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Provider 1144389941

NPI: 1144389941Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.9M

$15,897,143

Total Claims

412K

Beneficiaries

342K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+5%
2019
$1.5M
-10%
2020
$1.3M
+52%
2021
$2.0M
+41%
2022
$2.8M
+5%
2023
$3.0M
+28%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87637 (Respiratory virus detection, 3-5 targets, nucleic acid)) accounts for 11% of total spending.

87637Top 5%

Respiratory virus detection, 3-5 targets, nucleic acid

$1.7M

7,362 claims · 10.7%

Your Cost: $230.47/claim|Median: $100.62
2.3× median
99284Normal range

Emergency dept visit, high complexity

$1.5M

32K claims · 9.5%

Your Cost: $47.33/claim|Median: $69.51
0.7× median
74177Top 10%

CT abdomen and pelvis with contrast

$944K

2,800 claims · 5.9%

Your Cost: $337.08/claim|Median: $65.76
5.1× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$920K

8,888 claims · 5.8%

Your Cost: $103.48/claim|Median: $21.76
4.8× median
99070Top 25%

$813K

30K claims · 5.1%

Your Cost: $26.69/claim|Median: $8.08
3.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$671K

28K claims · 4.2%

Your Cost: $23.56/claim|Median: $16.77
1.4× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$548K

6,997 claims · 3.4%

Your Cost: $78.26/claim|Median: $14.92
5.2× median
0450Normal range

Emergency room visit

$535K

9,573 claims · 3.4%

Your Cost: $55.93/claim|Median: $44.95
1.2× median
J3490Normal range

Unclassified drugs

$448K

25K claims · 2.8%

Your Cost: $18.25/claim|Median: $5.70
3.2× median
70450Top 25%

CT head/brain without contrast

$405K

2,942 claims · 2.5%

Your Cost: $137.58/claim|Median: $45.53
3.0× median
U0004Top 25%

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

$358K

4,641 claims · 2.3%

Your Cost: $77.07/claim|Median: $60.05
1.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$338K

10K claims · 2.1%

Your Cost: $33.31/claim|Median: $7.50
4.4× median
80053Top 25%

Comprehensive metabolic panel

$337K

19K claims · 2.1%

Your Cost: $17.86/claim|Median: $7.24
2.5× median
96365Top 10%

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

$330K

2,296 claims · 2.1%

Your Cost: $143.56/claim|Median: $54.77
2.6× median
96361Normal range

IV infusion, hydration, each additional hour

$275K

3,434 claims · 1.7%

Your Cost: $80.22/claim|Median: $38.92
2.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$266K

5,008 claims · 1.7%

Your Cost: $53.19/claim|Median: $9.56
5.6× median
87636Top 1%

Respiratory virus detection, 6-11 targets, nucleic acid

$248K

1,173 claims · 1.6%

Your Cost: $211.69/claim|Median: $97.61
2.2× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$236K

24K claims · 1.5%

Your Cost: $9.76/claim|Median: $4.71
2.1× median
99199Top 25%

Unlisted special service, procedure, or report

$233K

5,315 claims · 1.5%

Your Cost: $43.92/claim|Median: $5.39
8.1× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$183K

2,725 claims · 1.2%

Your Cost: $67.11/claim|Median: $37.56
1.8× median
71045Top 25%

Chest X-ray, single view

$171K

7,445 claims · 1.1%

Your Cost: $22.96/claim|Median: $4.93
4.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$164K

2,338 claims · 1.0%

Your Cost: $70.29/claim|Median: $63.08
1.1× median
74176Top 25%

CT abdomen and pelvis without contrast

$163K

890 claims · 1.0%

Your Cost: $183.33/claim|Median: $60.19
3.0× median
84484Top 10%

Troponin, quantitative

$156K

7,624 claims · 1.0%

Your Cost: $20.40/claim|Median: $4.84
4.2× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$146K

1,900 claims · 0.9%

Your Cost: $76.82/claim|Median: $35.43
2.2× median
71275Top 10%

CT angiography, chest, with contrast

$141K

486 claims · 0.9%

Your Cost: $290.88/claim|Median: $92.96
3.1× median
99283Top 5%

Emergency dept visit, moderate complexity

$134K

429 claims · 0.8%

Your Cost: $313.38/claim|Median: $42.48
7.4× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$131K

2,509 claims · 0.8%

Your Cost: $52.37/claim|Median: $28.46
1.8× median
80048Top 25%

Basic metabolic panel

$116K

7,943 claims · 0.7%

Your Cost: $14.57/claim|Median: $5.78
2.5× median
0250Top 25%

$114K

4,526 claims · 0.7%

Your Cost: $25.23/claim|Median: $3.70
6.8× median