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Provider 1124090659

NPI: 1124090659Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.7M

$11,658,830

Total Claims

201K

Beneficiaries

140K

1.4 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+25%
2019
$1.9M
+22%
2020
$2.3M
+29%
2021
$2.9M
+2%
2022
$3.0M
-94%
2023
$172K
-80%
2024
$35K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (8888888 (Not classified)) accounts for 76% of total spending.

8888888Normal range

Not classified

$8.9M

42K claims · 75.9%

Your Cost: $213.16/claim|Median: $365.77
0.6× median
80053Top 10%

Comprehensive metabolic panel

$346K

12K claims · 3.0%

Your Cost: $28.81/claim|Median: $7.24
4.0× median
36415Top 1%

Collection of venous blood by venipuncture

$305K

4,472 claims · 2.6%

Your Cost: $68.18/claim|Median: $1.57
43.4× median
83605Top 1%

$284K

3,776 claims · 2.4%

Your Cost: $75.24/claim|Median: $4.66
16.1× median
84484Top 1%

Troponin, quantitative

$280K

3,543 claims · 2.4%

Your Cost: $79.15/claim|Median: $4.84
16.4× median
99283Normal range

Emergency dept visit, moderate complexity

$234K

6,466 claims · 2.0%

Your Cost: $36.24/claim|Median: $42.48
0.9× median
99284Normal range

Emergency dept visit, high complexity

$200K

10K claims · 1.7%

Your Cost: $19.72/claim|Median: $69.51
0.3× median
80306Top 5%

$131K

2,271 claims · 1.1%

Your Cost: $57.75/claim|Median: $10.29
5.6× median
C9803Top 5%

$119K

1,259 claims · 1.0%

Your Cost: $94.38/claim|Median: $13.20
7.2× median
86850Top 5%

$85K

904 claims · 0.7%

Your Cost: $94.57/claim|Median: $5.44
17.4× median
80048Top 5%

Basic metabolic panel

$62K

1,664 claims · 0.5%

Your Cost: $37.29/claim|Median: $5.78
6.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$47K

2,338 claims · 0.4%

Your Cost: $20.08/claim|Median: $39.70
0.5× median
0225UNormal range

$38K

494 claims · 0.3%

Your Cost: $77.59/claim|Median: $81.81
0.9× median
70450Normal range

CT head/brain without contrast

$36K

1,595 claims · 0.3%

Your Cost: $22.28/claim|Median: $45.53
0.5× median
71045Top 25%

Chest X-ray, single view

$34K

3,291 claims · 0.3%

Your Cost: $10.44/claim|Median: $4.93
2.1× median
87400Top 5%

$34K

696 claims · 0.3%

Your Cost: $48.29/claim|Median: $8.40
5.7× median
99282Normal range

Emergency dept visit, low complexity

$34K

596 claims · 0.3%

Your Cost: $56.28/claim|Median: $37.72
1.5× median
86901Top 5%

$33K

1,094 claims · 0.3%

Your Cost: $30.18/claim|Median: $2.26
13.4× median
71046Top 25%

Chest X-ray, 2 views

$32K

1,283 claims · 0.3%

Your Cost: $24.96/claim|Median: $8.92
2.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$31K

4,685 claims · 0.3%

Your Cost: $6.72/claim|Median: $85.65
0.1× median
99281Normal range

Emergency dept visit, minimal complexity

$31K

738 claims · 0.3%

Your Cost: $41.97/claim|Median: $52.03
0.8× median
81025Top 5%

Urine pregnancy test

$28K

2,155 claims · 0.2%

Your Cost: $12.88/claim|Median: $4.81
2.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$27K

2,248 claims · 0.2%

Your Cost: $11.87/claim|Median: $9.87
1.2× median
81001Top 25%

Urinalysis, automated, with microscopy

$26K

8,072 claims · 0.2%

Your Cost: $3.26/claim|Median: $2.03
1.6× median
97110Normal range

Therapeutic exercises, each 15 min

$24K

1,484 claims · 0.2%

Your Cost: $16.11/claim|Median: $24.49
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$24K

1,779 claims · 0.2%

Your Cost: $13.38/claim|Median: $65.76
0.2× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$19K

168 claims · 0.2%

Your Cost: $112.23/claim|Median: $74.78
1.5× median
96365Normal range

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

$17K

2,694 claims · 0.1%

Your Cost: $6.21/claim|Median: $54.77
0.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$16K

472 claims · 0.1%

Your Cost: $33.01/claim|Median: $63.08
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$15K

14K claims · 0.1%

Your Cost: $1.08/claim|Median: $4.71
0.2× median
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