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Provider 1134766694

NPI: 1134766694Share
Active Billing Period:2019-07→2024-12(48 months)

Total Paid

$14.8M

$14,783,721

Total Claims

474K

Beneficiaries

361K

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2019
$0
2020
$0
2021
$43K
+13275%
2022
$5.7M
-2%
2023
$5.6M
-39%
2024
$3.4M

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 30% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.5M

44K claims · 30.2%

Your Cost: $100.46/claim|Median: $42.48
2.4× median
99284Top 25%

Emergency dept visit, high complexity

$3.2M

28K claims · 21.9%

Your Cost: $114.63/claim|Median: $69.51
1.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.5M

14K claims · 10.4%

Your Cost: $112.91/claim|Median: $85.65
1.3× median
99282Top 25%

Emergency dept visit, low complexity

$569K

5,920 claims · 3.8%

Your Cost: $96.06/claim|Median: $37.72
2.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$568K

2,225 claims · 3.8%

Your Cost: $255.09/claim|Median: $65.76
3.9× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$476K

2,419 claims · 3.2%

Your Cost: $196.93/claim|Median: $144.30
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$473K

23K claims · 3.2%

Your Cost: $20.85/claim|Median: $24.49
0.9× median
70450Top 25%

CT head/brain without contrast

$448K

2,660 claims · 3.0%

Your Cost: $168.46/claim|Median: $45.53
3.7× median
96361Normal range

IV infusion, hydration, each additional hour

$379K

4,385 claims · 2.6%

Your Cost: $86.53/claim|Median: $38.92
2.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$301K

6,294 claims · 2.0%

Your Cost: $47.80/claim|Median: $97.61
0.5× median
G0378Normal range

Hospital observation service, per hour

$271K

5,940 claims · 1.8%

Your Cost: $45.55/claim|Median: $99.39
0.5× median
97161Top 10%

Physical therapy evaluation, low complexity

$158K

1,257 claims · 1.1%

Your Cost: $125.77/claim|Median: $47.89
2.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$147K

618 claims · 1.0%

Your Cost: $238.49/claim|Median: $60.19
4.0× median
43239Normal range

Upper GI endoscopy with biopsy

$136K

502 claims · 0.9%

Your Cost: $271.17/claim|Median: $151.68
1.8× median
71275Top 10%

CT angiography, chest, with contrast

$125K

459 claims · 0.8%

Your Cost: $272.11/claim|Median: $92.96
2.9× median
0225UNormal range

$98K

991 claims · 0.7%

Your Cost: $99.00/claim|Median: $81.81
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$96K

18K claims · 0.7%

Your Cost: $5.35/claim|Median: $33.11
0.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$87K

1,872 claims · 0.6%

Your Cost: $46.40/claim|Median: $100.62
0.5× median
01999Top 25%

$83K

1,690 claims · 0.6%

Your Cost: $49.03/claim|Median: $15.72
3.1× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$73K

12K claims · 0.5%

Your Cost: $6.22/claim|Median: $20.04
0.3× median
97162Top 25%

PT evaluation, moderate complexity

$65K

707 claims · 0.4%

Your Cost: $92.19/claim|Median: $46.10
2.0× median
72125Top 25%

CT cervical spine without contrast

$65K

583 claims · 0.4%

Your Cost: $111.56/claim|Median: $32.30
3.5× median
99281Normal range

Emergency dept visit, minimal complexity

$63K

858 claims · 0.4%

Your Cost: $73.29/claim|Median: $52.03
1.4× median
76856Top 25%

Ultrasound, pelvic, complete

$61K

628 claims · 0.4%

Your Cost: $97.38/claim|Median: $47.58
2.0× median
45380Top 25%

Colonoscopy with biopsy

$59K

162 claims · 0.4%

Your Cost: $366.36/claim|Median: $200.68
1.8× median
99291Top 10%

Critical care, first 30-74 minutes

$57K

285 claims · 0.4%

Your Cost: $201.12/claim|Median: $101.24
2.0× median
G0463Normal range

Hospital outpatient clinic visit

$48K

1,045 claims · 0.3%

Your Cost: $45.70/claim|Median: $26.41
1.7× median
76830Top 25%

Ultrasound, transvaginal

$38K

445 claims · 0.3%

Your Cost: $85.02/claim|Median: $57.47
1.5× median
97163Normal range

PT evaluation, high complexity

$35K

562 claims · 0.2%

Your Cost: $62.07/claim|Median: $50.34
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$28K

552 claims · 0.2%

Your Cost: $51.29/claim|Median: $54.68
0.9× median
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