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Provider 1124182902

NPI: 1124182902Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$17,998,475

Total Claims

227K

Beneficiaries

207K

1.1 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$7.0M
-60%
2019
$2.8M
-65%
2020
$980K
+16%
2021
$1.1M
+59%
2022
$1.8M
+25%
2023
$2.2M
-12%
2024
$2.0M

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 45% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$8.1M

27K claims · 45.0%

Your Cost: $298.05/claim|Median: $42.48
7.0× median
99214Top 1%

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

$2.2M

9,244 claims · 12.0%

Your Cost: $234.14/claim|Median: $53.41
4.4× median
99213Top 1%

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

$1.2M

7,735 claims · 6.8%

Your Cost: $158.51/claim|Median: $37.81
4.2× median
99284Top 5%

Emergency dept visit, high complexity

$422K

1,201 claims · 2.3%

Your Cost: $351.62/claim|Median: $69.51
5.1× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$405K

3,804 claims · 2.3%

Your Cost: $106.51/claim|Median: $24.95
4.3× median
87591Top 1%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$405K

3,798 claims · 2.3%

Your Cost: $106.64/claim|Median: $23.39
4.6× median
99282Top 25%

Emergency dept visit, low complexity

$385K

2,949 claims · 2.1%

Your Cost: $130.51/claim|Median: $37.72
3.5× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$369K

2,280 claims · 2.1%

Your Cost: $161.98/claim|Median: $35.43
4.6× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$288K

5,850 claims · 1.6%

Your Cost: $49.27/claim|Median: $9.87
5.0× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$191K

1,397 claims · 1.1%

Your Cost: $136.56/claim|Median: $35.80
3.8× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$186K

6,589 claims · 1.0%

Your Cost: $28.29/claim|Median: $5.50
5.1× median
80061Top 5%

Lipid panel

$154K

3,909 claims · 0.9%

Your Cost: $39.52/claim|Median: $8.41
4.7× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$147K

4,451 claims · 0.8%

Your Cost: $32.93/claim|Median: $9.80
3.4× median
87389Top 5%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$146K

1,987 claims · 0.8%

Your Cost: $73.66/claim|Median: $18.03
4.1× median
80053Normal range

Comprehensive metabolic panel

$146K

15K claims · 0.8%

Your Cost: $9.74/claim|Median: $7.24
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$145K

22K claims · 0.8%

Your Cost: $6.49/claim|Median: $4.71
1.4× median
87624Top 5%

HPV detection, high-risk types, nucleic acid

$125K

1,184 claims · 0.7%

Your Cost: $105.73/claim|Median: $25.57
4.1× median
G0480Top 1%

Drug test, definitive, 1-7 drug classes

$113K

651 claims · 0.6%

Your Cost: $174.12/claim|Median: $37.56
4.6× median
88142Top 1%

$113K

1,855 claims · 0.6%

Your Cost: $60.85/claim|Median: $14.75
4.1× median
71046Top 5%

Chest X-ray, 2 views

$93K

1,672 claims · 0.5%

Your Cost: $55.82/claim|Median: $8.92
6.3× median
86780Top 5%

$88K

2,214 claims · 0.5%

Your Cost: $39.87/claim|Median: $9.83
4.1× median
85027Top 5%

Complete blood count (CBC), automated

$86K

5,072 claims · 0.5%

Your Cost: $17.00/claim|Median: $3.72
4.6× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$77K

2,109 claims · 0.4%

Your Cost: $36.75/claim|Median: $11.48
3.2× median
82306Top 5%

Vitamin D, 25 hydroxy

$77K

1,055 claims · 0.4%

Your Cost: $73.24/claim|Median: $18.18
4.0× median
86003Top 1%

Allergen specific IgE blood test, each allergen

$76K

263 claims · 0.4%

Your Cost: $288.80/claim|Median: $40.67
7.1× median
77067Top 1%

Screening mammography, bilateral, including CAD

$76K

256 claims · 0.4%

Your Cost: $295.27/claim|Median: $39.33
7.5× median
87506Top 1%

$75K

119 claims · 0.4%

Your Cost: $632.02/claim|Median: $102.96
6.1× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$74K

301 claims · 0.4%

Your Cost: $246.96/claim|Median: $75.18
3.3× median
80048Top 10%

Basic metabolic panel

$67K

3,168 claims · 0.4%

Your Cost: $21.11/claim|Median: $5.78
3.7× median
82728Top 10%

Ferritin

$66K

2,144 claims · 0.4%

Your Cost: $30.55/claim|Median: $6.00
5.1× median
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