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Provider 1205284411

NPI: 1205284411Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,048,160

Total Claims

400K

Beneficiaries

330K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-30%
2019
$1.3M
-28%
2020
$944K
+32%
2021
$1.2M
+10%
2022
$1.4M
+25%
2023
$1.7M
-7%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (36415 (Collection of venous blood by venipuncture)) accounts for 20% of total spending.

36415Top 1%

Collection of venous blood by venipuncture

$2.0M

26K claims · 19.6%

Your Cost: $74.68/claim|Median: $1.57
47.6× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.4M

15K claims · 14.1%

Your Cost: $93.80/claim|Median: $24.49
3.8× median
99283Normal range

Emergency dept visit, moderate complexity

$778K

21K claims · 7.7%

Your Cost: $36.25/claim|Median: $42.48
0.9× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$581K

4,075 claims · 5.8%

Your Cost: $142.68/claim|Median: $3.42
41.7× median
87430Top 1%

$544K

2,742 claims · 5.4%

Your Cost: $198.38/claim|Median: $9.41
21.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$517K

4,788 claims · 5.1%

Your Cost: $108.03/claim|Median: $91.47
1.2× median
99282Normal range

Emergency dept visit, low complexity

$340K

4,674 claims · 3.4%

Your Cost: $72.85/claim|Median: $37.72
1.9× median
81001Top 5%

Urinalysis, automated, with microscopy

$287K

13K claims · 2.9%

Your Cost: $21.79/claim|Median: $2.03
10.7× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$285K

4,075 claims · 2.8%

Your Cost: $70.05/claim|Median: $28.46
2.5× median
99281Normal range

Emergency dept visit, minimal complexity

$272K

2,672 claims · 2.7%

Your Cost: $101.72/claim|Median: $52.03
2.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$240K

7,044 claims · 2.4%

Your Cost: $34.02/claim|Median: $9.56
3.6× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$157K

2,353 claims · 1.6%

Your Cost: $66.83/claim|Median: $39.70
1.7× median
87804Top 25%

Influenza virus detection, rapid test

$151K

7,762 claims · 1.5%

Your Cost: $19.44/claim|Median: $12.59
1.5× median
J7030Top 5%

Normal saline solution infusion, 1000 cc

$145K

1,670 claims · 1.4%

Your Cost: $86.85/claim|Median: $1.53
56.8× median
99284Normal range

Emergency dept visit, high complexity

$143K

17K claims · 1.4%

Your Cost: $8.34/claim|Median: $69.51
0.1× median
87086Top 5%

Urine culture, colony count, with identification

$131K

2,779 claims · 1.3%

Your Cost: $47.19/claim|Median: $5.31
8.9× median
U0003Top 10%

Infectious disease detection (COVID-19)

$127K

1,348 claims · 1.3%

Your Cost: $94.06/claim|Median: $63.08
1.5× median
81025Top 5%

Urine pregnancy test

$124K

7,021 claims · 1.2%

Your Cost: $17.65/claim|Median: $4.81
3.7× median
81003Top 1%

Urinalysis, automated without microscopy

$122K

4,314 claims · 1.2%

Your Cost: $28.35/claim|Median: $1.48
19.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$120K

8,818 claims · 1.2%

Your Cost: $13.65/claim|Median: $21.76
0.6× median
70450Normal range

CT head/brain without contrast

$109K

4,296 claims · 1.1%

Your Cost: $25.30/claim|Median: $45.53
0.6× median
71046Top 25%

Chest X-ray, 2 views

$85K

4,240 claims · 0.8%

Your Cost: $20.02/claim|Median: $8.92
2.2× median
J7120Top 5%

Ringer's lactate infusion, up to 1000 cc

$82K

1,069 claims · 0.8%

Your Cost: $77.00/claim|Median: $1.51
51.0× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$80K

1,355 claims · 0.8%

Your Cost: $58.68/claim|Median: $12.06
4.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$74K

801 claims · 0.7%

Your Cost: $92.28/claim|Median: $54.68
1.7× median
71045Normal range

Chest X-ray, single view

$68K

9,676 claims · 0.7%

Your Cost: $7.03/claim|Median: $4.93
1.4× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$67K

962 claims · 0.7%

Your Cost: $70.13/claim|Median: $21.41
3.3× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$67K

948 claims · 0.7%

Your Cost: $71.01/claim|Median: $13.55
5.2× median
96365Normal range

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

$67K

2,607 claims · 0.7%

Your Cost: $25.58/claim|Median: $54.77
0.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$55K

1,180 claims · 0.5%

Your Cost: $46.63/claim|Median: $35.80
1.3× median
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