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Provider 1194713461

NPI: 1194713461Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,107,657

Total Claims

355K

Beneficiaries

315K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+0%
2019
$1.3M
-18%
2020
$1.1M
+32%
2021
$1.4M
-1%
2022
$1.4M
+4%
2023
$1.5M
-21%
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 22% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.0M

12K claims · 22.1%

Your Cost: $161.63/claim|Median: $69.51
2.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

15K claims · 19.2%

Your Cost: $114.38/claim|Median: $42.48
2.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.7M

6,239 claims · 18.4%

Your Cost: $268.08/claim|Median: $85.65
3.1× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$708K

7,593 claims · 7.8%

Your Cost: $93.24/claim|Median: $21.76
4.3× median
74177Normal range

CT abdomen and pelvis with contrast

$320K

2,167 claims · 3.5%

Your Cost: $147.68/claim|Median: $65.76
2.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$187K

5,943 claims · 2.0%

Your Cost: $31.41/claim|Median: $14.92
2.1× median
97110Normal range

Therapeutic exercises, each 15 min

$185K

7,483 claims · 2.0%

Your Cost: $24.70/claim|Median: $24.49
1.0× median
99282Normal range

Emergency dept visit, low complexity

$182K

2,714 claims · 2.0%

Your Cost: $67.15/claim|Median: $37.72
1.8× median
70450Top 25%

CT head/brain without contrast

$156K

1,884 claims · 1.7%

Your Cost: $82.56/claim|Median: $45.53
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$155K

4,935 claims · 1.7%

Your Cost: $31.32/claim|Median: $38.92
0.8× median
71045Top 10%

Chest X-ray, single view

$147K

4,201 claims · 1.6%

Your Cost: $35.09/claim|Median: $4.93
7.1× median
71046Top 10%

Chest X-ray, 2 views

$121K

3,312 claims · 1.3%

Your Cost: $36.65/claim|Median: $8.92
4.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$115K

3,190 claims · 1.3%

Your Cost: $36.03/claim|Median: $63.08
0.6× median
74176Normal range

CT abdomen and pelvis without contrast

$105K

997 claims · 1.1%

Your Cost: $104.95/claim|Median: $60.19
1.7× median
96365Normal range

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

$98K

1,151 claims · 1.1%

Your Cost: $85.04/claim|Median: $54.77
1.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$92K

1,924 claims · 1.0%

Your Cost: $47.75/claim|Median: $39.33
1.2× median
99281Normal range

Emergency dept visit, minimal complexity

$68K

1,627 claims · 0.7%

Your Cost: $41.73/claim|Median: $52.03
0.8× median
99291Top 5%

Critical care, first 30-74 minutes

$61K

158 claims · 0.7%

Your Cost: $388.27/claim|Median: $101.24
3.8× median
G0463Normal range

Hospital outpatient clinic visit

$58K

1,033 claims · 0.6%

Your Cost: $56.10/claim|Median: $26.41
2.1× median
96360Normal range

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

$52K

552 claims · 0.6%

Your Cost: $93.43/claim|Median: $61.57
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$50K

4,593 claims · 0.5%

Your Cost: $10.88/claim|Median: $35.43
0.3× median
80061Normal range

Lipid panel

$48K

5,405 claims · 0.5%

Your Cost: $8.89/claim|Median: $8.41
1.1× median
73564Top 25%

$46K

1,576 claims · 0.5%

Your Cost: $29.03/claim|Median: $15.00
1.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$37K

176 claims · 0.4%

Your Cost: $211.94/claim|Median: $54.68
3.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$34K

1,445 claims · 0.4%

Your Cost: $23.29/claim|Median: $39.70
0.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$33K

5,954 claims · 0.4%

Your Cost: $5.51/claim|Median: $9.87
0.6× median
80053Normal range

Comprehensive metabolic panel

$31K

19K claims · 0.3%

Your Cost: $1.60/claim|Median: $7.24
0.2× median
82306Normal range

Vitamin D, 25 hydroxy

$30K

3,070 claims · 0.3%

Your Cost: $9.89/claim|Median: $18.18
0.5× median
76705Top 25%

Ultrasound, abdominal, limited

$26K

480 claims · 0.3%

Your Cost: $54.52/claim|Median: $23.81
2.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$26K

22K claims · 0.3%

Your Cost: $1.17/claim|Median: $4.71
0.2× median
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