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Provider 1124026182

NPI: 1124026182Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.2M

$9,166,316

Total Claims

264K

Beneficiaries

241K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$59K
-76%
2019
$14K
+6097%
2020
$897K
+308%
2021
$3.7M
-61%
2022
$1.4M
+31%
2023
$1.9M
-35%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87633 (Respiratory virus detection, 12-25 targets, nucleic acid)) accounts for 21% of total spending.

87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$1.9M

4,479 claims · 21.2%

Your Cost: $434.06/claim|Median: $169.17
2.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.3M

9,414 claims · 14.7%

Your Cost: $142.96/claim|Median: $85.65
1.7× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

11K claims · 11.5%

Your Cost: $94.73/claim|Median: $69.51
1.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$728K

11K claims · 7.9%

Your Cost: $65.09/claim|Median: $42.48
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$479K

6,395 claims · 5.2%

Your Cost: $74.87/claim|Median: $63.08
1.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$286K

1,559 claims · 3.1%

Your Cost: $183.48/claim|Median: $65.76
2.8× median
80053Top 25%

Comprehensive metabolic panel

$194K

19K claims · 2.1%

Your Cost: $10.37/claim|Median: $7.24
1.4× median
X0621Top 10%

$172K

624 claims · 1.9%

Your Cost: $276.36/claim|Median: $212.75
1.3× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$131K

2,767 claims · 1.4%

Your Cost: $47.44/claim|Median: $26.72
1.8× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$97K

4,692 claims · 1.1%

Your Cost: $20.75/claim|Median: $9.87
2.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$96K

19K claims · 1.0%

Your Cost: $5.05/claim|Median: $4.71
1.1× median
82306Top 10%

Vitamin D, 25 hydroxy

$95K

2,564 claims · 1.0%

Your Cost: $37.07/claim|Median: $18.18
2.0× median
300Top 25%

$94K

1,114 claims · 1.0%

Your Cost: $84.56/claim|Median: $55.04
1.5× median
80061Top 25%

Lipid panel

$91K

7,193 claims · 1.0%

Your Cost: $12.65/claim|Median: $8.41
1.5× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$91K

2,854 claims · 1.0%

Your Cost: $31.76/claim|Median: $53.41
0.6× median
G0378Top 25%

Hospital observation service, per hour

$87K

184 claims · 0.9%

Your Cost: $472.13/claim|Median: $99.39
4.8× median
87486Top 25%

$85K

2,247 claims · 0.9%

Your Cost: $37.85/claim|Median: $19.16
2.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$84K

3,397 claims · 0.9%

Your Cost: $24.60/claim|Median: $21.76
1.1× median
U0002Normal range

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

$74K

2,940 claims · 0.8%

Your Cost: $25.16/claim|Median: $34.62
0.7× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$65K

2,608 claims · 0.7%

Your Cost: $24.97/claim|Median: $37.81
0.7× median
70450Normal range

CT head/brain without contrast

$64K

965 claims · 0.7%

Your Cost: $65.83/claim|Median: $45.53
1.4× median
99282Normal range

Emergency dept visit, low complexity

$63K

1,948 claims · 0.7%

Your Cost: $32.21/claim|Median: $37.72
0.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$55K

1,014 claims · 0.6%

Your Cost: $53.90/claim|Median: $35.43
1.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$54K

6,238 claims · 0.6%

Your Cost: $8.62/claim|Median: $7.50
1.1× median
80050Top 25%

General health panel

$54K

1,279 claims · 0.6%

Your Cost: $41.84/claim|Median: $25.59
1.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$52K

1,645 claims · 0.6%

Your Cost: $31.68/claim|Median: $121.16
0.3× median
74176Normal range

CT abdomen and pelvis without contrast

$49K

633 claims · 0.5%

Your Cost: $77.96/claim|Median: $60.19
1.3× median
C9803Normal range

$45K

3,618 claims · 0.5%

Your Cost: $12.45/claim|Median: $13.20
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$35K

324 claims · 0.4%

Your Cost: $108.00/claim|Median: $100.62
1.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$35K

472 claims · 0.4%

Your Cost: $74.06/claim|Median: $39.33
1.9× median
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