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Provider 1154551919

NPI: 1154551919Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$15.3M

$15,314,568

Total Claims

189K

Beneficiaries

155K

1.2 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+8%
2019
$2.4M
+20%
2020
$2.9M
+31%
2021
$3.8M
+4%
2022
$3.9M
-96%
2023
$154K
-83%
2024
$27K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (8888888 (Not classified)) accounts for 78% of total spending.

8888888Normal range

Not classified

$11.9M

27K claims · 77.6%

Your Cost: $436.88/claim|Median: $365.77
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$436K

8,929 claims · 2.8%

Your Cost: $48.84/claim|Median: $42.48
1.1× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$427K

12K claims · 2.8%

Your Cost: $36.20/claim|Median: $4.71
7.7× median
0241UTop 10%

Proprietary lab analysis, genomic sequencing

$331K

2,252 claims · 2.2%

Your Cost: $147.05/claim|Median: $91.47
1.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$284K

6,259 claims · 1.9%

Your Cost: $45.30/claim|Median: $21.76
2.1× median
99284Normal range

Emergency dept visit, high complexity

$196K

9,458 claims · 1.3%

Your Cost: $20.76/claim|Median: $69.51
0.3× median
99282Normal range

Emergency dept visit, low complexity

$105K

1,944 claims · 0.7%

Your Cost: $53.90/claim|Median: $37.72
1.4× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$85K

1,730 claims · 0.6%

Your Cost: $49.25/claim|Median: $34.62
1.4× median
80050Top 10%

General health panel

$84K

1,140 claims · 0.6%

Your Cost: $74.09/claim|Median: $25.59
2.9× median
96365Normal range

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

$84K

1,483 claims · 0.6%

Your Cost: $56.89/claim|Median: $54.77
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$74K

4,318 claims · 0.5%

Your Cost: $17.20/claim|Median: $85.65
0.2× median
81001Top 10%

Urinalysis, automated, with microscopy

$70K

6,862 claims · 0.5%

Your Cost: $10.27/claim|Median: $2.03
5.1× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$69K

6,068 claims · 0.4%

Your Cost: $11.29/claim|Median: $0.58
19.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$66K

4,219 claims · 0.4%

Your Cost: $15.75/claim|Median: $14.92
1.1× median
71046Top 10%

Chest X-ray, 2 views

$63K

1,652 claims · 0.4%

Your Cost: $38.03/claim|Median: $8.92
4.3× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$60K

3,918 claims · 0.4%

Your Cost: $15.40/claim|Median: $0.91
16.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$55K

747 claims · 0.4%

Your Cost: $73.44/claim|Median: $9.56
7.7× median
96361Normal range

IV infusion, hydration, each additional hour

$50K

3,795 claims · 0.3%

Your Cost: $13.07/claim|Median: $38.92
0.3× median
85027Top 5%

Complete blood count (CBC), automated

$46K

1,330 claims · 0.3%

Your Cost: $34.53/claim|Median: $3.72
9.3× median
70450Normal range

CT head/brain without contrast

$43K

1,140 claims · 0.3%

Your Cost: $37.36/claim|Median: $45.53
0.8× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$42K

336 claims · 0.3%

Your Cost: $125.32/claim|Median: $36.13
3.5× median
G0463Normal range

Hospital outpatient clinic visit

$42K

1,563 claims · 0.3%

Your Cost: $26.94/claim|Median: $26.41
1.0× median
J3010Top 5%

$42K

2,601 claims · 0.3%

Your Cost: $16.19/claim|Median: $0.55
29.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$42K

1,651 claims · 0.3%

Your Cost: $25.23/claim|Median: $35.43
0.7× median
J2704Top 25%

$39K

3,801 claims · 0.3%

Your Cost: $10.20/claim|Median: $0.76
13.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$31K

1,454 claims · 0.2%

Your Cost: $21.03/claim|Median: $35.80
0.6× median
87086Top 25%

Urine culture, colony count, with identification

$30K

2,931 claims · 0.2%

Your Cost: $10.19/claim|Median: $5.31
1.9× median
J2270Top 5%

Injection, morphine sulfate, up to ten milligrams

$28K

1,725 claims · 0.2%

Your Cost: $16.27/claim|Median: $1.00
16.3× median
71045Top 25%

Chest X-ray, single view

$26K

2,137 claims · 0.2%

Your Cost: $12.32/claim|Median: $4.93
2.5× median
J7120Top 10%

Ringer's lactate infusion, up to 1000 cc

$25K

1,208 claims · 0.2%

Your Cost: $20.50/claim|Median: $1.51
13.6× median
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