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Provider 1194818138

NPI: 1194818138Share
Active Billing Period:2018-01→2020-09(33 months)
Billing appears to have stoppedLast active: 2020-09

Total Paid

$15.9M

$15,878,786

Total Claims

406K

Beneficiaries

294K

1.4 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$6.6M
+15%
2019
$7.7M
-79%
2020
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 19% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$3.0M

10K claims · 18.7%

Your Cost: $286.84/claim|Median: $85.65
3.3× median
99284Top 10%

Emergency dept visit, high complexity

$1.6M

7,084 claims · 9.9%

Your Cost: $222.33/claim|Median: $69.51
3.2× median
G0463Top 25%

Hospital outpatient clinic visit

$1.1M

18K claims · 6.8%

Your Cost: $59.15/claim|Median: $26.41
2.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$645K

3,024 claims · 4.1%

Your Cost: $213.42/claim|Median: $60.19
3.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$495K

1,791 claims · 3.1%

Your Cost: $276.28/claim|Median: $65.76
4.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$488K

4,351 claims · 3.1%

Your Cost: $112.22/claim|Median: $42.48
2.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$459K

481 claims · 2.9%

Your Cost: $953.30/claim|Median: $763.43
1.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$392K

6,344 claims · 2.5%

Your Cost: $61.78/claim|Median: $21.76
2.8× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$326K

2,600 claims · 2.1%

Your Cost: $125.56/claim|Median: $29.03
4.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$313K

942 claims · 2.0%

Your Cost: $332.48/claim|Median: $151.68
2.2× median
70450Top 25%

CT head/brain without contrast

$274K

2,430 claims · 1.7%

Your Cost: $112.74/claim|Median: $45.53
2.5× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$253K

1,188 claims · 1.6%

Your Cost: $212.78/claim|Median: $106.14
2.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$238K

1,241 claims · 1.5%

Your Cost: $192.00/claim|Median: $54.68
3.5× median
99214Normal range

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

$219K

4,290 claims · 1.4%

Your Cost: $51.12/claim|Median: $53.41
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$206K

7,603 claims · 1.3%

Your Cost: $27.05/claim|Median: $24.49
1.1× median
80053Normal range

Comprehensive metabolic panel

$200K

33K claims · 1.3%

Your Cost: $6.11/claim|Median: $7.24
0.8× median
96360Normal range

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

$199K

5,165 claims · 1.3%

Your Cost: $38.61/claim|Median: $61.57
0.6× median
71045Top 25%

Chest X-ray, single view

$185K

8,486 claims · 1.2%

Your Cost: $21.77/claim|Median: $4.93
4.4× median
99213Normal range

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

$175K

5,494 claims · 1.1%

Your Cost: $31.84/claim|Median: $37.81
0.8× median
73721Top 25%

MRI joint of lower extremity without contrast

$154K

507 claims · 1.0%

Your Cost: $303.85/claim|Median: $127.34
2.4× median
69436Top 25%

Tympanostomy, general anesthesia

$153K

149 claims · 1.0%

Your Cost: $1,024.48/claim|Median: $205.50
5.0× median
G0379Top 5%

Direct admission to hospital observation

$148K

164 claims · 0.9%

Your Cost: $900.36/claim|Median: $48.25
18.7× median
G0378Normal range

Hospital observation service, per hour

$143K

2,800 claims · 0.9%

Your Cost: $51.03/claim|Median: $99.39
0.5× median
96361Normal range

IV infusion, hydration, each additional hour

$132K

3,574 claims · 0.8%

Your Cost: $36.85/claim|Median: $38.92
0.9× median
72131Top 25%

$130K

833 claims · 0.8%

Your Cost: $156.12/claim|Median: $42.82
3.6× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$126K

531 claims · 0.8%

Your Cost: $236.42/claim|Median: $169.17
1.4× median
59025Top 25%

Fetal non-stress test

$118K

1,531 claims · 0.7%

Your Cost: $77.28/claim|Median: $26.45
2.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$113K

22K claims · 0.7%

Your Cost: $5.07/claim|Median: $4.71
1.1× median
71046Top 25%

Chest X-ray, 2 views

$109K

3,431 claims · 0.7%

Your Cost: $31.79/claim|Median: $8.92
3.6× median
72125Top 10%

CT cervical spine without contrast

$108K

646 claims · 0.7%

Your Cost: $166.85/claim|Median: $32.30
5.2× median
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