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Provider 1124369137

NPI: 1124369137Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,854,717

Total Claims

225K

Beneficiaries

168K

1.3 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$667K
+55%
2019
$1.0M
-18%
2020
$850K
+24%
2021
$1.1M
+81%
2022
$1.9M
+62%
2023
$3.1M
-28%
2024
$2.2M

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 22% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.4M

11K claims · 22.1%

Your Cost: $224.04/claim|Median: $42.48
5.3× median
99284Top 5%

Emergency dept visit, high complexity

$2.3M

9,274 claims · 21.0%

Your Cost: $246.03/claim|Median: $69.51
3.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.4M

4,828 claims · 12.9%

Your Cost: $291.04/claim|Median: $85.65
3.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$936K

4,198 claims · 8.6%

Your Cost: $223.04/claim|Median: $38.92
5.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$741K

2,577 claims · 6.8%

Your Cost: $287.68/claim|Median: $65.76
4.4× median
70450Top 10%

CT head/brain without contrast

$536K

2,218 claims · 4.9%

Your Cost: $241.47/claim|Median: $45.53
5.3× median
99282Top 5%

Emergency dept visit, low complexity

$479K

2,446 claims · 4.4%

Your Cost: $195.95/claim|Median: $37.72
5.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$342K

3,044 claims · 3.1%

Your Cost: $112.26/claim|Median: $91.47
1.2× median
G0378Normal range

Hospital observation service, per hour

$255K

2,133 claims · 2.4%

Your Cost: $119.75/claim|Median: $99.39
1.2× median
96360Top 25%

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

$178K

1,020 claims · 1.6%

Your Cost: $174.51/claim|Median: $61.57
2.8× median
43239Top 5%

Upper GI endoscopy with biopsy

$141K

215 claims · 1.3%

Your Cost: $655.31/claim|Median: $151.68
4.3× median
96365Top 25%

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

$135K

1,198 claims · 1.2%

Your Cost: $112.90/claim|Median: $54.77
2.1× median
71275Top 5%

CT angiography, chest, with contrast

$127K

364 claims · 1.2%

Your Cost: $349.23/claim|Median: $92.96
3.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$95K

1,596 claims · 0.9%

Your Cost: $59.67/claim|Median: $24.49
2.4× median
76705Top 5%

Ultrasound, abdominal, limited

$78K

603 claims · 0.7%

Your Cost: $129.13/claim|Median: $23.81
5.4× median
74176Top 10%

CT abdomen and pelvis without contrast

$77K

237 claims · 0.7%

Your Cost: $323.41/claim|Median: $60.19
5.4× median
99281Top 1%

Emergency dept visit, minimal complexity

$65K

195 claims · 0.6%

Your Cost: $334.73/claim|Median: $52.03
6.4× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$56K

1,140 claims · 0.5%

Your Cost: $49.07/claim|Median: $10.88
4.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$53K

1,008 claims · 0.5%

Your Cost: $52.75/claim|Median: $35.43
1.5× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$48K

44 claims · 0.4%

Your Cost: $1,099.45/claim|Median: $763.43
1.4× median
71046Top 25%

Chest X-ray, 2 views

$46K

2,110 claims · 0.4%

Your Cost: $21.58/claim|Median: $8.92
2.4× median
80053Normal range

Comprehensive metabolic panel

$40K

11K claims · 0.4%

Your Cost: $3.54/claim|Median: $7.24
0.5× median
C9803Normal range

$39K

2,100 claims · 0.4%

Your Cost: $18.75/claim|Median: $13.20
1.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$31K

547 claims · 0.3%

Your Cost: $55.77/claim|Median: $39.33
1.4× median
76830Top 10%

Ultrasound, transvaginal

$26K

235 claims · 0.2%

Your Cost: $111.11/claim|Median: $57.47
1.9× median
76642Top 1%

$26K

128 claims · 0.2%

Your Cost: $202.03/claim|Median: $32.06
6.3× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$25K

405 claims · 0.2%

Your Cost: $62.61/claim|Median: $21.41
2.9× median
J3490Normal range

Unclassified drugs

$23K

29K claims · 0.2%

Your Cost: $0.78/claim|Median: $5.70
0.1× median
76856Top 5%

Ultrasound, pelvic, complete

$19K

94 claims · 0.2%

Your Cost: $203.91/claim|Median: $47.58
4.3× median
80048Normal range

Basic metabolic panel

$16K

3,041 claims · 0.1%

Your Cost: $5.17/claim|Median: $5.78
0.9× median
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