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Provider 1174601397

NPI: 1174601397Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,020,125

Total Claims

441K

Beneficiaries

318K

1.4 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$832K
+126%
2019
$1.9M
-45%
2020
$1.0M
+24%
2021
$1.3M
+42%
2022
$1.8M
-49%
2023
$918K
-67%
2024
$307K

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 14% of total spending.

99284Normal range

Emergency dept visit, high complexity

$1.1M

17K claims · 13.8%

Your Cost: $63.51/claim|Median: $69.51
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$924K

13K claims · 11.5%

Your Cost: $71.74/claim|Median: $42.48
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$773K

13K claims · 9.6%

Your Cost: $61.03/claim|Median: $85.65
0.7× median
80053Top 25%

Comprehensive metabolic panel

$475K

29K claims · 5.9%

Your Cost: $16.60/claim|Median: $7.24
2.3× median
G0378Normal range

Hospital observation service, per hour

$474K

12K claims · 5.9%

Your Cost: $38.12/claim|Median: $99.39
0.4× median
74177Normal range

CT abdomen and pelvis with contrast

$321K

2,065 claims · 4.0%

Your Cost: $155.24/claim|Median: $65.76
2.4× median
96360Normal range

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

$263K

2,915 claims · 3.3%

Your Cost: $90.27/claim|Median: $61.57
1.5× median
70450Normal range

CT head/brain without contrast

$261K

4,922 claims · 3.3%

Your Cost: $52.98/claim|Median: $45.53
1.2× median
74176Normal range

CT abdomen and pelvis without contrast

$248K

2,080 claims · 3.1%

Your Cost: $119.22/claim|Median: $60.19
2.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$200K

1,780 claims · 2.5%

Your Cost: $112.37/claim|Median: $54.68
2.1× median
80048Top 25%

Basic metabolic panel

$183K

9,832 claims · 2.3%

Your Cost: $18.58/claim|Median: $5.78
3.2× median
97110Normal range

Therapeutic exercises, each 15 min

$173K

4,374 claims · 2.2%

Your Cost: $39.50/claim|Median: $24.49
1.6× median
99282Normal range

Emergency dept visit, low complexity

$162K

2,092 claims · 2.0%

Your Cost: $77.35/claim|Median: $37.72
2.1× median
96361Normal range

IV infusion, hydration, each additional hour

$162K

2,921 claims · 2.0%

Your Cost: $55.29/claim|Median: $38.92
1.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$159K

6,096 claims · 2.0%

Your Cost: $26.15/claim|Median: $21.76
1.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$109K

4,121 claims · 1.4%

Your Cost: $26.52/claim|Median: $9.56
2.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$101K

39K claims · 1.3%

Your Cost: $2.58/claim|Median: $4.71
0.5× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$85K

325 claims · 1.1%

Your Cost: $261.47/claim|Median: $144.30
1.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$75K

4,796 claims · 0.9%

Your Cost: $15.60/claim|Median: $35.43
0.4× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$70K

3,979 claims · 0.9%

Your Cost: $17.65/claim|Median: $10.88
1.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$66K

1,493 claims · 0.8%

Your Cost: $44.01/claim|Median: $49.45
0.9× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$64K

4,087 claims · 0.8%

Your Cost: $15.71/claim|Median: $60.05
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$59K

703 claims · 0.7%

Your Cost: $83.86/claim|Median: $74.09
1.1× median
86850Top 25%

$57K

2,750 claims · 0.7%

Your Cost: $20.67/claim|Median: $5.44
3.8× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$52K

8,044 claims · 0.7%

Your Cost: $6.49/claim|Median: $4.20
1.5× median
U0002Normal range

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

$51K

1,429 claims · 0.6%

Your Cost: $35.44/claim|Median: $34.62
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$50K

1,436 claims · 0.6%

Your Cost: $34.56/claim|Median: $39.70
0.9× median
97162Normal range

PT evaluation, moderate complexity

$48K

2,338 claims · 0.6%

Your Cost: $20.70/claim|Median: $46.10
0.4× median
99213Top 25%

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

$45K

632 claims · 0.6%

Your Cost: $70.60/claim|Median: $37.81
1.9× median
81001Normal range

Urinalysis, automated, with microscopy

$41K

13K claims · 0.5%

Your Cost: $3.08/claim|Median: $2.03
1.5× median
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