Top 5%

Chest X-ray, single view

$136K

2,556 claims · 1.7%

Your Cost: $53.27/claim|Median: $4.93
10.8× median
D7999Top 1%

$119K

25 claims · 1.5%

Your Cost: $4,776.39/claim|Median: $981.06
4.9× median
96361Normal range

IV infusion, hydration, each additional hour

$94K

2,102 claims · 1.2%

Your Cost: $44.52/claim|Median: $38.92
1.1× median
X4006Normal range

$77K

91 claims · 1.0%

Your Cost: $846.07/claim|Median: $668.05
1.3× median
81003Top 1%

Urinalysis, automated without microscopy

$62K

1,521 claims · 0.8%

Your Cost: $40.86/claim|Median: $1.48
27.6× median
59025Top 10%

Fetal non-stress test

$62K

393 claims · 0.8%

Your Cost: $156.99/claim|Median: $26.45
5.9× median
88304Top 1%

$52K

13 claims · 0.7%

Your Cost: $3,994.37/claim|Median: $12.88
310.1× median
81001Top 5%

Urinalysis, automated, with microscopy

$50K

1,400 claims · 0.6%

Your Cost: $35.96/claim|Median: $2.03
17.7× median
96365Normal range

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

$47K

576 claims · 0.6%

Your Cost: $81.15/claim|Median: $54.77
1.5× median
36415Top 5%

Collection of venous blood by venipuncture

$45K

1,062 claims · 0.6%

Your Cost: $42.22/claim|Median: $1.57
26.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$45K

1,308 claims · 0.6%

Your Cost: $34.07/claim|Median: $14.92
2.3× median
84484Top 10%

Troponin, quantitative

$44K

2,360 claims · 0.6%

Your Cost: $18.63/claim|Median: $4.84
3.8× median
87632Normal range

$40K

279 claims · 0.5%

Your Cost: $144.13/claim|Median: $88.01
1.6× median
87040Top 1%

$31K

239 claims · 0.4%

Your Cost: $130.62/claim|Median: $5.54
23.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$24K

128 claims · 0.3%

Your Cost: $185.33/claim|Median: $54.68
3.4× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$19K

76 claims · 0.2%

Your Cost: $254.80/claim|Median: $65.64
3.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$18K

261 claims · 0.2%

Your Cost: $67.92/claim|Median: $74.78
0.9× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$13K

91 claims · 0.2%

Your Cost: $143.79/claim|Median: $35.43
4.1× median
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