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Provider 1134297393

NPI: 1134297393Share
Active Billing Period:2019-07→2024-12(66 months)

Total Paid

$10.7M

$10,651,963

Total Claims

153K

Beneficiaries

121K

1.3 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2019
$21K
+6244%
2020
$1.4M
+211%
2021
$4.2M
-63%
2022
$1.6M
+30%
2023
$2.0M
-29%
2024
$1.4M

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 40% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$4.2M

20K claims · 39.7%

Your Cost: $207.64/claim|Median: $69.51
3.0× median
G0378Top 10%

Hospital observation service, per hour

$1.7M

2,063 claims · 16.3%

Your Cost: $839.48/claim|Median: $99.39
8.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.6M

7,006 claims · 14.6%

Your Cost: $221.47/claim|Median: $42.48
5.2× median
77067Top 5%

Screening mammography, bilateral, including CAD

$535K

3,433 claims · 5.0%

Your Cost: $155.91/claim|Median: $39.33
4.0× median
99282Top 5%

Emergency dept visit, low complexity

$470K

2,224 claims · 4.4%

Your Cost: $211.48/claim|Median: $37.72
5.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$318K

2,101 claims · 3.0%

Your Cost: $151.54/claim|Median: $85.65
1.8× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$210K

977 claims · 2.0%

Your Cost: $214.94/claim|Median: $75.28
2.9× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$139K

3,403 claims · 1.3%

Your Cost: $40.87/claim|Median: $21.41
1.9× median
45380Top 25%

Colonoscopy with biopsy

$115K

230 claims · 1.1%

Your Cost: $499.28/claim|Median: $200.68
2.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$97K

265 claims · 0.9%

Your Cost: $366.63/claim|Median: $151.68
2.4× median
96365Normal range

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

$79K

1,248 claims · 0.7%

Your Cost: $63.36/claim|Median: $54.77
1.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$71K

1,098 claims · 0.7%

Your Cost: $64.84/claim|Median: $121.16
0.5× median
97602Top 25%

$70K

571 claims · 0.7%

Your Cost: $122.46/claim|Median: $51.00
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$57K

426 claims · 0.5%

Your Cost: $132.94/claim|Median: $65.76
2.0× median
77066Top 5%

$49K

273 claims · 0.5%

Your Cost: $178.85/claim|Median: $43.94
4.1× median
76642Top 25%

$46K

552 claims · 0.4%

Your Cost: $83.58/claim|Median: $32.06
2.6× median
97597Top 25%

$46K

756 claims · 0.4%

Your Cost: $60.72/claim|Median: $21.22
2.9× median
76641Top 10%

Ultrasound imaging of one breast, complete

$37K

330 claims · 0.3%

Your Cost: $112.89/claim|Median: $49.03
2.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$36K

1,440 claims · 0.3%

Your Cost: $24.93/claim|Median: $14.92
1.7× median
76700Top 25%

Ultrasound, abdominal, complete

$32K

289 claims · 0.3%

Your Cost: $112.30/claim|Median: $50.69
2.2× median
71250Top 25%

CT scan of chest without contrast

$32K

299 claims · 0.3%

Your Cost: $108.33/claim|Median: $39.11
2.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$30K

471 claims · 0.3%

Your Cost: $63.58/claim|Median: $36.13
1.8× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$28K

403 claims · 0.3%

Your Cost: $69.52/claim|Median: $60.05
1.2× median
G0279Top 10%

$26K

671 claims · 0.2%

Your Cost: $38.54/claim|Median: $17.77
2.2× median
77065Top 5%

$26K

199 claims · 0.2%

Your Cost: $128.50/claim|Median: $35.39
3.6× median
76830Top 25%

Ultrasound, transvaginal

$25K

295 claims · 0.2%

Your Cost: $85.41/claim|Median: $57.47
1.5× median
76536Top 25%

$25K

260 claims · 0.2%

Your Cost: $94.87/claim|Median: $44.06
2.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$24K

1,103 claims · 0.2%

Your Cost: $22.11/claim|Median: $39.70
0.6× median
45385Top 10%

Colonoscopy with polyp removal, snare technique

$24K

41 claims · 0.2%

Your Cost: $591.01/claim|Median: $255.17
2.3× median
76705Top 25%

Ultrasound, abdominal, limited

$23K

357 claims · 0.2%

Your Cost: $64.21/claim|Median: $23.81
2.7× median
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