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Provider 1114095791

NPI: 1114095791Share
Active Billing Period:2019-10→2024-12(63 months)

Total Paid

$14.5M

$14,481,863

Total Claims

215K

Beneficiaries

182K

1.2 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2019
$23K
+8403%
2020
$2.0M
+140%
2021
$4.8M
-47%
2022
$2.5M
+11%
2023
$2.8M
-18%
2024
$2.3M

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 33% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$4.7M

25K claims · 32.7%

Your Cost: $189.82/claim|Median: $42.48
4.5× median
99284Top 10%

Emergency dept visit, high complexity

$4.1M

22K claims · 28.4%

Your Cost: $185.79/claim|Median: $69.51
2.7× median
G0378Top 10%

Hospital observation service, per hour

$2.9M

3,461 claims · 20.0%

Your Cost: $834.82/claim|Median: $99.39
8.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.4M

8,892 claims · 9.9%

Your Cost: $161.67/claim|Median: $85.65
1.9× median
99282Top 25%

Emergency dept visit, low complexity

$170K

1,407 claims · 1.2%

Your Cost: $121.11/claim|Median: $37.72
3.2× median
99281Top 25%

Emergency dept visit, minimal complexity

$168K

1,354 claims · 1.2%

Your Cost: $123.96/claim|Median: $52.03
2.4× median
77067Top 25%

Screening mammography, bilateral, including CAD

$142K

1,625 claims · 1.0%

Your Cost: $87.42/claim|Median: $39.33
2.2× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$135K

1,553 claims · 0.9%

Your Cost: $86.69/claim|Median: $36.13
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$72K

1,186 claims · 0.5%

Your Cost: $60.38/claim|Median: $65.76
0.9× median
36000Top 10%

$62K

1,455 claims · 0.4%

Your Cost: $42.31/claim|Median: $6.65
6.4× median
80048Normal range

Basic metabolic panel

$47K

16K claims · 0.3%

Your Cost: $2.90/claim|Median: $5.78
0.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$44K

362 claims · 0.3%

Your Cost: $121.26/claim|Median: $54.68
2.2× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$29K

1,266 claims · 0.2%

Your Cost: $22.69/claim|Median: $21.41
1.1× median
70450Normal range

CT head/brain without contrast

$26K

1,513 claims · 0.2%

Your Cost: $17.45/claim|Median: $45.53
0.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$22K

1,317 claims · 0.2%

Your Cost: $16.99/claim|Median: $35.43
0.5× median
71046Normal range

Chest X-ray, 2 views

$19K

2,125 claims · 0.1%

Your Cost: $8.99/claim|Median: $8.92
1.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$19K

6,383 claims · 0.1%

Your Cost: $2.99/claim|Median: $7.50
0.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$18K

5,156 claims · 0.1%

Your Cost: $3.53/claim|Median: $21.76
0.2× median
71260Normal range

CT chest with contrast

$17K

318 claims · 0.1%

Your Cost: $54.25/claim|Median: $48.36
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$17K

16K claims · 0.1%

Your Cost: $1.02/claim|Median: $4.71
0.2× median
76830Normal range

Ultrasound, transvaginal

$16K

379 claims · 0.1%

Your Cost: $42.00/claim|Median: $57.47
0.7× median
Q9967Normal range

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$14K

4,239 claims · 0.1%

Your Cost: $3.29/claim|Median: $3.42
1.0× median
97110Top 5%

Therapeutic exercises, each 15 min

$14K

126 claims · 0.1%

Your Cost: $107.55/claim|Median: $24.49
4.4× median
76856Normal range

Ultrasound, pelvic, complete

$13K

410 claims · 0.1%

Your Cost: $32.68/claim|Median: $47.58
0.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$13K

1,947 claims · 0.1%

Your Cost: $6.65/claim|Median: $97.61
0.1× median
97161Top 25%

Physical therapy evaluation, low complexity

$11K

137 claims · 0.1%

Your Cost: $82.97/claim|Median: $47.89
1.7× median
76700Normal range

Ultrasound, abdominal, complete

$9K

168 claims · 0.1%

Your Cost: $55.03/claim|Median: $50.69
1.1× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$9K

922 claims · 0.1%

Your Cost: $10.02/claim|Median: $60.05
0.2× median
72125Normal range

CT cervical spine without contrast

$9K

484 claims · 0.1%

Your Cost: $18.37/claim|Median: $32.30
0.6× median
99291Normal range

Critical care, first 30-74 minutes

$8K

74 claims · 0.1%

Your Cost: $111.49/claim|Median: $101.24
1.1× median
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