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Provider 1174500458

NPI: 1174500458Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.4M

$18,418,088

Total Claims

683K

Beneficiaries

564K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+4%
2019
$2.0M
+7%
2020
$2.1M
+33%
2021
$2.8M
+25%
2022
$3.5M
+8%
2023
$3.7M
-34%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (36415 (Collection of venous blood by venipuncture)) accounts for 10% of total spending.

36415Top 1%

Collection of venous blood by venipuncture

$1.9M

32K claims · 10.4%

Your Cost: $60.30/claim|Median: $1.57
38.4× median
81025Top 1%

Urine pregnancy test

$1.9M

11K claims · 10.4%

Your Cost: $178.42/claim|Median: $4.81
37.1× median
J7120Top 1%

Ringer's lactate infusion, up to 1000 cc

$1.5M

4,356 claims · 7.9%

Your Cost: $335.42/claim|Median: $1.51
222.1× median
C9803Top 1%

$1.4M

9,177 claims · 7.8%

Your Cost: $156.57/claim|Median: $13.20
11.9× median
J7030Top 1%

Normal saline solution infusion, 1000 cc

$1.3M

8,618 claims · 6.9%

Your Cost: $146.93/claim|Median: $1.53
96.0× median
99283Normal range

Emergency dept visit, moderate complexity

$1.1M

41K claims · 6.1%

Your Cost: $27.52/claim|Median: $42.48
0.6× median
80053Top 10%

Comprehensive metabolic panel

$1.1M

32K claims · 6.0%

Your Cost: $34.90/claim|Median: $7.24
4.8× median
87070Top 5%

Bacterial culture, any source except blood or urine

$581K

11K claims · 3.2%

Your Cost: $53.91/claim|Median: $5.89
9.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$491K

14K claims · 2.7%

Your Cost: $35.92/claim|Median: $9.56
3.8× median
99281Top 25%

Emergency dept visit, minimal complexity

$407K

3,480 claims · 2.2%

Your Cost: $117.07/claim|Median: $52.03
2.2× median
80048Top 10%

Basic metabolic panel

$380K

12K claims · 2.1%

Your Cost: $31.85/claim|Median: $5.78
5.5× median
87804Top 25%

Influenza virus detection, rapid test

$327K

14K claims · 1.8%

Your Cost: $23.69/claim|Median: $12.59
1.9× median
85610Top 1%

Prothrombin time (PT) blood clotting test

$301K

6,200 claims · 1.6%

Your Cost: $48.53/claim|Median: $2.14
22.7× median
87086Top 10%

Urine culture, colony count, with identification

$242K

13K claims · 1.3%

Your Cost: $18.36/claim|Median: $5.31
3.5× median
70450Normal range

CT head/brain without contrast

$210K

4,854 claims · 1.1%

Your Cost: $43.28/claim|Median: $45.53
1.0× median
99282Normal range

Emergency dept visit, low complexity

$203K

2,803 claims · 1.1%

Your Cost: $72.47/claim|Median: $37.72
1.9× median
59025Top 10%

Fetal non-stress test

$200K

1,448 claims · 1.1%

Your Cost: $137.95/claim|Median: $26.45
5.2× median
87280Top 5%

$190K

3,459 claims · 1.0%

Your Cost: $54.96/claim|Median: $7.30
7.5× median
99284Normal range

Emergency dept visit, high complexity

$188K

25K claims · 1.0%

Your Cost: $7.61/claim|Median: $69.51
0.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$186K

1,919 claims · 1.0%

Your Cost: $96.72/claim|Median: $54.68
1.8× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$185K

5,805 claims · 1.0%

Your Cost: $31.89/claim|Median: $20.04
1.6× median
96365Normal range

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

$160K

3,529 claims · 0.9%

Your Cost: $45.38/claim|Median: $54.77
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$142K

2,380 claims · 0.8%

Your Cost: $59.63/claim|Median: $60.19
1.0× median
J7050Top 5%

Normal saline solution infusion, 250 cc

$139K

2,695 claims · 0.8%

Your Cost: $51.63/claim|Median: $0.82
63.0× median
Q9967Top 10%

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

$132K

2,614 claims · 0.7%

Your Cost: $50.37/claim|Median: $3.42
14.7× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$126K

1,564 claims · 0.7%

Your Cost: $80.39/claim|Median: $13.55
5.9× median
73562Top 5%

$124K

1,916 claims · 0.7%

Your Cost: $64.48/claim|Median: $12.28
5.3× median
81002Top 1%

Urinalysis, non-automated without microscopy

$113K

6,664 claims · 0.6%

Your Cost: $17.03/claim|Median: $2.00
8.5× median
71046Top 25%

Chest X-ray, 2 views

$111K

4,768 claims · 0.6%

Your Cost: $23.20/claim|Median: $8.92
2.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$108K

329 claims · 0.6%

Your Cost: $327.67/claim|Median: $233.73
1.4× median
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