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Provider 1194718304

NPI: 1194718304Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,316,216

Total Claims

135K

Beneficiaries

109K

1.2 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$604K
+59%
2019
$961K
+39%
2020
$1.3M
+9%
2021
$1.5M
+13%
2022
$1.7M
+28%
2023
$2.1M
+2%
2024
$2.2M

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 20% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.1M

9,526 claims · 20.4%

Your Cost: $221.19/claim|Median: $42.48
5.2× median
99284Top 10%

Emergency dept visit, high complexity

$2.0M

10K claims · 19.2%

Your Cost: $195.18/claim|Median: $69.51
2.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.2M

4,506 claims · 11.8%

Your Cost: $270.35/claim|Median: $85.65
3.2× median
96361Top 5%

IV infusion, hydration, each additional hour

$804K

2,199 claims · 7.8%

Your Cost: $365.44/claim|Median: $38.92
9.4× median
92507Top 1%

Speech/hearing/language treatment

$674K

2,746 claims · 6.5%

Your Cost: $245.31/claim|Median: $49.45
5.0× median
99282Top 5%

Emergency dept visit, low complexity

$598K

3,033 claims · 5.8%

Your Cost: $197.04/claim|Median: $37.72
5.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$487K

6,781 claims · 4.7%

Your Cost: $71.76/claim|Median: $24.49
2.9× median
74177Top 10%

CT abdomen and pelvis with contrast

$418K

1,265 claims · 4.1%

Your Cost: $330.54/claim|Median: $65.76
5.0× median
70450Top 10%

CT head/brain without contrast

$269K

1,114 claims · 2.6%

Your Cost: $241.06/claim|Median: $45.53
5.3× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$222K

2,403 claims · 2.2%

Your Cost: $92.45/claim|Median: $91.47
1.0× median
96365Top 25%

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

$151K

1,096 claims · 1.5%

Your Cost: $137.90/claim|Median: $54.77
2.5× median
80053Top 25%

Comprehensive metabolic panel

$136K

7,705 claims · 1.3%

Your Cost: $17.59/claim|Median: $7.24
2.4× median
97530Top 25%

Therapeutic activities, each 15 min

$114K

1,532 claims · 1.1%

Your Cost: $74.37/claim|Median: $33.11
2.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$87K

4,583 claims · 0.8%

Your Cost: $19.09/claim|Median: $21.76
0.9× median
71046Top 10%

Chest X-ray, 2 views

$77K

2,313 claims · 0.7%

Your Cost: $33.44/claim|Median: $8.92
3.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$75K

359 claims · 0.7%

Your Cost: $207.65/claim|Median: $54.68
3.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$58K

2,965 claims · 0.6%

Your Cost: $19.72/claim|Median: $14.92
1.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$56K

4,873 claims · 0.5%

Your Cost: $11.45/claim|Median: $7.50
1.5× median
99213Normal range

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

$55K

1,038 claims · 0.5%

Your Cost: $52.81/claim|Median: $37.81
1.4× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$53K

831 claims · 0.5%

Your Cost: $63.81/claim|Median: $35.43
1.8× median
96360Top 10%

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

$53K

261 claims · 0.5%

Your Cost: $201.15/claim|Median: $61.57
3.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$47K

9,042 claims · 0.5%

Your Cost: $5.21/claim|Median: $4.71
1.1× median
97162Top 1%

PT evaluation, moderate complexity

$38K

124 claims · 0.4%

Your Cost: $305.72/claim|Median: $46.10
6.6× median
76705Top 5%

Ultrasound, abdominal, limited

$37K

233 claims · 0.4%

Your Cost: $160.80/claim|Median: $23.81
6.8× median
74176Top 10%

CT abdomen and pelvis without contrast

$31K

116 claims · 0.3%

Your Cost: $263.01/claim|Median: $60.19
4.4× median
71045Top 25%

Chest X-ray, single view

$28K

3,143 claims · 0.3%

Your Cost: $8.92/claim|Median: $4.93
1.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$26K

4,428 claims · 0.2%

Your Cost: $5.76/claim|Median: $5.60
1.0× median
80048Top 25%

Basic metabolic panel

$23K

1,650 claims · 0.2%

Your Cost: $14.00/claim|Median: $5.78
2.4× median
84484Normal range

Troponin, quantitative

$22K

3,124 claims · 0.2%

Your Cost: $7.05/claim|Median: $4.84
1.5× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$20K

564 claims · 0.2%

Your Cost: $35.68/claim|Median: $13.55
2.6× median
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