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Provider 1154372944

NPI: 1154372944Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,930,731

Total Claims

344K

Beneficiaries

270K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$943K
+25%
2019
$1.2M
-3%
2020
$1.1M
+37%
2021
$1.6M
+8%
2022
$1.7M
+14%
2023
$1.9M
-24%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 15% of total spending.

96361Top 5%

IV infusion, hydration, each additional hour

$1.5M

3,919 claims · 15.0%

Your Cost: $379.92/claim|Median: $38.92
9.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.4M

11K claims · 13.8%

Your Cost: $125.26/claim|Median: $85.65
1.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.1M

6,960 claims · 11.4%

Your Cost: $163.11/claim|Median: $42.48
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$985K

8,339 claims · 9.9%

Your Cost: $118.12/claim|Median: $69.51
1.7× median
G0463Normal range

Hospital outpatient clinic visit

$505K

22K claims · 5.1%

Your Cost: $23.38/claim|Median: $26.41
0.9× median
70450Top 10%

CT head/brain without contrast

$438K

2,092 claims · 4.4%

Your Cost: $209.49/claim|Median: $45.53
4.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$430K

2,110 claims · 4.3%

Your Cost: $203.57/claim|Median: $65.76
3.1× median
99282Top 10%

Emergency dept visit, low complexity

$314K

1,795 claims · 3.2%

Your Cost: $175.05/claim|Median: $37.72
4.6× median
97110Normal range

Therapeutic exercises, each 15 min

$283K

13K claims · 2.8%

Your Cost: $22.13/claim|Median: $24.49
0.9× median
96365Top 10%

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

$269K

1,668 claims · 2.7%

Your Cost: $161.26/claim|Median: $54.77
2.9× median
96360Top 5%

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

$225K

1,046 claims · 2.3%

Your Cost: $215.33/claim|Median: $61.57
3.5× median
99214Normal range

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

$159K

14K claims · 1.6%

Your Cost: $11.12/claim|Median: $53.41
0.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$118K

4,101 claims · 1.2%

Your Cost: $28.76/claim|Median: $28.46
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$105K

3,807 claims · 1.1%

Your Cost: $27.58/claim|Median: $91.47
0.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$90K

21K claims · 0.9%

Your Cost: $4.29/claim|Median: $4.71
0.9× median
99213Normal range

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

$81K

9,807 claims · 0.8%

Your Cost: $8.25/claim|Median: $37.81
0.2× median
80053Normal range

Comprehensive metabolic panel

$80K

11K claims · 0.8%

Your Cost: $7.11/claim|Median: $7.24
1.0× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$79K

1,284 claims · 0.8%

Your Cost: $61.88/claim|Median: $10.88
5.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$78K

1,697 claims · 0.8%

Your Cost: $45.80/claim|Median: $63.08
0.7× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$69K

812 claims · 0.7%

Your Cost: $85.50/claim|Median: $65.45
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$68K

4,623 claims · 0.7%

Your Cost: $14.62/claim|Median: $16.79
0.9× median
80048Normal range

Basic metabolic panel

$65K

12K claims · 0.7%

Your Cost: $5.49/claim|Median: $5.78
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$64K

6,313 claims · 0.6%

Your Cost: $10.13/claim|Median: $9.87
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$58K

901 claims · 0.6%

Your Cost: $64.34/claim|Median: $63.65
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$56K

3,473 claims · 0.6%

Your Cost: $16.10/claim|Median: $20.04
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$54K

4,600 claims · 0.5%

Your Cost: $11.76/claim|Median: $74.09
0.2× median
71275Top 25%

CT angiography, chest, with contrast

$51K

234 claims · 0.5%

Your Cost: $219.62/claim|Median: $92.96
2.4× median
97162Normal range

PT evaluation, moderate complexity

$51K

1,717 claims · 0.5%

Your Cost: $29.46/claim|Median: $46.10
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$48K

1,524 claims · 0.5%

Your Cost: $31.78/claim|Median: $39.70
0.8× median
80061Normal range

Lipid panel

$47K

5,202 claims · 0.5%

Your Cost: $9.11/claim|Median: $8.41
1.1× median
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