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Provider 1124083894

NPI: 1124083894Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,099,281

Total Claims

370K

Beneficiaries

286K

1.3 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+2%
2019
$1.5M
-22%
2020
$1.1M
-13%
2021
$1.0M
+24%
2022
$1.2M
+18%
2023
$1.5M
-8%
2024
$1.3M

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 8% of total spending.

99284Normal range

Emergency dept visit, high complexity

$725K

16K claims · 8.0%

Your Cost: $44.83/claim|Median: $69.51
0.6× median
96361Top 25%

IV infusion, hydration, each additional hour

$657K

5,750 claims · 7.2%

Your Cost: $114.30/claim|Median: $38.92
2.9× median
99283Normal range

Emergency dept visit, moderate complexity

$651K

14K claims · 7.2%

Your Cost: $45.98/claim|Median: $42.48
1.1× median
99213Normal range

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

$587K

19K claims · 6.4%

Your Cost: $31.65/claim|Median: $37.81
0.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$435K

3,650 claims · 4.8%

Your Cost: $119.10/claim|Median: $100.62
1.2× median
99282Normal range

Emergency dept visit, low complexity

$305K

5,688 claims · 3.4%

Your Cost: $53.61/claim|Median: $37.72
1.4× median
80053Top 25%

Comprehensive metabolic panel

$275K

16K claims · 3.0%

Your Cost: $17.08/claim|Median: $7.24
2.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$260K

6,268 claims · 2.9%

Your Cost: $41.48/claim|Median: $85.65
0.5× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$234K

4,420 claims · 2.6%

Your Cost: $52.90/claim|Median: $39.70
1.3× median
97530Normal range

Therapeutic activities, each 15 min

$220K

12K claims · 2.4%

Your Cost: $18.99/claim|Median: $33.11
0.6× median
99211Top 10%

Office/outpatient visit, minimal complexity

$204K

4,031 claims · 2.2%

Your Cost: $50.51/claim|Median: $12.93
3.9× median
G0381Normal range

$196K

3,438 claims · 2.2%

Your Cost: $57.14/claim|Median: $59.47
1.0× median
87651Top 10%

Streptococcus Group A detection, nucleic acid, amplified probe

$195K

4,190 claims · 2.1%

Your Cost: $46.42/claim|Median: $28.46
1.6× median
96365Normal range

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

$188K

4,078 claims · 2.1%

Your Cost: $46.09/claim|Median: $54.77
0.8× median
G0380Normal range

$188K

3,169 claims · 2.1%

Your Cost: $59.26/claim|Median: $59.26
1.0× median
96360Normal range

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

$177K

2,292 claims · 1.9%

Your Cost: $77.11/claim|Median: $61.57
1.3× median
99214Normal range

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

$176K

3,867 claims · 1.9%

Your Cost: $45.52/claim|Median: $53.41
0.9× median
G0382Normal range

$166K

2,975 claims · 1.8%

Your Cost: $55.89/claim|Median: $80.53
0.7× median
99212Top 10%

Office/outpatient visit, low complexity

$153K

2,646 claims · 1.7%

Your Cost: $57.83/claim|Median: $25.06
2.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$144K

1,385 claims · 1.6%

Your Cost: $103.67/claim|Median: $97.61
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$126K

18K claims · 1.4%

Your Cost: $6.81/claim|Median: $4.71
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$124K

10K claims · 1.4%

Your Cost: $11.85/claim|Median: $24.49
0.5× median
80306Top 25%

$120K

5,193 claims · 1.3%

Your Cost: $23.07/claim|Median: $10.29
2.2× median
74177Normal range

CT abdomen and pelvis with contrast

$119K

1,936 claims · 1.3%

Your Cost: $61.44/claim|Median: $65.76
0.9× median
70450Normal range

CT head/brain without contrast

$116K

2,341 claims · 1.3%

Your Cost: $49.53/claim|Median: $45.53
1.1× median
99281Normal range

Emergency dept visit, minimal complexity

$104K

1,683 claims · 1.1%

Your Cost: $61.86/claim|Median: $52.03
1.2× median
80048Top 25%

Basic metabolic panel

$96K

5,169 claims · 1.1%

Your Cost: $18.60/claim|Median: $5.78
3.2× median
C9803Top 25%

$87K

3,164 claims · 1.0%

Your Cost: $27.59/claim|Median: $13.20
2.1× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$83K

4,747 claims · 0.9%

Your Cost: $17.42/claim|Median: $9.87
1.8× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$74K

1,251 claims · 0.8%

Your Cost: $59.02/claim|Median: $164.22
0.4× median
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