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Provider 1164424305

NPI: 1164424305Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.6M

$17,601,486

Total Claims

299K

Beneficiaries

264K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$866K
+241%
2019
$3.0M
-37%
2020
$1.9M
+42%
2021
$2.6M
+10%
2022
$2.9M
+20%
2023
$3.5M
-17%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 52% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$9.1M

119K claims · 51.7%

Your Cost: $76.58/claim|Median: $26.41
2.9× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$4.0M

16K claims · 22.6%

Your Cost: $243.04/claim|Median: $85.65
2.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

16K claims · 10.2%

Your Cost: $111.54/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

13K claims · 7.5%

Your Cost: $103.93/claim|Median: $69.51
1.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$251K

4,774 claims · 1.4%

Your Cost: $52.59/claim|Median: $35.80
1.5× median
Q3014Top 25%

Telehealth originating site facility fee

$150K

6,737 claims · 0.9%

Your Cost: $22.33/claim|Median: $15.37
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$91K

2,981 claims · 0.5%

Your Cost: $30.41/claim|Median: $39.70
0.8× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$84K

6,891 claims · 0.5%

Your Cost: $12.23/claim|Median: $9.80
1.2× median
C9803Top 25%

$84K

3,541 claims · 0.5%

Your Cost: $23.67/claim|Median: $13.20
1.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$83K

1,195 claims · 0.5%

Your Cost: $69.72/claim|Median: $63.08
1.1× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$75K

705 claims · 0.4%

Your Cost: $106.86/claim|Median: $21.76
4.9× median
99282Normal range

Emergency dept visit, low complexity

$56K

2,580 claims · 0.3%

Your Cost: $21.75/claim|Median: $37.72
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$42K

33K claims · 0.2%

Your Cost: $1.25/claim|Median: $1.57
0.8× median
69436Top 25%

Tympanostomy, general anesthesia

$33K

31 claims · 0.2%

Your Cost: $1,058.98/claim|Median: $205.50
5.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$29K

665 claims · 0.2%

Your Cost: $44.29/claim|Median: $24.49
1.8× median
92507Normal range

Speech/hearing/language treatment

$29K

477 claims · 0.2%

Your Cost: $59.92/claim|Median: $49.45
1.2× median
97530Top 25%

Therapeutic activities, each 15 min

$25K

373 claims · 0.1%

Your Cost: $68.06/claim|Median: $33.11
2.1× median
62323Top 5%

Epidural injection of diagnostic or therapeutic substance, lumbar

$23K

45 claims · 0.1%

Your Cost: $500.85/claim|Median: $111.02
4.5× median
88342Top 25%

$21K

423 claims · 0.1%

Your Cost: $50.67/claim|Median: $23.66
2.1× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$19K

432 claims · 0.1%

Your Cost: $45.08/claim|Median: $17.85
2.5× median
95886Normal range

$19K

462 claims · 0.1%

Your Cost: $41.24/claim|Median: $67.70
0.6× median
96361Normal range

IV infusion, hydration, each additional hour

$18K

434 claims · 0.1%

Your Cost: $42.09/claim|Median: $38.92
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$17K

1,873 claims · 0.1%

Your Cost: $9.22/claim|Median: $7.50
1.2× median
88304Top 25%

$17K

782 claims · 0.1%

Your Cost: $22.05/claim|Median: $12.88
1.7× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$17K

491 claims · 0.1%

Your Cost: $33.70/claim|Median: $25.57
1.3× median
00170Normal range

Anesthesia for intraoral procedures

$13K

88 claims · 0.1%

Your Cost: $152.45/claim|Median: $132.89
1.1× median
88307Top 10%

Surgical pathology, gross and microscopic, complex

$13K

121 claims · 0.1%

Your Cost: $107.27/claim|Median: $59.38
1.8× median
92557Top 5%

Comprehensive audiometry, air, bone, and speech testing

$12K

128 claims · 0.1%

Your Cost: $94.95/claim|Median: $27.28
3.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$12K

214 claims · 0.1%

Your Cost: $56.32/claim|Median: $91.47
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$12K

17K claims · 0.1%

Your Cost: $0.67/claim|Median: $4.71
0.1× median
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