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Provider 1174570683

NPI: 1174570683Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,803,800

Total Claims

207K

Beneficiaries

153K

1.4 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+11%
2019
$2.0M
-12%
2020
$1.7M
+15%
2021
$2.0M
+2%
2022
$2.0M
-61%
2023
$789K
-32%
2024
$540K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 32% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$3.5M

15K claims · 32.1%

Your Cost: $228.95/claim|Median: $42.48
5.4× median
99284Top 5%

Emergency dept visit, high complexity

$2.8M

12K claims · 26.2%

Your Cost: $233.57/claim|Median: $69.51
3.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$775K

2,572 claims · 7.2%

Your Cost: $301.36/claim|Median: $85.65
3.5× median
99282Top 10%

Emergency dept visit, low complexity

$431K

2,510 claims · 4.0%

Your Cost: $171.72/claim|Median: $37.72
4.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$371K

7,459 claims · 3.4%

Your Cost: $49.70/claim|Median: $21.76
2.3× median
G0378Normal range

Hospital observation service, per hour

$365K

1,329 claims · 3.4%

Your Cost: $274.74/claim|Median: $99.39
2.8× median
70450Top 25%

CT head/brain without contrast

$286K

2,166 claims · 2.6%

Your Cost: $131.99/claim|Median: $45.53
2.9× median
74177Normal range

CT abdomen and pelvis with contrast

$274K

1,769 claims · 2.5%

Your Cost: $154.95/claim|Median: $65.76
2.4× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$257K

383 claims · 2.4%

Your Cost: $671.46/claim|Median: $763.43
0.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$159K

1,111 claims · 1.5%

Your Cost: $143.23/claim|Median: $52.03
2.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$134K

3,632 claims · 1.2%

Your Cost: $36.94/claim|Median: $14.92
2.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$125K

6,972 claims · 1.2%

Your Cost: $17.87/claim|Median: $7.50
2.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$125K

3,218 claims · 1.2%

Your Cost: $38.71/claim|Median: $9.56
4.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$107K

3,112 claims · 1.0%

Your Cost: $34.44/claim|Median: $63.08
0.5× median
Q9967Top 25%

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

$84K

2,890 claims · 0.8%

Your Cost: $28.93/claim|Median: $3.42
8.5× median
80053Normal range

Comprehensive metabolic panel

$69K

16K claims · 0.6%

Your Cost: $4.29/claim|Median: $7.24
0.6× median
72125Top 25%

CT cervical spine without contrast

$61K

515 claims · 0.6%

Your Cost: $117.76/claim|Median: $32.30
3.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$60K

2,741 claims · 0.6%

Your Cost: $21.77/claim|Median: $35.43
0.6× median
71046Top 25%

Chest X-ray, 2 views

$58K

2,365 claims · 0.5%

Your Cost: $24.44/claim|Median: $8.92
2.7× median
85027Normal range

Complete blood count (CBC), automated

$48K

20K claims · 0.4%

Your Cost: $2.41/claim|Median: $3.72
0.6× median
71045Top 25%

Chest X-ray, single view

$44K

4,016 claims · 0.4%

Your Cost: $10.90/claim|Median: $4.93
2.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$43K

297 claims · 0.4%

Your Cost: $145.35/claim|Median: $60.19
2.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$43K

1,819 claims · 0.4%

Your Cost: $23.62/claim|Median: $65.64
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$42K

2,598 claims · 0.4%

Your Cost: $16.24/claim|Median: $25.06
0.6× median
99213Normal range

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

$34K

1,317 claims · 0.3%

Your Cost: $25.61/claim|Median: $37.81
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$31K

1,554 claims · 0.3%

Your Cost: $19.79/claim|Median: $24.49
0.8× median
G0463Normal range

Hospital outpatient clinic visit

$30K

3,895 claims · 0.3%

Your Cost: $7.78/claim|Median: $26.41
0.3× median
71275Top 25%

CT angiography, chest, with contrast

$28K

172 claims · 0.3%

Your Cost: $162.13/claim|Median: $92.96
1.7× median
96361Normal range

IV infusion, hydration, each additional hour

$26K

484 claims · 0.2%

Your Cost: $53.86/claim|Median: $38.92
1.4× median
76700Normal range

Ultrasound, abdominal, complete

$25K

297 claims · 0.2%

Your Cost: $82.68/claim|Median: $50.69
1.6× median
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