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Provider 1154876985

NPI: 1154876985Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,870,917

Total Claims

228K

Beneficiaries

179K

1.3 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$403K
+58%
2019
$638K
+47%
2020
$938K
+105%
2021
$1.9M
+47%
2022
$2.8M
+5%
2023
$3.0M
-27%
2024
$2.2M

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 22% of total spending.

96361Top 10%

IV infusion, hydration, each additional hour

$2.6M

8,609 claims · 21.5%

Your Cost: $297.05/claim|Median: $38.92
7.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.5M

19K claims · 21.1%

Your Cost: $129.40/claim|Median: $85.65
1.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.9M

15K claims · 16.4%

Your Cost: $133.36/claim|Median: $42.48
3.1× median
90870Top 5%

$1.9M

4,235 claims · 15.6%

Your Cost: $437.92/claim|Median: $68.07
6.4× median
99284Top 25%

Emergency dept visit, high complexity

$1.5M

11K claims · 12.4%

Your Cost: $132.08/claim|Median: $69.51
1.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$487K

8,552 claims · 4.1%

Your Cost: $56.93/claim|Median: $63.08
0.9× median
80053Top 25%

Comprehensive metabolic panel

$177K

15K claims · 1.5%

Your Cost: $11.77/claim|Median: $7.24
1.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$162K

2,160 claims · 1.4%

Your Cost: $75.11/claim|Median: $91.47
0.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$136K

6,793 claims · 1.1%

Your Cost: $20.02/claim|Median: $15.76
1.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$94K

244 claims · 0.8%

Your Cost: $384.28/claim|Median: $151.68
2.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$76K

1,450 claims · 0.6%

Your Cost: $52.22/claim|Median: $35.80
1.5× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$56K

622 claims · 0.5%

Your Cost: $90.71/claim|Median: $33.72
2.7× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$49K

542 claims · 0.4%

Your Cost: $90.26/claim|Median: $36.70
2.5× median
84484Top 10%

Troponin, quantitative

$37K

1,624 claims · 0.3%

Your Cost: $22.60/claim|Median: $4.84
4.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$36K

175 claims · 0.3%

Your Cost: $205.20/claim|Median: $65.76
3.1× median
80048Top 25%

Basic metabolic panel

$33K

3,892 claims · 0.3%

Your Cost: $8.56/claim|Median: $5.78
1.5× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$27K

486 claims · 0.2%

Your Cost: $54.80/claim|Median: $23.39
2.3× median
86850Top 10%

$18K

497 claims · 0.1%

Your Cost: $35.72/claim|Median: $5.44
6.6× median
87086Top 5%

Urine culture, colony count, with identification

$17K

567 claims · 0.1%

Your Cost: $29.86/claim|Median: $5.31
5.6× median
88342Normal range

$15K

460 claims · 0.1%

Your Cost: $33.69/claim|Median: $23.66
1.4× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$12K

147 claims · 0.1%

Your Cost: $84.67/claim|Median: $33.85
2.5× median
80306Top 25%

$11K

448 claims · 0.1%

Your Cost: $24.18/claim|Median: $10.29
2.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$10K

486 claims · 0.1%

Your Cost: $20.88/claim|Median: $24.95
0.8× median
86787Top 25%

$8K

540 claims · 0.1%

Your Cost: $15.66/claim|Median: $8.98
1.7× median
86769Top 10%

Antibody, SARS-CoV-2 (COVID-19)

$8K

178 claims · 0.1%

Your Cost: $42.96/claim|Median: $26.94
1.6× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$6K

89 claims · 0.0%

Your Cost: $63.42/claim|Median: $39.70
1.6× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$5K

528 claims · 0.0%

Your Cost: $9.63/claim|Median: $18.03
0.5× median
87340Normal range

Hepatitis B surface antigen detection

$5K

508 claims · 0.0%

Your Cost: $9.22/claim|Median: $5.52
1.7× median
86803Top 10%

Hepatitis C antibody

$4K

197 claims · 0.0%

Your Cost: $21.44/claim|Median: $10.17
2.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$3K

14K claims · 0.0%

Your Cost: $0.24/claim|Median: $21.76
0.0× median
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