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Provider 1184233785

NPI: 1184233785Share
Active Billing Period:2020-11→2024-11(49 months)

Total Paid

$8.3M

$8,256,932

Total Claims

79K

Beneficiaries

69K

1.2 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2020
$40K
+1911%
2021
$806K
+250%
2022
$2.8M
+25%
2023
$3.5M
-70%
2024
$1.1M

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 43% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$3.6M

4,869 claims · 43.2%

Your Cost: $733.00/claim|Median: $69.51
10.5× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.7M

5,947 claims · 21.1%

Your Cost: $292.78/claim|Median: $42.48
6.9× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$1.4M

1,727 claims · 16.5%

Your Cost: $790.82/claim|Median: $85.65
9.2× median
71045Top 1%

Chest X-ray, single view

$319K

2,524 claims · 3.9%

Your Cost: $126.27/claim|Median: $4.93
25.6× median
87428Top 5%

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$218K

2,636 claims · 2.6%

Your Cost: $82.76/claim|Median: $39.63
2.1× median
59025Top 1%

Fetal non-stress test

$173K

588 claims · 2.1%

Your Cost: $294.37/claim|Median: $26.45
11.1× median
80053Top 25%

Comprehensive metabolic panel

$105K

7,566 claims · 1.3%

Your Cost: $13.88/claim|Median: $7.24
1.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$103K

3,130 claims · 1.2%

Your Cost: $32.83/claim|Median: $30.04
1.1× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$96K

1,832 claims · 1.2%

Your Cost: $52.56/claim|Median: $7.50
7.0× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$91K

8,430 claims · 1.1%

Your Cost: $10.82/claim|Median: $4.71
2.3× median
87400Top 5%

$87K

2,179 claims · 1.0%

Your Cost: $39.77/claim|Median: $8.40
4.7× median
36415Top 25%

Collection of venous blood by venipuncture

$40K

13K claims · 0.5%

Your Cost: $3.16/claim|Median: $1.57
2.0× median
70450Normal range

CT head/brain without contrast

$30K

638 claims · 0.4%

Your Cost: $47.39/claim|Median: $45.53
1.0× median
U0003Top 5%

Infectious disease detection (COVID-19)

$28K

254 claims · 0.3%

Your Cost: $108.67/claim|Median: $63.08
1.7× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$27K

770 claims · 0.3%

Your Cost: $34.85/claim|Median: $11.48
3.0× median
99282Top 5%

Emergency dept visit, low complexity

$23K

120 claims · 0.3%

Your Cost: $191.52/claim|Median: $37.72
5.1× median
84484Top 25%

Troponin, quantitative

$19K

1,599 claims · 0.2%

Your Cost: $11.73/claim|Median: $4.84
2.4× median
87147Top 5%

$17K

867 claims · 0.2%

Your Cost: $19.50/claim|Median: $2.86
6.8× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$15K

12 claims · 0.2%

Your Cost: $1,270.68/claim|Median: $763.43
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$15K

111 claims · 0.2%

Your Cost: $135.92/claim|Median: $65.76
2.1× median
81025Top 5%

Urine pregnancy test

$14K

406 claims · 0.2%

Your Cost: $35.45/claim|Median: $4.81
7.4× median
83690Top 10%

$14K

1,063 claims · 0.2%

Your Cost: $13.22/claim|Median: $3.35
3.9× median
81001Top 25%

Urinalysis, automated, with microscopy

$13K

2,925 claims · 0.2%

Your Cost: $4.45/claim|Median: $2.03
2.2× median
G0463Normal range

Hospital outpatient clinic visit

$11K

608 claims · 0.1%

Your Cost: $17.83/claim|Median: $26.41
0.7× median
86738Top 1%

$10K

211 claims · 0.1%

Your Cost: $47.35/claim|Median: $12.43
3.8× median
83735Top 5%

Magnesium blood level test

$10K

339 claims · 0.1%

Your Cost: $28.81/claim|Median: $2.77
10.4× median
85730Top 10%

$9K

1,312 claims · 0.1%

Your Cost: $6.55/claim|Median: $2.83
2.3× median
31720Top 5%

$8K

33 claims · 0.1%

Your Cost: $252.76/claim|Median: $39.83
6.3× median
87804Normal range

Influenza virus detection, rapid test

$8K

559 claims · 0.1%

Your Cost: $14.55/claim|Median: $12.59
1.2× median
83605Top 25%

$7K

590 claims · 0.1%

Your Cost: $11.98/claim|Median: $4.66
2.6× median
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