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Provider 1194712083

NPI: 1194712083Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,226,892

Total Claims

236K

Beneficiaries

203K

1.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-4%
2019
$1.6M
-37%
2020
$1.0M
+60%
2021
$1.6M
+37%
2022
$2.2M
+1%
2023
$2.3M
-23%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 24% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$2.9M

20K claims · 23.6%

Your Cost: $145.04/claim|Median: $42.48
3.4× median
99284Top 10%

Emergency dept visit, high complexity

$2.4M

11K claims · 19.4%

Your Cost: $218.31/claim|Median: $69.51
3.1× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.3M

2,119 claims · 10.5%

Your Cost: $608.02/claim|Median: $65.76
9.2× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$635K

2,669 claims · 5.2%

Your Cost: $237.81/claim|Median: $85.65
2.8× median
70450Top 10%

CT head/brain without contrast

$496K

2,140 claims · 4.1%

Your Cost: $231.67/claim|Median: $45.53
5.1× median
97110Normal range

Therapeutic exercises, each 15 min

$492K

13K claims · 4.0%

Your Cost: $38.30/claim|Median: $24.49
1.6× median
99282Normal range

Emergency dept visit, low complexity

$414K

4,960 claims · 3.4%

Your Cost: $83.48/claim|Median: $37.72
2.2× median
74176Top 5%

CT abdomen and pelvis without contrast

$369K

689 claims · 3.0%

Your Cost: $535.02/claim|Median: $60.19
8.9× median
87428Normal range

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

$293K

6,461 claims · 2.4%

Your Cost: $45.38/claim|Median: $39.63
1.1× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$233K

4,950 claims · 1.9%

Your Cost: $47.10/claim|Median: $14.92
3.2× median
99281Normal range

Emergency dept visit, minimal complexity

$224K

3,822 claims · 1.8%

Your Cost: $58.49/claim|Median: $52.03
1.1× median
96365Normal range

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

$211K

3,453 claims · 1.7%

Your Cost: $61.17/claim|Median: $54.77
1.1× median
71045Top 10%

Chest X-ray, single view

$203K

5,182 claims · 1.7%

Your Cost: $39.18/claim|Median: $4.93
7.9× median
96361Normal range

IV infusion, hydration, each additional hour

$192K

4,129 claims · 1.6%

Your Cost: $46.48/claim|Median: $38.92
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$189K

5,356 claims · 1.5%

Your Cost: $35.28/claim|Median: $21.76
1.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$154K

6,174 claims · 1.3%

Your Cost: $25.01/claim|Median: $9.56
2.6× median
71046Top 10%

Chest X-ray, 2 views

$150K

3,127 claims · 1.2%

Your Cost: $47.95/claim|Median: $8.92
5.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$139K

2,113 claims · 1.1%

Your Cost: $65.66/claim|Median: $10.88
6.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$129K

4,361 claims · 1.1%

Your Cost: $29.59/claim|Median: $7.50
3.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$103K

2,742 claims · 0.8%

Your Cost: $37.73/claim|Median: $35.43
1.1× median
80053Normal range

Comprehensive metabolic panel

$82K

11K claims · 0.7%

Your Cost: $7.14/claim|Median: $7.24
1.0× median
97014Top 10%

Electrical stimulation, unattended

$78K

3,101 claims · 0.6%

Your Cost: $25.15/claim|Median: $8.83
2.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$71K

13K claims · 0.6%

Your Cost: $5.47/claim|Median: $4.71
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$55K

4,860 claims · 0.5%

Your Cost: $11.35/claim|Median: $28.46
0.4× median
97161Normal range

Physical therapy evaluation, low complexity

$52K

1,508 claims · 0.4%

Your Cost: $34.53/claim|Median: $47.89
0.7× median
74018Top 5%

$41K

652 claims · 0.3%

Your Cost: $63.19/claim|Median: $7.00
9.0× median
72100Top 10%

$41K

779 claims · 0.3%

Your Cost: $52.04/claim|Median: $15.14
3.4× median
87426Normal range

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

$38K

1,557 claims · 0.3%

Your Cost: $24.48/claim|Median: $30.04
0.8× median
96360Normal range

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

$37K

654 claims · 0.3%

Your Cost: $56.75/claim|Median: $61.57
0.9× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$35K

698 claims · 0.3%

Your Cost: $50.62/claim|Median: $12.06
4.2× median
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