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Provider 1194770404

NPI: 1194770404Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$13,959,739

Total Claims

364K

Beneficiaries

264K

1.4 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-12%
2019
$2.4M
-31%
2020
$1.6M
+4%
2021
$1.7M
+17%
2022
$2.0M
+2%
2023
$2.0M
-28%
2024
$1.5M

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 28% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.9M

32K claims · 27.8%

Your Cost: $122.40/claim|Median: $42.48
2.9× median
99284Top 25%

Emergency dept visit, high complexity

$1.9M

12K claims · 13.6%

Your Cost: $158.43/claim|Median: $69.51
2.3× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$885K

1,965 claims · 6.3%

Your Cost: $450.13/claim|Median: $57.39
7.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$713K

3,938 claims · 5.1%

Your Cost: $180.96/claim|Median: $85.65
2.1× median
99282Normal range

Emergency dept visit, low complexity

$698K

8,670 claims · 5.0%

Your Cost: $80.53/claim|Median: $37.72
2.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$582K

7,688 claims · 4.2%

Your Cost: $75.72/claim|Median: $120.85
0.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$441K

5,946 claims · 3.2%

Your Cost: $74.17/claim|Median: $21.76
3.4× median
99281Normal range

Emergency dept visit, minimal complexity

$405K

8,719 claims · 2.9%

Your Cost: $46.42/claim|Median: $52.03
0.9× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$343K

3,367 claims · 2.5%

Your Cost: $102.00/claim|Median: $10.88
9.4× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$331K

10K claims · 2.4%

Your Cost: $32.39/claim|Median: $9.56
3.4× median
G0378Normal range

Hospital observation service, per hour

$331K

1,226 claims · 2.4%

Your Cost: $269.72/claim|Median: $99.39
2.7× median
74177Normal range

CT abdomen and pelvis with contrast

$304K

2,162 claims · 2.2%

Your Cost: $140.48/claim|Median: $65.76
2.1× median
71045Top 10%

Chest X-ray, single view

$206K

6,045 claims · 1.5%

Your Cost: $34.04/claim|Median: $4.93
6.9× median
87804Normal range

Influenza virus detection, rapid test

$193K

12K claims · 1.4%

Your Cost: $15.99/claim|Median: $12.59
1.3× median
69436Top 25%

Tympanostomy, general anesthesia

$183K

191 claims · 1.3%

Your Cost: $957.16/claim|Median: $205.50
4.7× median
87426Normal range

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

$163K

6,134 claims · 1.2%

Your Cost: $26.59/claim|Median: $30.04
0.9× median
71046Top 10%

Chest X-ray, 2 views

$154K

4,156 claims · 1.1%

Your Cost: $37.12/claim|Median: $8.92
4.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$150K

8,945 claims · 1.1%

Your Cost: $16.82/claim|Median: $7.50
2.2× median
96365Normal range

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

$139K

1,835 claims · 1.0%

Your Cost: $76.02/claim|Median: $54.77
1.4× median
70450Normal range

CT head/brain without contrast

$139K

2,895 claims · 1.0%

Your Cost: $47.87/claim|Median: $45.53
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$112K

4,090 claims · 0.8%

Your Cost: $27.33/claim|Median: $24.49
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$92K

2,973 claims · 0.7%

Your Cost: $30.80/claim|Median: $38.92
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$79K

17K claims · 0.6%

Your Cost: $4.76/claim|Median: $4.71
1.0× median
73560Top 10%

$73K

1,959 claims · 0.5%

Your Cost: $37.11/claim|Median: $10.28
3.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$73K

3,435 claims · 0.5%

Your Cost: $21.14/claim|Median: $14.92
1.4× median
80053Normal range

Comprehensive metabolic panel

$67K

11K claims · 0.5%

Your Cost: $6.29/claim|Median: $7.24
0.9× median
87430Normal range

$65K

5,511 claims · 0.5%

Your Cost: $11.80/claim|Median: $9.41
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$59K

1,451 claims · 0.4%

Your Cost: $40.47/claim|Median: $54.60
0.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$55K

727 claims · 0.4%

Your Cost: $76.06/claim|Median: $58.16
1.3× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$47K

13 claims · 0.3%

Your Cost: $3,615.68/claim|Median: $331.68
10.9× median
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