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Provider 1154430148

NPI: 1154430148Share
Active Billing Period:2018-01→2024-05(77 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$11.1M

$11,094,293

Total Claims

208K

Beneficiaries

195K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$727K
+78%
2019
$1.3M
+11%
2020
$1.4M
+89%
2021
$2.7M
-4%
2022
$2.6M
-24%
2023
$2.0M
-81%
2024
$382K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (88120) accounts for 14% of total spending.

88120Top 25%

$1.6M

4,421 claims · 14.0%

Your Cost: $352.12/claim|Median: $122.39
2.9× median
51728Top 25%

$1.4M

6,127 claims · 12.6%

Your Cost: $228.60/claim|Median: $118.19
1.9× median
87798Top 5%

Infectious agent detection, nucleic acid, not otherwise specified

$1.2M

4,198 claims · 11.2%

Your Cost: $296.86/claim|Median: $26.72
11.1× median
99214Top 5%

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

$1.2M

10K claims · 11.1%

Your Cost: $121.08/claim|Median: $53.41
2.3× median
99213Top 10%

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

$890K

11K claims · 8.0%

Your Cost: $81.77/claim|Median: $37.81
2.2× median
88112Top 10%

$596K

12K claims · 5.4%

Your Cost: $48.03/claim|Median: $19.79
2.4× median
88313Top 25%

$541K

12K claims · 4.9%

Your Cost: $43.60/claim|Median: $18.95
2.3× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$422K

2,384 claims · 3.8%

Your Cost: $177.12/claim|Median: $84.03
2.1× median
76857Top 25%

Pelvic ultrasound, limited

$311K

5,820 claims · 2.8%

Your Cost: $53.50/claim|Median: $26.23
2.0× median
51784Normal range

$285K

7,514 claims · 2.6%

Your Cost: $37.94/claim|Median: $30.27
1.3× median
51792Top 5%

$276K

1,099 claims · 2.5%

Your Cost: $251.36/claim|Median: $150.34
1.7× median
76872Top 5%

$245K

1,743 claims · 2.2%

Your Cost: $140.76/claim|Median: $53.54
2.6× median
87556Top 5%

$174K

4,369 claims · 1.6%

Your Cost: $39.77/claim|Median: $9.43
4.2× median
51741Normal range

$138K

14K claims · 1.2%

Your Cost: $9.98/claim|Median: $9.69
1.0× median
87481Normal range

$138K

4,447 claims · 1.2%

Your Cost: $30.92/claim|Median: $22.38
1.4× median
87640Top 25%

$115K

4,574 claims · 1.0%

Your Cost: $25.14/claim|Median: $8.39
3.0× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$114K

1,607 claims · 1.0%

Your Cost: $70.91/claim|Median: $22.44
3.2× median
87653Normal range

$112K

4,448 claims · 1.0%

Your Cost: $25.16/claim|Median: $19.33
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$110K

4,367 claims · 1.0%

Your Cost: $25.21/claim|Median: $28.46
0.9× median
88360Normal range

$105K

1,875 claims · 0.9%

Your Cost: $56.12/claim|Median: $40.50
1.4× median
87081Normal range

Culture screening for pathogenic organisms

$101K

18K claims · 0.9%

Your Cost: $5.71/claim|Median: $5.09
1.1× median
51798Top 25%

$91K

8,349 claims · 0.8%

Your Cost: $10.90/claim|Median: $6.59
1.7× median
84153Top 25%

Prostate specific antigen (PSA) blood test

$73K

3,934 claims · 0.7%

Your Cost: $18.62/claim|Median: $12.67
1.5× median
87563Top 25%

$60K

2,389 claims · 0.5%

Your Cost: $25.08/claim|Median: $16.98
1.5× median
88342Top 25%

$58K

975 claims · 0.5%

Your Cost: $59.31/claim|Median: $23.66
2.5× median
84403Top 25%

Testosterone, total blood test

$57K

2,166 claims · 0.5%

Your Cost: $26.09/claim|Median: $17.03
1.5× median
99401Top 10%

$54K

1,697 claims · 0.5%

Your Cost: $32.02/claim|Median: $16.53
1.9× median
88341Normal range

$53K

975 claims · 0.5%

Your Cost: $54.09/claim|Median: $45.31
1.2× median
81003Normal range

Urinalysis, automated without microscopy

$51K

26K claims · 0.5%

Your Cost: $1.93/claim|Median: $1.48
1.3× median
52000Top 25%

$46K

187 claims · 0.4%

Your Cost: $243.81/claim|Median: $89.88
2.7× median
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