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Provider 1174533343

NPI: 1174533343Share
Active Billing Period:2018-09→2024-12(65 months)

Total Paid

$8.2M

$8,225,461

Total Claims

204K

Beneficiaries

180K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$25
+2186%
2019
$583
+24984%
2020
$146K
+968%
2021
$1.6M
+55%
2022
$2.4M
+20%
2023
$2.9M
-59%
2024
$1.2M

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 35% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.9M

16K claims · 34.9%

Your Cost: $174.00/claim|Median: $69.51
2.5× median
99283Normal range

Emergency dept visit, moderate complexity

$1.1M

21K claims · 13.8%

Your Cost: $53.69/claim|Median: $42.48
1.3× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$875K

6,035 claims · 10.6%

Your Cost: $145.03/claim|Median: $100.62
1.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$515K

2,621 claims · 6.3%

Your Cost: $196.30/claim|Median: $85.65
2.3× median
97110Top 10%

Therapeutic exercises, each 15 min

$384K

5,199 claims · 4.7%

Your Cost: $73.80/claim|Median: $24.49
3.0× median
71045Top 10%

Chest X-ray, single view

$202K

7,235 claims · 2.5%

Your Cost: $27.86/claim|Median: $4.93
5.7× median
C9803Normal range

$178K

10K claims · 2.2%

Your Cost: $17.14/claim|Median: $13.20
1.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$164K

879 claims · 2.0%

Your Cost: $186.03/claim|Median: $65.76
2.8× median
99213Top 10%

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

$159K

1,996 claims · 1.9%

Your Cost: $79.54/claim|Median: $37.81
2.1× median
80053Top 25%

Comprehensive metabolic panel

$158K

12K claims · 1.9%

Your Cost: $12.78/claim|Median: $7.24
1.8× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$146K

20K claims · 1.8%

Your Cost: $7.24/claim|Median: $4.71
1.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$144K

1,872 claims · 1.8%

Your Cost: $76.93/claim|Median: $65.64
1.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$105K

4,055 claims · 1.3%

Your Cost: $25.95/claim|Median: $7.50
3.5× median
70450Normal range

CT head/brain without contrast

$78K

1,233 claims · 0.9%

Your Cost: $63.03/claim|Median: $45.53
1.4× median
99214Top 25%

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

$60K

615 claims · 0.7%

Your Cost: $97.47/claim|Median: $53.41
1.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$55K

1,895 claims · 0.7%

Your Cost: $29.23/claim|Median: $28.46
1.0× median
99282Normal range

Emergency dept visit, low complexity

$51K

1,067 claims · 0.6%

Your Cost: $47.64/claim|Median: $37.72
1.3× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$50K

1,232 claims · 0.6%

Your Cost: $40.53/claim|Median: $20.04
2.0× median
74176Normal range

CT abdomen and pelvis without contrast

$44K

352 claims · 0.5%

Your Cost: $125.62/claim|Median: $60.19
2.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$44K

630 claims · 0.5%

Your Cost: $69.38/claim|Median: $58.16
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$43K

927 claims · 0.5%

Your Cost: $46.39/claim|Median: $63.08
0.7× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$42K

970 claims · 0.5%

Your Cost: $43.29/claim|Median: $34.62
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$41K

1,750 claims · 0.5%

Your Cost: $23.40/claim|Median: $24.95
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$39K

1,628 claims · 0.5%

Your Cost: $23.82/claim|Median: $23.39
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$36K

1,387 claims · 0.4%

Your Cost: $25.61/claim|Median: $39.70
0.6× median
H0035Top 5%

Mental health partial hospitalization, treatment, per hour

$31K

65 claims · 0.4%

Your Cost: $478.98/claim|Median: $148.53
3.2× median
83880Normal range

$31K

1,595 claims · 0.4%

Your Cost: $19.48/claim|Median: $11.81
1.6× median
87800Normal range

$26K

821 claims · 0.3%

Your Cost: $31.27/claim|Median: $29.47
1.1× median
81001Normal range

Urinalysis, automated, with microscopy

$25K

8,551 claims · 0.3%

Your Cost: $2.96/claim|Median: $2.03
1.5× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$24K

457 claims · 0.3%

Your Cost: $53.40/claim|Median: $37.56
1.4× median
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