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Provider 1154361814

NPI: 1154361814Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.4M

$12,380,852

Total Claims

112K

Beneficiaries

94K

1.2 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+23%
2019
$1.5M
-15%
2020
$1.2M
+26%
2021
$1.6M
+61%
2022
$2.5M
-3%
2023
$2.5M
-20%
2024
$2.0M

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 20% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$2.4M

6,465 claims · 19.5%

Your Cost: $374.33/claim|Median: $42.48
8.8× median
99284Top 1%

Emergency dept visit, high complexity

$2.3M

4,592 claims · 18.5%

Your Cost: $497.48/claim|Median: $69.51
7.2× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$1.5M

1,743 claims · 11.9%

Your Cost: $844.88/claim|Median: $85.65
9.9× median
97110Top 5%

Therapeutic exercises, each 15 min

$814K

8,441 claims · 6.6%

Your Cost: $96.46/claim|Median: $24.49
3.9× median
99282Top 5%

Emergency dept visit, low complexity

$660K

2,805 claims · 5.3%

Your Cost: $235.33/claim|Median: $37.72
6.2× median
74177Top 1%

CT abdomen and pelvis with contrast

$537K

547 claims · 4.3%

Your Cost: $981.59/claim|Median: $65.76
14.9× median
80053Top 10%

Comprehensive metabolic panel

$293K

10K claims · 2.4%

Your Cost: $29.09/claim|Median: $7.24
4.0× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$242K

3,713 claims · 2.0%

Your Cost: $65.28/claim|Median: $16.79
3.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$230K

2,365 claims · 1.9%

Your Cost: $97.40/claim|Median: $21.76
4.5× median
71046Top 1%

Chest X-ray, 2 views

$202K

1,676 claims · 1.6%

Your Cost: $120.63/claim|Median: $8.92
13.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$189K

10K claims · 1.5%

Your Cost: $18.57/claim|Median: $4.71
3.9× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$189K

2,987 claims · 1.5%

Your Cost: $63.26/claim|Median: $9.87
6.4× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$185K

2,421 claims · 1.5%

Your Cost: $76.40/claim|Median: $7.50
10.2× median
84484Top 1%

Troponin, quantitative

$181K

2,498 claims · 1.5%

Your Cost: $72.39/claim|Median: $4.84
15.0× median
70450Top 1%

CT head/brain without contrast

$165K

367 claims · 1.3%

Your Cost: $449.91/claim|Median: $45.53
9.9× median
80061Top 5%

Lipid panel

$147K

3,207 claims · 1.2%

Your Cost: $45.73/claim|Median: $8.41
5.4× median
96361Normal range

IV infusion, hydration, each additional hour

$139K

1,655 claims · 1.1%

Your Cost: $84.28/claim|Median: $38.92
2.2× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$134K

2,015 claims · 1.1%

Your Cost: $66.69/claim|Median: $35.43
1.9× median
71045Top 5%

Chest X-ray, single view

$132K

1,589 claims · 1.1%

Your Cost: $83.20/claim|Median: $4.93
16.9× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$114K

2,220 claims · 0.9%

Your Cost: $51.47/claim|Median: $5.50
9.4× median
83690Top 1%

$101K

1,722 claims · 0.8%

Your Cost: $58.65/claim|Median: $3.35
17.5× median
93041Top 10%

$95K

2,604 claims · 0.8%

Your Cost: $36.59/claim|Median: $4.36
8.4× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$89K

1,313 claims · 0.7%

Your Cost: $67.87/claim|Median: $14.92
4.5× median
36415Top 5%

Collection of venous blood by venipuncture

$82K

4,954 claims · 0.7%

Your Cost: $16.52/claim|Median: $1.57
10.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$76K

1,387 claims · 0.6%

Your Cost: $55.10/claim|Median: $9.56
5.8× median
83880Top 1%

$72K

787 claims · 0.6%

Your Cost: $90.99/claim|Median: $11.81
7.7× median
73630Top 1%

X-ray, foot, complete, minimum 3 views

$71K

412 claims · 0.6%

Your Cost: $172.08/claim|Median: $12.06
14.3× median
97113Top 5%

$67K

408 claims · 0.5%

Your Cost: $163.69/claim|Median: $51.02
3.2× median
80050Top 5%

General health panel

$64K

412 claims · 0.5%

Your Cost: $155.97/claim|Median: $25.59
6.1× median
97161Top 25%

Physical therapy evaluation, low complexity

$61K

805 claims · 0.5%

Your Cost: $75.42/claim|Median: $47.89
1.6× median
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