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Provider 1154392231

NPI: 1154392231Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.6M

$12,550,532

Total Claims

404K

Beneficiaries

304K

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+7%
2019
$1.2M
+47%
2020
$1.8M
+19%
2021
$2.1M
+11%
2022
$2.3M
-11%
2023
$2.1M
-10%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 47% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$6.0M

14K claims · 47.4%

Your Cost: $416.98/claim|Median: $85.65
4.9× median
99284Top 5%

Emergency dept visit, high complexity

$1.8M

7,420 claims · 14.7%

Your Cost: $249.21/claim|Median: $69.51
3.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$790K

1,892 claims · 6.3%

Your Cost: $417.35/claim|Median: $54.68
7.6× median
99283Top 10%

Emergency dept visit, moderate complexity

$629K

4,322 claims · 5.0%

Your Cost: $145.55/claim|Median: $42.48
3.4× median
G0378Normal range

Hospital observation service, per hour

$484K

5,618 claims · 3.9%

Your Cost: $86.14/claim|Median: $99.39
0.9× median
86832Top 25%

$443K

3,267 claims · 3.5%

Your Cost: $135.66/claim|Median: $65.87
2.1× median
50200Top 25%

$323K

677 claims · 2.6%

Your Cost: $476.51/claim|Median: $237.91
2.0× median
77301Top 1%

$302K

43 claims · 2.4%

Your Cost: $7,018.66/claim|Median: $546.64
12.8× median
87497Top 5%

$289K

3,715 claims · 2.3%

Your Cost: $77.77/claim|Median: $19.10
4.1× median
77523Normal range

$268K

781 claims · 2.1%

Your Cost: $342.70/claim|Median: $866.60
0.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$216K

3,599 claims · 1.7%

Your Cost: $59.96/claim|Median: $63.08
1.0× median
87522Top 1%

$180K

260 claims · 1.4%

Your Cost: $692.31/claim|Median: $29.66
23.3× median
80053Normal range

Comprehensive metabolic panel

$112K

14K claims · 0.9%

Your Cost: $8.28/claim|Median: $7.24
1.1× median
85610Top 10%

Prothrombin time (PT) blood clotting test

$105K

12K claims · 0.8%

Your Cost: $8.85/claim|Median: $2.14
4.1× median
93505Top 1%

$79K

24 claims · 0.6%

Your Cost: $3,303.17/claim|Median: $544.91
6.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$58K

2,501 claims · 0.5%

Your Cost: $23.11/claim|Median: $35.43
0.7× median
99282Normal range

Emergency dept visit, low complexity

$52K

824 claims · 0.4%

Your Cost: $63.61/claim|Median: $37.72
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$48K

3,046 claims · 0.4%

Your Cost: $15.66/claim|Median: $65.76
0.2× median
93308Top 10%

$40K

201 claims · 0.3%

Your Cost: $197.10/claim|Median: $20.08
9.8× median
96365Normal range

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

$32K

4,494 claims · 0.3%

Your Cost: $7.15/claim|Median: $54.77
0.1× median
81370Top 1%

$32K

12 claims · 0.3%

Your Cost: $2,627.17/claim|Median: $205.10
12.8× median
86850Normal range

$21K

2,969 claims · 0.2%

Your Cost: $7.04/claim|Median: $5.44
1.3× median
70553Normal range

MRI brain without contrast, then with contrast

$20K

189 claims · 0.2%

Your Cost: $106.65/claim|Median: $133.68
0.8× median
86833Normal range

$18K

3,244 claims · 0.1%

Your Cost: $5.47/claim|Median: $53.87
0.1× median
36430Normal range

Transfusion of whole blood

$18K

109 claims · 0.1%

Your Cost: $160.58/claim|Median: $111.66
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$14K

1,390 claims · 0.1%

Your Cost: $10.05/claim|Median: $60.19
0.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$12K

8,038 claims · 0.1%

Your Cost: $1.51/claim|Median: $21.76
0.1× median
84702Normal range

$11K

1,062 claims · 0.1%

Your Cost: $10.82/claim|Median: $8.25
1.3× median
86900Normal range

$10K

3,492 claims · 0.1%

Your Cost: $2.93/claim|Median: $2.55
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$10K

25K claims · 0.1%

Your Cost: $0.41/claim|Median: $4.71
0.1× median
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