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Provider 1164993457

NPI: 1164993457Share
Active Billing Period:2018-12→2024-12(73 months)

Total Paid

$16.4M

$16,436,015

Total Claims

357K

Beneficiaries

278K

1.3 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$104K
+2126%
2019
$2.3M
-28%
2020
$1.7M
+73%
2021
$2.9M
+21%
2022
$3.5M
-5%
2023
$3.3M
-21%
2024
$2.6M

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 21% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$3.5M

18K claims · 21.5%

Your Cost: $200.31/claim|Median: $69.51
2.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.9M

20K claims · 17.4%

Your Cost: $141.01/claim|Median: $42.48
3.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.5M

6,413 claims · 9.1%

Your Cost: $232.30/claim|Median: $85.65
2.7× median
G0378Top 25%

Hospital observation service, per hour

$1.4M

3,027 claims · 8.6%

Your Cost: $464.41/claim|Median: $99.39
4.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$740K

7,590 claims · 4.5%

Your Cost: $97.47/claim|Median: $21.76
4.5× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$514K

9,625 claims · 3.1%

Your Cost: $53.37/claim|Median: $39.63
1.3× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$422K

4,057 claims · 2.6%

Your Cost: $104.01/claim|Median: $10.88
9.6× median
96361Normal range

IV infusion, hydration, each additional hour

$417K

6,908 claims · 2.5%

Your Cost: $60.34/claim|Median: $38.92
1.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$372K

2,209 claims · 2.3%

Your Cost: $168.35/claim|Median: $65.76
2.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$356K

8,827 claims · 2.2%

Your Cost: $40.30/claim|Median: $9.56
4.2× median
96365Normal range

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

$342K

3,537 claims · 2.1%

Your Cost: $96.68/claim|Median: $54.77
1.8× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$323K

3,090 claims · 2.0%

Your Cost: $104.40/claim|Median: $36.13
2.9× median
71045Top 10%

Chest X-ray, single view

$312K

7,500 claims · 1.9%

Your Cost: $41.65/claim|Median: $4.93
8.4× median
D7210Top 1%

Extraction, erupted tooth, surgical approach

$290K

990 claims · 1.8%

Your Cost: $292.89/claim|Median: $109.42
2.7× median
96360Normal range

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

$186K

1,758 claims · 1.1%

Your Cost: $105.53/claim|Median: $61.57
1.7× median
71046Top 10%

Chest X-ray, 2 views

$170K

3,927 claims · 1.0%

Your Cost: $43.36/claim|Median: $8.92
4.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$166K

6,168 claims · 1.0%

Your Cost: $26.87/claim|Median: $14.92
1.8× median
70450Normal range

CT head/brain without contrast

$153K

3,140 claims · 0.9%

Your Cost: $48.60/claim|Median: $45.53
1.1× median
99282Normal range

Emergency dept visit, low complexity

$149K

1,739 claims · 0.9%

Your Cost: $85.83/claim|Median: $37.72
2.3× median
D7240Top 5%

Extraction, impacted tooth, complete bony

$109K

234 claims · 0.7%

Your Cost: $466.22/claim|Median: $231.00
2.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$101K

21K claims · 0.6%

Your Cost: $4.74/claim|Median: $4.71
1.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$100K

3,293 claims · 0.6%

Your Cost: $30.41/claim|Median: $30.04
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$100K

3,227 claims · 0.6%

Your Cost: $31.00/claim|Median: $24.49
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$99K

7,657 claims · 0.6%

Your Cost: $12.95/claim|Median: $11.48
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$97K

5,332 claims · 0.6%

Your Cost: $18.23/claim|Median: $7.50
2.4× median
80053Normal range

Comprehensive metabolic panel

$97K

16K claims · 0.6%

Your Cost: $6.13/claim|Median: $7.24
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$93K

968 claims · 0.6%

Your Cost: $96.55/claim|Median: $60.19
1.6× median
97530Normal range

Therapeutic activities, each 15 min

$90K

1,813 claims · 0.5%

Your Cost: $49.73/claim|Median: $33.11
1.5× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$69K

931 claims · 0.4%

Your Cost: $74.03/claim|Median: $64.72
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$58K

1,807 claims · 0.4%

Your Cost: $31.90/claim|Median: $120.85
0.3× median
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