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Provider 1164430567

NPI: 1164430567Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,909,549

Total Claims

227K

Beneficiaries

175K

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$916K
-8%
2019
$838K
+1%
2020
$843K
+19%
2021
$1.0M
+53%
2022
$1.5M
+22%
2023
$1.9M
-0%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 32% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.8M

24K claims · 31.9%

Your Cost: $117.57/claim|Median: $42.48
2.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.2M

4,923 claims · 13.9%

Your Cost: $250.90/claim|Median: $38.92
6.4× median
64483Top 5%

$1.1M

1,921 claims · 12.7%

Your Cost: $588.10/claim|Median: $124.24
4.7× median
64493Top 5%

$679K

936 claims · 7.6%

Your Cost: $725.50/claim|Median: $103.44
7.0× median
64490Top 5%

$410K

579 claims · 4.6%

Your Cost: $708.16/claim|Median: $111.43
6.4× median
99284Top 25%

Emergency dept visit, high complexity

$369K

3,401 claims · 4.1%

Your Cost: $108.45/claim|Median: $69.51
1.6× median
99281Top 25%

Emergency dept visit, minimal complexity

$310K

2,498 claims · 3.5%

Your Cost: $124.10/claim|Median: $52.03
2.4× median
62321Top 10%

$232K

532 claims · 2.6%

Your Cost: $436.41/claim|Median: $132.67
3.3× median
G0260Normal range

$229K

1,571 claims · 2.6%

Your Cost: $145.55/claim|Median: $169.32
0.9× median
G0378Normal range

Hospital observation service, per hour

$152K

4,372 claims · 1.7%

Your Cost: $34.66/claim|Median: $99.39
0.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$149K

1,605 claims · 1.7%

Your Cost: $92.90/claim|Median: $12.93
7.2× median
64635Top 25%

$141K

257 claims · 1.6%

Your Cost: $548.19/claim|Median: $207.78
2.6× median
80053Top 25%

Comprehensive metabolic panel

$132K

13K claims · 1.5%

Your Cost: $10.53/claim|Median: $7.24
1.5× median
80048Top 25%

Basic metabolic panel

$122K

7,908 claims · 1.4%

Your Cost: $15.38/claim|Median: $5.78
2.7× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$112K

628 claims · 1.3%

Your Cost: $177.92/claim|Median: $36.13
4.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$109K

1,113 claims · 1.2%

Your Cost: $98.05/claim|Median: $85.65
1.1× median
99282Top 25%

Emergency dept visit, low complexity

$108K

796 claims · 1.2%

Your Cost: $135.73/claim|Median: $37.72
3.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$83K

1,119 claims · 0.9%

Your Cost: $73.80/claim|Median: $63.08
1.2× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$65K

895 claims · 0.7%

Your Cost: $72.46/claim|Median: $39.70
1.8× median
96401Top 5%

$39K

160 claims · 0.4%

Your Cost: $245.56/claim|Median: $40.24
6.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$33K

184 claims · 0.4%

Your Cost: $178.31/claim|Median: $65.76
2.7× median
70450Top 25%

CT head/brain without contrast

$27K

156 claims · 0.3%

Your Cost: $170.19/claim|Median: $45.53
3.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$24K

12K claims · 0.3%

Your Cost: $2.00/claim|Median: $21.76
0.1× median
99212Top 10%

Office/outpatient visit, low complexity

$23K

273 claims · 0.3%

Your Cost: $83.78/claim|Median: $25.06
3.3× median
84484Top 25%

Troponin, quantitative

$22K

2,066 claims · 0.3%

Your Cost: $10.89/claim|Median: $4.84
2.2× median
J2357Normal range

Injection, omalizumab, 5 mg

$16K

14 claims · 0.2%

Your Cost: $1,116.34/claim|Median: $920.37
1.2× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$12K

72 claims · 0.1%

Your Cost: $164.87/claim|Median: $61.57
2.7× median
97597Normal range

$10K

609 claims · 0.1%

Your Cost: $16.24/claim|Median: $21.22
0.8× median
64479Top 1%

$10K

12 claims · 0.1%

Your Cost: $793.01/claim|Median: $133.50
5.9× median
64633Top 10%

$9K

16 claims · 0.1%

Your Cost: $568.68/claim|Median: $223.58
2.5× median
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