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Provider 1144211020

NPI: 1144211020Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.4M

$13,356,114

Total Claims

338K

Beneficiaries

271K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+99%
2019
$2.0M
+27%
2020
$2.6M
+17%
2021
$3.0M
-2%
2022
$2.9M
-54%
2023
$1.4M
-67%
2024
$449K

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 17% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

16K claims · 16.5%

Your Cost: $135.62/claim|Median: $42.48
3.2× median
99284Normal range

Emergency dept visit, high complexity

$1.6M

18K claims · 11.8%

Your Cost: $89.58/claim|Median: $69.51
1.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.3M

5,178 claims · 9.9%

Your Cost: $255.71/claim|Median: $38.92
6.6× median
99282Top 25%

Emergency dept visit, low complexity

$902K

8,075 claims · 6.8%

Your Cost: $111.70/claim|Median: $37.72
3.0× median
80053Top 10%

Comprehensive metabolic panel

$627K

20K claims · 4.7%

Your Cost: $31.58/claim|Median: $7.24
4.4× median
96360Top 5%

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

$593K

2,390 claims · 4.4%

Your Cost: $248.21/claim|Median: $61.57
4.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$439K

1,732 claims · 3.3%

Your Cost: $253.59/claim|Median: $60.19
4.2× median
70450Top 25%

CT head/brain without contrast

$432K

3,117 claims · 3.2%

Your Cost: $138.45/claim|Median: $45.53
3.0× median
96365Top 10%

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

$413K

2,767 claims · 3.1%

Your Cost: $149.12/claim|Median: $54.77
2.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$398K

1,894 claims · 3.0%

Your Cost: $210.08/claim|Median: $65.76
3.2× median
80048Top 5%

Basic metabolic panel

$309K

5,115 claims · 2.3%

Your Cost: $60.38/claim|Median: $5.78
10.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$280K

3,265 claims · 2.1%

Your Cost: $85.79/claim|Median: $85.65
1.0× median
59025Top 25%

Fetal non-stress test

$199K

2,092 claims · 1.5%

Your Cost: $95.04/claim|Median: $26.45
3.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$180K

6,718 claims · 1.3%

Your Cost: $26.83/claim|Median: $21.76
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$160K

23K claims · 1.2%

Your Cost: $7.10/claim|Median: $4.71
1.5× median
G0378Normal range

Hospital observation service, per hour

$160K

2,633 claims · 1.2%

Your Cost: $60.62/claim|Median: $99.39
0.6× median
A9270Top 5%

$155K

6,882 claims · 1.2%

Your Cost: $22.53/claim|Median: $0.20
112.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$132K

2,736 claims · 1.0%

Your Cost: $48.39/claim|Median: $9.56
5.1× median
71275Top 25%

CT angiography, chest, with contrast

$124K

546 claims · 0.9%

Your Cost: $227.81/claim|Median: $92.96
2.5× median
J3490Normal range

Unclassified drugs

$122K

5,945 claims · 0.9%

Your Cost: $20.56/claim|Median: $5.70
3.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$109K

2,267 claims · 0.8%

Your Cost: $48.16/claim|Median: $10.88
4.4× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$101K

1,355 claims · 0.8%

Your Cost: $74.18/claim|Median: $144.30
0.5× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$98K

7,922 claims · 0.7%

Your Cost: $12.38/claim|Median: $1.53
8.1× median
J2001Top 5%

Injection, lidocaine HCl for IV infusion

$91K

3,338 claims · 0.7%

Your Cost: $27.21/claim|Median: $0.22
123.7× median
82962Top 5%

Blood glucose test by monitoring device

$89K

2,926 claims · 0.7%

Your Cost: $30.40/claim|Median: $1.40
21.7× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$79K

1,626 claims · 0.6%

Your Cost: $48.89/claim|Median: $39.70
1.2× median
J3010Top 5%

$75K

2,262 claims · 0.6%

Your Cost: $33.34/claim|Median: $0.55
60.6× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$69K

6,071 claims · 0.5%

Your Cost: $11.33/claim|Median: $2.14
5.3× median
81001Top 10%

Urinalysis, automated, with microscopy

$66K

9,250 claims · 0.5%

Your Cost: $7.14/claim|Median: $2.03
3.5× median
J2250Top 5%

Injection, midazolam HCl, per one milligram

$63K

2,090 claims · 0.5%

Your Cost: $30.23/claim|Median: $0.32
94.5× median
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