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Provider 1184628919

NPI: 1184628919Share
Active Billing Period:2018-012023-09(69 months)
Billing appears to have stoppedLast active: 2023-09

Total Paid

$10.9M

$10,862,764

Total Claims

653K

Beneficiaries

564K

1.2 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-9%
2019
$1.6M
-28%
2020
$1.1M
+50%
2021
$1.7M
+49%
2022
$2.6M
-17%
2023
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 19% of total spending.

0450Normal range

Emergency room visit

$2.1M

54K claims · 18.9%

Your Cost: $38.02/claim|Median: $44.95
0.8× median
70450Top 25%

CT head/brain without contrast

$608K

6,878 claims · 5.6%

Your Cost: $88.35/claim|Median: $45.53
1.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$469K

13K claims · 4.3%

Your Cost: $36.24/claim|Median: $39.70
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$467K

5,308 claims · 4.3%

Your Cost: $88.03/claim|Median: $60.19
1.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$329K

18K claims · 3.0%

Your Cost: $17.91/claim|Median: $7.50
2.4× median
99284Normal range

Emergency dept visit, high complexity

$317K

3,769 claims · 2.9%

Your Cost: $84.02/claim|Median: $69.51
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$286K

6,598 claims · 2.6%

Your Cost: $43.29/claim|Median: $21.76
2.0× median
0120Normal range

$278K

120 claims · 2.6%

Your Cost: $2,318.33/claim|Median: $5,968.57
0.4× median
74177Normal range

CT abdomen and pelvis with contrast

$258K

1,653 claims · 2.4%

Your Cost: $156.33/claim|Median: $65.76
2.4× median
99199Top 25%

Unlisted special service, procedure, or report

$232K

8,816 claims · 2.1%

Your Cost: $26.31/claim|Median: $5.39
4.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$221K

4,935 claims · 2.0%

Your Cost: $44.87/claim|Median: $35.43
1.3× median
99281Normal range

Emergency dept visit, minimal complexity

$213K

7,956 claims · 2.0%

Your Cost: $26.80/claim|Median: $52.03
0.5× median
Z7502Normal range

$210K

5,662 claims · 1.9%

Your Cost: $37.15/claim|Median: $37.17
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$201K

11K claims · 1.8%

Your Cost: $18.25/claim|Median: $9.56
1.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$201K

38K claims · 1.8%

Your Cost: $5.34/claim|Median: $4.71
1.1× median
72125Top 25%

CT cervical spine without contrast

$198K

1,695 claims · 1.8%

Your Cost: $116.72/claim|Median: $32.30
3.6× median
71045Top 25%

Chest X-ray, single view

$174K

17K claims · 1.6%

Your Cost: $10.50/claim|Median: $4.93
2.1× median
0762Normal range

$174K

3,278 claims · 1.6%

Your Cost: $52.95/claim|Median: $102.28
0.5× median
71275Normal range

CT angiography, chest, with contrast

$160K

1,071 claims · 1.5%

Your Cost: $149.23/claim|Median: $92.96
1.6× median
80048Normal range

Basic metabolic panel

$137K

24K claims · 1.3%

Your Cost: $5.76/claim|Median: $5.78
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$136K

5,120 claims · 1.2%

Your Cost: $26.47/claim|Median: $14.92
1.8× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$126K

2,384 claims · 1.2%

Your Cost: $52.79/claim|Median: $54.77
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$113K

2,137 claims · 1.0%

Your Cost: $52.73/claim|Median: $42.48
1.2× median
83880Normal range

$107K

5,345 claims · 1.0%

Your Cost: $20.01/claim|Median: $11.81
1.7× median
80053Normal range

Comprehensive metabolic panel

$102K

14K claims · 0.9%

Your Cost: $7.22/claim|Median: $7.24
1.0× median
84484Normal range

Troponin, quantitative

$97K

13K claims · 0.9%

Your Cost: $7.72/claim|Median: $4.84
1.6× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$92K

1,896 claims · 0.8%

Your Cost: $48.66/claim|Median: $37.56
1.3× median
71046Normal range

Chest X-ray, 2 views

$89K

5,458 claims · 0.8%

Your Cost: $16.26/claim|Median: $8.92
1.8× median
11043Normal range

$88K

2,979 claims · 0.8%

Your Cost: $29.69/claim|Median: $62.99
0.5× median
83690Normal range

$83K

16K claims · 0.8%

Your Cost: $5.23/claim|Median: $3.35
1.6× median