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Provider 1164495255

NPI: 1164495255Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,371,743

Total Claims

370K

Beneficiaries

278K

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-1%
2019
$1.8M
-37%
2020
$1.2M
+112%
2021
$2.5M
+49%
2022
$3.7M
-11%
2023
$3.3M
-3%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 30% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$5.2M

20K claims · 30.2%

Your Cost: $259.49/claim|Median: $69.51
3.7× median
99283Top 10%

Emergency dept visit, moderate complexity

$5.1M

35K claims · 29.6%

Your Cost: $148.69/claim|Median: $42.48
3.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.2M

4,182 claims · 6.7%

Your Cost: $279.91/claim|Median: $85.65
3.3× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$712K

5,066 claims · 4.1%

Your Cost: $140.50/claim|Median: $36.13
3.9× median
0241UTop 10%

Proprietary lab analysis, genomic sequencing

$631K

4,201 claims · 3.6%

Your Cost: $150.15/claim|Median: $91.47
1.6× median
99282Normal range

Emergency dept visit, low complexity

$447K

5,058 claims · 2.6%

Your Cost: $88.35/claim|Median: $37.72
2.3× median
71046Top 10%

Chest X-ray, 2 views

$324K

7,872 claims · 1.9%

Your Cost: $41.14/claim|Median: $8.92
4.6× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$321K

3,224 claims · 1.9%

Your Cost: $99.70/claim|Median: $58.55
1.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$319K

40K claims · 1.8%

Your Cost: $8.00/claim|Median: $4.71
1.7× median
J3490Normal range

Unclassified drugs

$319K

96K claims · 1.8%

Your Cost: $3.31/claim|Median: $5.70
0.6× median
80053Normal range

Comprehensive metabolic panel

$267K

29K claims · 1.5%

Your Cost: $9.33/claim|Median: $7.24
1.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$267K

6,948 claims · 1.5%

Your Cost: $38.43/claim|Median: $7.50
5.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$207K

6,310 claims · 1.2%

Your Cost: $32.73/claim|Median: $21.76
1.5× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$204K

1,160 claims · 1.2%

Your Cost: $175.69/claim|Median: $106.79
1.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$174K

155 claims · 1.0%

Your Cost: $1,120.23/claim|Median: $763.43
1.5× median
74177Top 5%

CT abdomen and pelvis with contrast

$171K

323 claims · 1.0%

Your Cost: $529.00/claim|Median: $65.76
8.0× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$120K

2,214 claims · 0.7%

Your Cost: $54.40/claim|Median: $14.92
3.6× median
36415Normal range

Collection of venous blood by venipuncture

$81K

34K claims · 0.5%

Your Cost: $2.37/claim|Median: $1.57
1.5× median
87389Top 25%

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

$78K

2,916 claims · 0.4%

Your Cost: $26.69/claim|Median: $18.03
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$74K

1,325 claims · 0.4%

Your Cost: $56.10/claim|Median: $63.08
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$64K

2,378 claims · 0.4%

Your Cost: $26.98/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$64K

2,379 claims · 0.4%

Your Cost: $26.91/claim|Median: $23.39
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$61K

934 claims · 0.4%

Your Cost: $65.16/claim|Median: $49.45
1.3× median
70450Top 25%

CT head/brain without contrast

$50K

289 claims · 0.3%

Your Cost: $174.48/claim|Median: $45.53
3.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$50K

1,317 claims · 0.3%

Your Cost: $37.78/claim|Median: $35.43
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$48K

805 claims · 0.3%

Your Cost: $59.36/claim|Median: $65.64
0.9× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$47K

1,546 claims · 0.3%

Your Cost: $30.71/claim|Median: $3.42
9.0× median
86780Top 25%

$46K

2,923 claims · 0.3%

Your Cost: $15.72/claim|Median: $9.83
1.6× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$44K

2,690 claims · 0.3%

Your Cost: $16.47/claim|Median: $15.76
1.0× median
80061Top 10%

Lipid panel

$44K

2,482 claims · 0.3%

Your Cost: $17.70/claim|Median: $8.41
2.1× median
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