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Provider 1134161623

NPI: 1134161623Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,195,458

Total Claims

225K

Beneficiaries

176K

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$533K
-11%
2019
$472K
+38%
2020
$650K
+41%
2021
$916K
+12%
2022
$1.0M
+170%
2023
$2.8M
-35%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 17% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$1.4M

11K claims · 17.0%

Your Cost: $124.98/claim|Median: $85.65
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$1.2M

10K claims · 14.7%

Your Cost: $115.35/claim|Median: $69.51
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

10K claims · 13.3%

Your Cost: $108.29/claim|Median: $42.48
2.5× median
U0003Top 5%

Infectious disease detection (COVID-19)

$570K

3,565 claims · 7.0%

Your Cost: $160.00/claim|Median: $63.08
2.5× median
96361Top 10%

IV infusion, hydration, each additional hour

$446K

1,366 claims · 5.4%

Your Cost: $326.62/claim|Median: $38.92
8.4× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$280K

2,349 claims · 3.4%

Your Cost: $119.38/claim|Median: $47.65
2.5× median
G0463Top 25%

Hospital outpatient clinic visit

$246K

3,157 claims · 3.0%

Your Cost: $77.89/claim|Median: $26.41
2.9× median
70450Top 5%

CT head/brain without contrast

$237K

945 claims · 2.9%

Your Cost: $250.97/claim|Median: $45.53
5.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$201K

747 claims · 2.5%

Your Cost: $269.42/claim|Median: $65.76
4.1× median
96365Top 10%

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

$197K

1,165 claims · 2.4%

Your Cost: $169.01/claim|Median: $54.77
3.1× median
59025Top 10%

Fetal non-stress test

$164K

1,122 claims · 2.0%

Your Cost: $146.21/claim|Median: $26.45
5.5× median
74176Top 10%

CT abdomen and pelvis without contrast

$148K

543 claims · 1.8%

Your Cost: $272.14/claim|Median: $60.19
4.5× median
G0378Normal range

Hospital observation service, per hour

$123K

1,557 claims · 1.5%

Your Cost: $78.82/claim|Median: $99.39
0.8× median
97110Top 10%

Therapeutic exercises, each 15 min

$107K

1,587 claims · 1.3%

Your Cost: $67.63/claim|Median: $24.49
2.8× median
80053Normal range

Comprehensive metabolic panel

$94K

11K claims · 1.1%

Your Cost: $8.22/claim|Median: $7.24
1.1× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$91K

772 claims · 1.1%

Your Cost: $117.86/claim|Median: $10.88
10.8× median
76856Top 5%

Ultrasound, pelvic, complete

$84K

461 claims · 1.0%

Your Cost: $182.97/claim|Median: $47.58
3.8× median
96366Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$83K

373 claims · 1.0%

Your Cost: $221.56/claim|Median: $40.12
5.5× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$73K

552 claims · 0.9%

Your Cost: $131.68/claim|Median: $58.55
2.2× median
76818Top 10%

$63K

513 claims · 0.8%

Your Cost: $123.41/claim|Median: $68.15
1.8× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$60K

1,454 claims · 0.7%

Your Cost: $41.27/claim|Median: $24.95
1.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$58K

19K claims · 0.7%

Your Cost: $3.00/claim|Median: $4.71
0.6× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$56K

361 claims · 0.7%

Your Cost: $155.17/claim|Median: $144.30
1.1× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$53K

1,280 claims · 0.6%

Your Cost: $41.23/claim|Median: $12.06
3.4× median
88143Normal range

$50K

2,498 claims · 0.6%

Your Cost: $20.17/claim|Median: $13.44
1.5× median
87624Top 10%

HPV detection, high-risk types, nucleic acid

$50K

1,158 claims · 0.6%

Your Cost: $43.20/claim|Median: $25.57
1.7× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$50K

925 claims · 0.6%

Your Cost: $53.69/claim|Median: $16.79
3.2× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$48K

2,829 claims · 0.6%

Your Cost: $16.83/claim|Median: $9.87
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$45K

25K claims · 0.6%

Your Cost: $1.81/claim|Median: $1.57
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$39K

1,419 claims · 0.5%

Your Cost: $27.53/claim|Median: $23.39
1.2× median
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