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Provider 1194838821

NPI: 1194838821Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,961,532

Total Claims

110K

Beneficiaries

96K

1.2 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-23%
2019
$1.3M
-26%
2020
$985K
-53%
2021
$464K
+119%
2022
$1.0M
+39%
2023
$1.4M
-27%
2024
$1.0M

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 10%

Emergency dept visit, moderate complexity

$2.3M

16K claims · 28.3%

Your Cost: $142.26/claim|Median: $42.48
3.3× median
99284Top 10%

Emergency dept visit, high complexity

$1.4M

7,422 claims · 17.8%

Your Cost: $190.89/claim|Median: $69.51
2.7× median
X4011Normal range

Healthcare procedure, code X4011

$944K

4,688 claims · 11.9%

Your Cost: $201.40/claim|Median: $268.66
0.7× median
Y7506Normal range

Healthcare procedure, code Y7506

$444K

4,948 claims · 5.6%

Your Cost: $89.66/claim|Median: $146.80
0.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$429K

13K claims · 5.4%

Your Cost: $32.22/claim|Median: $4.71
6.8× median
80053Top 10%

Comprehensive metabolic panel

$407K

13K claims · 5.1%

Your Cost: $32.00/claim|Median: $7.24
4.4× median
87804Top 1%

Influenza virus detection, rapid test

$325K

4,266 claims · 4.1%

Your Cost: $76.13/claim|Median: $12.59
6.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$267K

881 claims · 3.3%

Your Cost: $302.61/claim|Median: $85.65
3.5× median
81000Top 1%

Urinalysis with microscopy, non-automated

$245K

6,597 claims · 3.1%

Your Cost: $37.07/claim|Median: $2.51
14.8× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$200K

2,808 claims · 2.5%

Your Cost: $71.22/claim|Median: $7.50
9.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$157K

4,549 claims · 2.0%

Your Cost: $34.55/claim|Median: $39.70
0.9× median
99282Normal range

Emergency dept visit, low complexity

$129K

1,619 claims · 1.6%

Your Cost: $79.45/claim|Median: $37.72
2.1× median
36415Top 5%

Collection of venous blood by venipuncture

$125K

8,622 claims · 1.6%

Your Cost: $14.45/claim|Median: $1.57
9.2× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$120K

598 claims · 1.5%

Your Cost: $200.62/claim|Median: $28.46
7.0× median
71045Top 5%

Chest X-ray, single view

$90K

1,872 claims · 1.1%

Your Cost: $48.13/claim|Median: $4.93
9.8× median
71046Top 1%

Chest X-ray, 2 views

$61K

421 claims · 0.8%

Your Cost: $145.73/claim|Median: $8.92
16.3× median
84484Top 10%

Troponin, quantitative

$53K

2,208 claims · 0.7%

Your Cost: $23.83/claim|Median: $4.84
4.9× median
G0378Top 25%

Hospital observation service, per hour

$38K

117 claims · 0.5%

Your Cost: $325.08/claim|Median: $99.39
3.3× median
82550Top 5%

Creatine kinase (CK) total blood test

$35K

1,484 claims · 0.4%

Your Cost: $23.92/claim|Median: $2.97
8.1× median
82553Top 5%

$30K

976 claims · 0.4%

Your Cost: $31.02/claim|Median: $5.41
5.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$20K

361 claims · 0.2%

Your Cost: $54.17/claim|Median: $35.43
1.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$19K

1,380 claims · 0.2%

Your Cost: $13.62/claim|Median: $9.87
1.4× median
J3490Normal range

Unclassified drugs

$18K

5,904 claims · 0.2%

Your Cost: $3.02/claim|Median: $5.70
0.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$16K

99 claims · 0.2%

Your Cost: $163.94/claim|Median: $60.19
2.7× median
87426Normal range

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

$13K

1,032 claims · 0.2%

Your Cost: $12.34/claim|Median: $30.04
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$12K

1,019 claims · 0.2%

Your Cost: $12.12/claim|Median: $11.48
1.1× median
70450Top 25%

CT head/brain without contrast

$12K

125 claims · 0.2%

Your Cost: $96.50/claim|Median: $45.53
2.1× median
83874Top 5%

$11K

194 claims · 0.1%

Your Cost: $55.23/claim|Median: $6.40
8.6× median
83605Top 5%

$8K

326 claims · 0.1%

Your Cost: $25.24/claim|Median: $4.66
5.4× median
80061Normal range

Lipid panel

$8K

726 claims · 0.1%

Your Cost: $10.67/claim|Median: $8.41
1.3× median
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