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Provider 1144228305

NPI: 1144228305Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.9M

$14,904,090

Total Claims

431K

Beneficiaries

342K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-17%
2019
$2.0M
+141%
2020
$4.9M
-69%
2021
$1.5M
-26%
2022
$1.1M
+34%
2023
$1.5M
-6%
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 11% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$1.6M

12K claims · 10.9%

Your Cost: $138.27/claim|Median: $69.51
2.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.3M

4,971 claims · 8.8%

Your Cost: $264.63/claim|Median: $85.65
3.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

14K claims · 8.6%

Your Cost: $93.18/claim|Median: $42.48
2.2× median
74177Top 10%

CT abdomen and pelvis with contrast

$831K

2,327 claims · 5.6%

Your Cost: $357.20/claim|Median: $65.76
5.4× median
80053Top 25%

Comprehensive metabolic panel

$552K

30K claims · 3.7%

Your Cost: $18.48/claim|Median: $7.24
2.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$508K

6,664 claims · 3.4%

Your Cost: $76.27/claim|Median: $100.62
0.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$473K

8,035 claims · 3.2%

Your Cost: $58.87/claim|Median: $21.76
2.7× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$337K

28K claims · 2.3%

Your Cost: $11.95/claim|Median: $4.71
2.5× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$324K

1,213 claims · 2.2%

Your Cost: $267.45/claim|Median: $54.68
4.9× median
99282Normal range

Emergency dept visit, low complexity

$274K

3,987 claims · 1.8%

Your Cost: $68.70/claim|Median: $37.72
1.8× median
74176Top 10%

CT abdomen and pelvis without contrast

$263K

989 claims · 1.8%

Your Cost: $266.08/claim|Median: $60.19
4.4× median
70450Top 25%

CT head/brain without contrast

$259K

2,332 claims · 1.7%

Your Cost: $110.96/claim|Median: $45.53
2.4× median
U0004Normal range

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

$254K

3,560 claims · 1.7%

Your Cost: $71.26/claim|Median: $60.05
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$231K

8,054 claims · 1.6%

Your Cost: $28.71/claim|Median: $25.06
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$227K

3,370 claims · 1.5%

Your Cost: $67.30/claim|Median: $38.92
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$202K

8,029 claims · 1.4%

Your Cost: $25.19/claim|Median: $7.50
3.4× median
96365Normal range

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

$195K

2,902 claims · 1.3%

Your Cost: $67.10/claim|Median: $54.77
1.2× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$193K

9,398 claims · 1.3%

Your Cost: $20.52/claim|Median: $9.87
2.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$187K

7,305 claims · 1.3%

Your Cost: $25.65/claim|Median: $9.56
2.7× median
71046Top 5%

Chest X-ray, 2 views

$180K

3,018 claims · 1.2%

Your Cost: $59.60/claim|Median: $8.92
6.7× median
71045Top 10%

Chest X-ray, single view

$179K

6,270 claims · 1.2%

Your Cost: $28.49/claim|Median: $4.93
5.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$178K

6,712 claims · 1.2%

Your Cost: $26.48/claim|Median: $14.92
1.8× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$169K

1,206 claims · 1.1%

Your Cost: $140.47/claim|Median: $37.56
3.7× median
97110Normal range

Therapeutic exercises, each 15 min

$165K

4,062 claims · 1.1%

Your Cost: $40.56/claim|Median: $24.49
1.7× median
81001Top 10%

Urinalysis, automated, with microscopy

$136K

13K claims · 0.9%

Your Cost: $10.62/claim|Median: $2.03
5.2× median
80061Top 10%

Lipid panel

$129K

6,613 claims · 0.9%

Your Cost: $19.44/claim|Median: $8.41
2.3× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$127K

2,706 claims · 0.8%

Your Cost: $46.81/claim|Median: $34.62
1.4× median
87081Top 25%

Culture screening for pathogenic organisms

$120K

10K claims · 0.8%

Your Cost: $11.75/claim|Median: $5.09
2.3× median
G0463Normal range

Hospital outpatient clinic visit

$116K

11K claims · 0.8%

Your Cost: $10.46/claim|Median: $26.41
0.4× median
84484Top 10%

Troponin, quantitative

$114K

5,495 claims · 0.8%

Your Cost: $20.76/claim|Median: $4.84
4.3× median