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Provider 1144227935

NPI: 1144227935Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.2M

$9,162,158

Total Claims

264K

Beneficiaries

205K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$598K
+15%
2019
$685K
-24%
2020
$520K
+174%
2021
$1.4M
+34%
2022
$1.9M
+37%
2023
$2.6M
-46%
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 29% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.6M

16K claims · 28.5%

Your Cost: $164.34/claim|Median: $69.51
2.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

15K claims · 18.4%

Your Cost: $114.48/claim|Median: $42.48
2.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.4M

6,495 claims · 15.4%

Your Cost: $216.87/claim|Median: $85.65
2.5× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.0M

3,118 claims · 11.2%

Your Cost: $329.83/claim|Median: $60.19
5.5× median
70450Top 10%

CT head/brain without contrast

$539K

2,831 claims · 5.9%

Your Cost: $190.53/claim|Median: $45.53
4.2× median
71045Top 10%

Chest X-ray, single view

$295K

9,576 claims · 3.2%

Your Cost: $30.76/claim|Median: $4.93
6.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$205K

8,882 claims · 2.2%

Your Cost: $23.04/claim|Median: $7.50
3.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$161K

5,355 claims · 1.8%

Your Cost: $30.16/claim|Median: $39.70
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$161K

2,448 claims · 1.8%

Your Cost: $65.61/claim|Median: $65.64
1.0× median
80053Normal range

Comprehensive metabolic panel

$152K

27K claims · 1.7%

Your Cost: $5.62/claim|Median: $7.24
0.8× median
85027Normal range

Complete blood count (CBC), automated

$102K

29K claims · 1.1%

Your Cost: $3.55/claim|Median: $3.72
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$52K

2,153 claims · 0.6%

Your Cost: $24.07/claim|Median: $28.46
0.8× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$47K

2,929 claims · 0.5%

Your Cost: $16.03/claim|Median: $39.63
0.4× median
J0696Top 10%

$45K

2,234 claims · 0.5%

Your Cost: $20.35/claim|Median: $1.34
15.2× median
36415Normal range

Collection of venous blood by venipuncture

$45K

29K claims · 0.5%

Your Cost: $1.56/claim|Median: $1.57
1.0× median
83880Normal range

$40K

3,299 claims · 0.4%

Your Cost: $12.17/claim|Median: $11.81
1.0× median
82553Normal range

$37K

8,452 claims · 0.4%

Your Cost: $4.33/claim|Median: $5.41
0.8× median
80305Normal range

$34K

4,522 claims · 0.4%

Your Cost: $7.61/claim|Median: $7.44
1.0× median
84512Normal range

$32K

8,812 claims · 0.4%

Your Cost: $3.65/claim|Median: $5.41
0.7× median
80061Normal range

Lipid panel

$28K

2,912 claims · 0.3%

Your Cost: $9.62/claim|Median: $8.41
1.1× median
99282Normal range

Emergency dept visit, low complexity

$27K

339 claims · 0.3%

Your Cost: $80.45/claim|Median: $37.72
2.1× median
71250Top 5%

CT scan of chest without contrast

$26K

136 claims · 0.3%

Your Cost: $192.15/claim|Median: $39.11
4.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$25K

2,077 claims · 0.3%

Your Cost: $12.23/claim|Median: $9.87
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$25K

2,383 claims · 0.3%

Your Cost: $10.62/claim|Median: $9.56
1.1× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$25K

361 claims · 0.3%

Your Cost: $68.48/claim|Median: $37.56
1.8× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$24K

2,004 claims · 0.3%

Your Cost: $12.15/claim|Median: $37.81
0.3× median
82550Normal range

Creatine kinase (CK) total blood test

$21K

8,658 claims · 0.2%

Your Cost: $2.46/claim|Median: $2.97
0.8× median
G0378Top 5%

Hospital observation service, per hour

$21K

20 claims · 0.2%

Your Cost: $1,037.33/claim|Median: $99.39
10.4× median
81025Normal range

Urine pregnancy test

$18K

2,873 claims · 0.2%

Your Cost: $6.39/claim|Median: $4.81
1.3× median
81001Normal range

Urinalysis, automated, with microscopy

$17K

12K claims · 0.2%

Your Cost: $1.49/claim|Median: $2.03
0.7× median