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Provider 1184976136

NPI: 1184976136Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.3M

$11,337,274

Total Claims

428K

Beneficiaries

337K

1.3 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$268K
+223%
2019
$866K
+12%
2020
$974K
+46%
2021
$1.4M
+57%
2022
$2.2M
+35%
2023
$3.0M
-15%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 53% of total spending.

99214Normal range

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

$6.0M

123K claims · 53.1%

Your Cost: $49.04/claim|Median: $53.41
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.5M

48K claims · 13.0%

Your Cost: $30.62/claim|Median: $35.43
0.9× median
G0481Top 25%

Drug test, definitive, 8-14 drug classes

$1.3M

12K claims · 11.4%

Your Cost: $107.98/claim|Median: $64.72
1.7× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$420K

9,516 claims · 3.7%

Your Cost: $44.14/claim|Median: $90.89
0.5× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$288K

4,752 claims · 2.5%

Your Cost: $60.69/claim|Median: $84.03
0.7× median
99213Normal range

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

$212K

10K claims · 1.9%

Your Cost: $20.71/claim|Median: $37.81
0.5× median
99443Normal range

Telephone E/M by physician, 21-30 min

$174K

11K claims · 1.5%

Your Cost: $15.88/claim|Median: $32.55
0.5× median
64635Normal range

$156K

1,628 claims · 1.4%

Your Cost: $95.62/claim|Median: $207.78
0.5× median
99406Normal range

$115K

15K claims · 1.0%

Your Cost: $7.49/claim|Median: $6.53
1.1× median
64483Normal range

$114K

1,616 claims · 1.0%

Your Cost: $70.33/claim|Median: $124.24
0.6× median
64493Normal range

$86K

1,287 claims · 0.8%

Your Cost: $67.00/claim|Median: $103.44
0.6× median
82306Normal range

Vitamin D, 25 hydroxy

$82K

8,124 claims · 0.7%

Your Cost: $10.10/claim|Median: $18.18
0.6× median
64636Normal range

$78K

1,679 claims · 0.7%

Your Cost: $46.27/claim|Median: $63.60
0.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$75K

4,464 claims · 0.7%

Your Cost: $16.89/claim|Median: $22.44
0.8× median
81025Normal range

Urine pregnancy test

$70K

14K claims · 0.6%

Your Cost: $5.09/claim|Median: $4.81
1.1× median
27096Normal range

$61K

1,173 claims · 0.5%

Your Cost: $52.26/claim|Median: $89.16
0.6× median
64633Normal range

$59K

600 claims · 0.5%

Your Cost: $97.51/claim|Median: $223.58
0.4× median
64490Normal range

$52K

698 claims · 0.5%

Your Cost: $73.98/claim|Median: $111.43
0.7× median
64494Normal range

$46K

1,408 claims · 0.4%

Your Cost: $32.50/claim|Median: $34.70
0.9× median
62321Normal range

$40K

593 claims · 0.4%

Your Cost: $67.66/claim|Median: $132.67
0.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$38K

7,526 claims · 0.3%

Your Cost: $5.05/claim|Median: $9.87
0.5× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$35K

3,174 claims · 0.3%

Your Cost: $11.09/claim|Median: $38.83
0.3× median
77002Normal range

$28K

1,511 claims · 0.2%

Your Cost: $18.46/claim|Median: $23.55
0.8× median
64491Normal range

$26K

838 claims · 0.2%

Your Cost: $31.61/claim|Median: $40.21
0.8× median
80053Normal range

Comprehensive metabolic panel

$26K

7,746 claims · 0.2%

Your Cost: $3.41/claim|Median: $7.24
0.5× median
64634Normal range

$25K

518 claims · 0.2%

Your Cost: $48.43/claim|Median: $96.82
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$24K

7,794 claims · 0.2%

Your Cost: $3.03/claim|Median: $4.71
0.6× median
84439Normal range

Free thyroxine level blood test

$23K

7,738 claims · 0.2%

Your Cost: $2.92/claim|Median: $6.31
0.5× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$22K

1,387 claims · 0.2%

Your Cost: $15.80/claim|Median: $29.03
0.5× median
J1030Normal range

Injection, methylprednisolone acetate, forty milligrams

$21K

8,621 claims · 0.2%

Your Cost: $2.46/claim|Median: $4.38
0.6× median
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