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Provider 1184706152

NPI: 1184706152Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,296,595

Total Claims

509K

Beneficiaries

410K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+87%
2019
$2.1M
+2%
2020
$2.1M
+10%
2021
$2.3M
+26%
2022
$2.9M
+32%
2023
$3.9M
-1%
2024
$3.8M

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 19% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.4M

23K claims · 18.6%

Your Cost: $148.44/claim|Median: $69.51
2.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.1M

22K claims · 17.2%

Your Cost: $145.93/claim|Median: $42.48
3.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$2.4M

9,619 claims · 13.3%

Your Cost: $252.38/claim|Median: $38.92
6.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.5M

11K claims · 8.0%

Your Cost: $136.59/claim|Median: $85.65
1.6× median
99282Top 25%

Emergency dept visit, low complexity

$896K

6,258 claims · 4.9%

Your Cost: $143.15/claim|Median: $37.72
3.8× median
70450Top 25%

CT head/brain without contrast

$699K

4,582 claims · 3.8%

Your Cost: $152.48/claim|Median: $45.53
3.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$625K

3,182 claims · 3.4%

Your Cost: $196.39/claim|Median: $65.76
3.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$539K

2,990 claims · 2.9%

Your Cost: $180.29/claim|Median: $60.19
3.0× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$337K

1,211 claims · 1.8%

Your Cost: $278.24/claim|Median: $54.68
5.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$327K

7,055 claims · 1.8%

Your Cost: $46.35/claim|Median: $24.49
1.9× median
96365Normal range

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

$304K

4,563 claims · 1.7%

Your Cost: $66.63/claim|Median: $54.77
1.2× median
92507Top 1%

Speech/hearing/language treatment

$291K

1,286 claims · 1.6%

Your Cost: $225.97/claim|Median: $49.45
4.6× median
G0378Normal range

Hospital observation service, per hour

$265K

2,097 claims · 1.4%

Your Cost: $126.44/claim|Median: $99.39
1.3× median
96360Top 25%

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

$246K

2,159 claims · 1.3%

Your Cost: $114.07/claim|Median: $61.57
1.9× median
59025Top 10%

Fetal non-stress test

$232K

1,338 claims · 1.3%

Your Cost: $173.05/claim|Median: $26.45
6.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$229K

7,055 claims · 1.3%

Your Cost: $32.53/claim|Median: $35.43
0.9× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$217K

1,654 claims · 1.2%

Your Cost: $131.46/claim|Median: $40.12
3.3× median
71275Top 25%

CT angiography, chest, with contrast

$152K

625 claims · 0.8%

Your Cost: $243.73/claim|Median: $92.96
2.6× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$138K

936 claims · 0.8%

Your Cost: $147.26/claim|Median: $36.13
4.1× median
80053Normal range

Comprehensive metabolic panel

$111K

17K claims · 0.6%

Your Cost: $6.40/claim|Median: $7.24
0.9× median
G0463Top 25%

Hospital outpatient clinic visit

$102K

1,406 claims · 0.6%

Your Cost: $72.41/claim|Median: $26.41
2.7× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$101K

890 claims · 0.6%

Your Cost: $113.24/claim|Median: $144.30
0.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$98K

229 claims · 0.5%

Your Cost: $428.78/claim|Median: $151.68
2.8× median
76705Top 10%

Ultrasound, abdominal, limited

$89K

936 claims · 0.5%

Your Cost: $94.68/claim|Median: $23.81
4.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$81K

37K claims · 0.4%

Your Cost: $2.16/claim|Median: $4.71
0.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$80K

540 claims · 0.4%

Your Cost: $148.43/claim|Median: $52.03
2.9× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$76K

2,468 claims · 0.4%

Your Cost: $30.99/claim|Median: $169.17
0.2× median
97530Normal range

Therapeutic activities, each 15 min

$76K

2,332 claims · 0.4%

Your Cost: $32.79/claim|Median: $33.11
1.0× median
82306Top 25%

Vitamin D, 25 hydroxy

$73K

2,628 claims · 0.4%

Your Cost: $27.59/claim|Median: $18.18
1.5× median
80048Normal range

Basic metabolic panel

$72K

19K claims · 0.4%

Your Cost: $3.85/claim|Median: $5.78
0.7× median
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