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Provider 1164497533

NPI: 1164497533Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,958,427

Total Claims

146K

Beneficiaries

96K

1.5 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$856K
+48%
2019
$1.3M
-17%
2020
$1.1M
+35%
2021
$1.4M
+29%
2022
$1.8M
+9%
2023
$2.0M
-22%
2024
$1.6M

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 39% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.9M

13K claims · 38.8%

Your Cost: $297.58/claim|Median: $69.51
4.3× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.1M

20K claims · 31.4%

Your Cost: $160.14/claim|Median: $42.48
3.8× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$587K

13K claims · 5.9%

Your Cost: $46.42/claim|Median: $53.41
0.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$516K

17K claims · 5.2%

Your Cost: $30.71/claim|Median: $37.81
0.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$237K

2,924 claims · 2.4%

Your Cost: $80.94/claim|Median: $9.56
8.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$219K

3,159 claims · 2.2%

Your Cost: $69.35/claim|Median: $65.64
1.1× median
A0425Top 5%

Ground mileage, per statute mile

$187K

803 claims · 1.9%

Your Cost: $232.43/claim|Median: $23.36
9.9× median
96365Top 5%

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

$178K

771 claims · 1.8%

Your Cost: $230.39/claim|Median: $54.77
4.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$139K

3,939 claims · 1.4%

Your Cost: $35.35/claim|Median: $39.70
0.9× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$124K

1,267 claims · 1.2%

Your Cost: $97.67/claim|Median: $7.50
13.0× median
71045Top 1%

Chest X-ray, single view

$89K

730 claims · 0.9%

Your Cost: $121.55/claim|Median: $4.93
24.7× median
99282Top 5%

Emergency dept visit, low complexity

$82K

343 claims · 0.8%

Your Cost: $239.83/claim|Median: $37.72
6.4× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$58K

92 claims · 0.6%

Your Cost: $629.06/claim|Median: $85.65
7.3× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$53K

508 claims · 0.5%

Your Cost: $103.88/claim|Median: $14.92
7.0× median
80053Normal range

Comprehensive metabolic panel

$50K

7,024 claims · 0.5%

Your Cost: $7.15/claim|Median: $7.24
1.0× median
A0427Top 10%

Ambulance, ALS emergency transport Level 1

$48K

110 claims · 0.5%

Your Cost: $437.56/claim|Median: $164.22
2.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$32K

749 claims · 0.3%

Your Cost: $42.93/claim|Median: $35.43
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$32K

6,694 claims · 0.3%

Your Cost: $4.71/claim|Median: $4.71
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$31K

516 claims · 0.3%

Your Cost: $60.66/claim|Median: $75.18
0.8× median
71046Top 5%

Chest X-ray, 2 views

$23K

213 claims · 0.2%

Your Cost: $108.43/claim|Median: $8.92
12.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$22K

2,117 claims · 0.2%

Your Cost: $10.50/claim|Median: $9.87
1.1× median
80061Normal range

Lipid panel

$22K

2,564 claims · 0.2%

Your Cost: $8.58/claim|Median: $8.41
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$21K

12K claims · 0.2%

Your Cost: $1.73/claim|Median: $1.57
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$17K

2,848 claims · 0.2%

Your Cost: $5.84/claim|Median: $5.50
1.1× median
J3490Normal range

Unclassified drugs

$16K

691 claims · 0.2%

Your Cost: $23.37/claim|Median: $5.70
4.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$15K

295 claims · 0.2%

Your Cost: $51.91/claim|Median: $69.35
0.7× median
87804Top 25%

Influenza virus detection, rapid test

$14K

711 claims · 0.1%

Your Cost: $20.32/claim|Median: $12.59
1.6× median
86403Normal range

$10K

1,168 claims · 0.1%

Your Cost: $8.77/claim|Median: $6.03
1.5× median
70450Top 1%

CT head/brain without contrast

$10K

17 claims · 0.1%

Your Cost: $596.36/claim|Median: $45.53
13.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$10K

191 claims · 0.1%

Your Cost: $53.04/claim|Median: $74.82
0.7× median
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