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Provider 1114981768

NPI: 1114981768Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,075,148

Total Claims

298K

Beneficiaries

228K

1.3 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-16%
2019
$1.4M
-40%
2020
$834K
+51%
2021
$1.3M
+27%
2022
$1.6M
-27%
2023
$1.2M
-0%
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 27% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.5M

16K claims · 27.4%

Your Cost: $152.55/claim|Median: $69.51
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.9M

19K claims · 20.9%

Your Cost: $99.51/claim|Median: $42.48
2.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.7M

9,922 claims · 18.8%

Your Cost: $172.05/claim|Median: $85.65
2.0× median
99282Normal range

Emergency dept visit, low complexity

$383K

6,839 claims · 4.2%

Your Cost: $56.01/claim|Median: $37.72
1.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$273K

8,220 claims · 3.0%

Your Cost: $33.26/claim|Median: $21.76
1.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$243K

32K claims · 2.7%

Your Cost: $7.48/claim|Median: $4.71
1.6× median
97530Top 25%

Therapeutic activities, each 15 min

$225K

2,719 claims · 2.5%

Your Cost: $82.92/claim|Median: $33.11
2.5× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$176K

5,547 claims · 1.9%

Your Cost: $31.75/claim|Median: $34.62
0.9× median
80053Normal range

Comprehensive metabolic panel

$154K

30K claims · 1.7%

Your Cost: $5.12/claim|Median: $7.24
0.7× median
87804Normal range

Influenza virus detection, rapid test

$136K

14K claims · 1.5%

Your Cost: $9.53/claim|Median: $12.59
0.8× median
71045Top 25%

Chest X-ray, single view

$136K

11K claims · 1.5%

Your Cost: $12.70/claim|Median: $4.93
2.6× median
84484Top 25%

Troponin, quantitative

$127K

8,844 claims · 1.4%

Your Cost: $14.36/claim|Median: $4.84
3.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$96K

7,495 claims · 1.1%

Your Cost: $12.81/claim|Median: $9.56
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$93K

36K claims · 1.0%

Your Cost: $2.55/claim|Median: $1.57
1.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$88K

4,756 claims · 1.0%

Your Cost: $18.42/claim|Median: $14.92
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$75K

2,339 claims · 0.8%

Your Cost: $32.27/claim|Median: $39.70
0.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$66K

1,619 claims · 0.7%

Your Cost: $40.73/claim|Median: $35.43
1.1× median
C9803Normal range

$62K

6,285 claims · 0.7%

Your Cost: $9.89/claim|Median: $13.20
0.7× median
G0378Normal range

Hospital observation service, per hour

$59K

1,179 claims · 0.7%

Your Cost: $50.16/claim|Median: $99.39
0.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$57K

9,372 claims · 0.6%

Your Cost: $6.06/claim|Median: $7.50
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$52K

512 claims · 0.6%

Your Cost: $101.62/claim|Median: $54.68
1.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$51K

1,836 claims · 0.6%

Your Cost: $28.05/claim|Median: $28.46
1.0× median
92507Normal range

Speech/hearing/language treatment

$51K

1,113 claims · 0.6%

Your Cost: $46.04/claim|Median: $49.45
0.9× median
59025Normal range

Fetal non-stress test

$51K

1,759 claims · 0.6%

Your Cost: $28.96/claim|Median: $26.45
1.1× median
70450Normal range

CT head/brain without contrast

$42K

584 claims · 0.5%

Your Cost: $71.48/claim|Median: $45.53
1.6× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$36K

2,146 claims · 0.4%

Your Cost: $16.94/claim|Median: $11.48
1.5× median
81003Normal range

Urinalysis, automated without microscopy

$23K

19K claims · 0.3%

Your Cost: $1.24/claim|Median: $1.48
0.8× median
83880Normal range

$22K

1,775 claims · 0.2%

Your Cost: $12.30/claim|Median: $11.81
1.0× median
83735Top 25%

Magnesium blood level test

$21K

4,297 claims · 0.2%

Your Cost: $4.99/claim|Median: $2.77
1.8× median
74177Normal range

CT abdomen and pelvis with contrast

$20K

135 claims · 0.2%

Your Cost: $148.29/claim|Median: $65.76
2.3× median
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