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Provider 1144274317

NPI: 1144274317Share
Active Billing Period:2018-01→2021-11(47 months)
Billing appears to have stoppedLast active: 2021-11

Total Paid

$7.7M

$7,719,554

Total Claims

489K

Beneficiaries

421K

1.2 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$694K
+187%
2019
$2.0M
-22%
2020
$1.6M
+123%
2021
$3.5M

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 18% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$1.4M

41K claims · 17.9%

Your Cost: $34.07/claim|Median: $42.48
0.8× median
80053Top 5%

Comprehensive metabolic panel

$1.1M

21K claims · 13.8%

Your Cost: $50.51/claim|Median: $7.24
7.0× median
99284Normal range

Emergency dept visit, high complexity

$927K

26K claims · 12.0%

Your Cost: $35.18/claim|Median: $69.51
0.5× median
99282Normal range

Emergency dept visit, low complexity

$287K

6,531 claims · 3.7%

Your Cost: $43.98/claim|Median: $37.72
1.2× median
70450Normal range

CT head/brain without contrast

$286K

4,409 claims · 3.7%

Your Cost: $64.87/claim|Median: $45.53
1.4× median
87070Top 10%

Bacterial culture, any source except blood or urine

$260K

11K claims · 3.4%

Your Cost: $23.04/claim|Median: $5.89
3.9× median
99281Normal range

Emergency dept visit, minimal complexity

$176K

2,083 claims · 2.3%

Your Cost: $84.63/claim|Median: $52.03
1.6× median
A9270Top 5%

$164K

6,531 claims · 2.1%

Your Cost: $25.11/claim|Median: $0.20
125.6× median
96361Top 25%

IV infusion, hydration, each additional hour

$157K

987 claims · 2.0%

Your Cost: $159.13/claim|Median: $38.92
4.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$151K

5,518 claims · 2.0%

Your Cost: $27.43/claim|Median: $85.65
0.3× median
80048Top 10%

Basic metabolic panel

$144K

4,614 claims · 1.9%

Your Cost: $31.15/claim|Median: $5.78
5.4× median
81025Top 10%

Urine pregnancy test

$130K

13K claims · 1.7%

Your Cost: $9.75/claim|Median: $4.81
2.0× median
87426Top 1%

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

$121K

1,373 claims · 1.6%

Your Cost: $88.28/claim|Median: $30.04
2.9× median
87086Top 25%

Urine culture, colony count, with identification

$119K

10K claims · 1.5%

Your Cost: $11.54/claim|Median: $5.31
2.2× median
U0002Top 5%

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

$115K

1,995 claims · 1.5%

Your Cost: $57.67/claim|Median: $34.62
1.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$107K

7,342 claims · 1.4%

Your Cost: $14.63/claim|Median: $9.56
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$106K

1,161 claims · 1.4%

Your Cost: $91.56/claim|Median: $65.76
1.4× median
87275Normal range

$103K

13K claims · 1.3%

Your Cost: $7.91/claim|Median: $10.59
0.7× median
74176Normal range

CT abdomen and pelvis without contrast

$100K

1,568 claims · 1.3%

Your Cost: $63.87/claim|Median: $60.19
1.1× median
96360Top 25%

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

$91K

540 claims · 1.2%

Your Cost: $168.24/claim|Median: $61.57
2.7× median
G0378Normal range

Hospital observation service, per hour

$91K

7,287 claims · 1.2%

Your Cost: $12.45/claim|Median: $99.39
0.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$78K

1,615 claims · 1.0%

Your Cost: $48.41/claim|Median: $37.56
1.3× median
71275Normal range

CT angiography, chest, with contrast

$71K

645 claims · 0.9%

Your Cost: $110.10/claim|Median: $92.96
1.2× median
84702Top 25%

$67K

5,144 claims · 0.9%

Your Cost: $13.01/claim|Median: $8.25
1.6× median
J3490Top 10%

Unclassified drugs

$61K

728 claims · 0.8%

Your Cost: $84.31/claim|Median: $5.70
14.8× median
71046Normal range

Chest X-ray, 2 views

$60K

6,576 claims · 0.8%

Your Cost: $9.15/claim|Median: $8.92
1.0× median
71045Normal range

Chest X-ray, single view

$57K

9,665 claims · 0.7%

Your Cost: $5.86/claim|Median: $4.93
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$57K

1,982 claims · 0.7%

Your Cost: $28.56/claim|Median: $74.78
0.4× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$52K

3,814 claims · 0.7%

Your Cost: $13.73/claim|Median: $10.88
1.3× median
76819Normal range

Fetal biophysical profile with non-stress test

$51K

948 claims · 0.7%

Your Cost: $53.86/claim|Median: $49.45
1.1× median
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