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Provider 1174597892

NPI: 1174597892Share
Active Billing Period:2018-01→2023-12(72 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$12.1M

$12,091,577

Total Claims

82K

Beneficiaries

76K

1.1 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2018
$4.9M
-23%
2019
$3.8M
-66%
2020
$1.3M
-77%
2021
$285K
+178%
2022
$792K
+41%
2023
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 17% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$2.0M

9,612 claims · 16.9%

Your Cost: $212.42/claim|Median: $268.66
0.8× median
D7999Top 25%

$2.0M

530 claims · 16.6%

Your Cost: $3,795.61/claim|Median: $981.06
3.9× median
Y7506Top 5%

Healthcare procedure, code Y7506

$1.9M

601 claims · 15.7%

Your Cost: $3,157.89/claim|Median: $146.80
21.5× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.3M

15K claims · 10.7%

Your Cost: $85.99/claim|Median: $4.71
18.3× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

6,816 claims · 9.1%

Your Cost: $161.84/claim|Median: $69.51
2.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$958K

8,168 claims · 7.9%

Your Cost: $117.28/claim|Median: $42.48
2.8× median
80053Top 5%

Comprehensive metabolic panel

$722K

9,306 claims · 6.0%

Your Cost: $77.55/claim|Median: $7.24
10.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$269K

1,344 claims · 2.2%

Your Cost: $200.07/claim|Median: $85.65
2.3× median
87804Top 1%

Influenza virus detection, rapid test

$226K

2,731 claims · 1.9%

Your Cost: $82.57/claim|Median: $12.59
6.6× median
81001Top 1%

Urinalysis, automated, with microscopy

$190K

2,678 claims · 1.6%

Your Cost: $71.06/claim|Median: $2.03
35.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$175K

1,929 claims · 1.4%

Your Cost: $90.86/claim|Median: $21.76
4.2× median
G0463Normal range

Hospital outpatient clinic visit

$163K

4,223 claims · 1.3%

Your Cost: $38.63/claim|Median: $26.41
1.5× median
X4003Normal range

$119K

2,668 claims · 1.0%

Your Cost: $44.65/claim|Median: $74.03
0.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$86K

1,617 claims · 0.7%

Your Cost: $53.37/claim|Median: $7.50
7.1× median
84703Top 1%

Human chorionic gonadotropin (hCG) quantitative blood test

$86K

273 claims · 0.7%

Your Cost: $315.51/claim|Median: $4.20
75.1× median
71046Top 1%

Chest X-ray, 2 views

$71K

342 claims · 0.6%

Your Cost: $206.51/claim|Median: $8.92
23.2× median
87430Top 1%

$64K

317 claims · 0.5%

Your Cost: $200.42/claim|Median: $9.41
21.3× median
71045Top 5%

Chest X-ray, single view

$58K

1,196 claims · 0.5%

Your Cost: $48.17/claim|Median: $4.93
9.8× median
87081Top 1%

Culture screening for pathogenic organisms

$57K

257 claims · 0.5%

Your Cost: $220.47/claim|Median: $5.09
43.3× median
81003Top 1%

Urinalysis, automated without microscopy

$54K

239 claims · 0.4%

Your Cost: $225.27/claim|Median: $1.48
152.2× median
87420Top 1%

$52K

333 claims · 0.4%

Your Cost: $155.36/claim|Median: $9.78
15.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$47K

2,287 claims · 0.4%

Your Cost: $20.63/claim|Median: $39.70
0.5× median
80048Top 1%

Basic metabolic panel

$44K

290 claims · 0.4%

Your Cost: $150.45/claim|Median: $5.78
26.0× median
99282Normal range

Emergency dept visit, low complexity

$41K

526 claims · 0.3%

Your Cost: $78.31/claim|Median: $37.72
2.1× median
83690Top 5%

$36K

683 claims · 0.3%

Your Cost: $52.20/claim|Median: $3.35
15.6× median
69436Top 1%

Tympanostomy, general anesthesia

$34K

13 claims · 0.3%

Your Cost: $2,609.97/claim|Median: $205.50
12.7× median
Y7507Top 25%

$30K

69 claims · 0.3%

Your Cost: $440.89/claim|Median: $172.12
2.6× median
82150Top 1%

Amylase blood test

$30K

91 claims · 0.2%

Your Cost: $330.97/claim|Median: $3.65
90.7× median
96361Normal range

IV infusion, hydration, each additional hour

$19K

823 claims · 0.2%

Your Cost: $23.30/claim|Median: $38.92
0.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$16K

544 claims · 0.1%

Your Cost: $28.79/claim|Median: $14.92
1.9× median
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