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Provider 1205307378

NPI: 1205307378Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$15.4M

$15,380,494

Total Claims

406K

Beneficiaries

353K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2019
$2.3M
-18%
2020
$1.9M
+16%
2021
$2.2M
-10%
2022
$2.0M
+62%
2023
$3.2M
+15%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80053 (Comprehensive metabolic panel)) accounts for 17% of total spending.

80053Top 5%

Comprehensive metabolic panel

$2.6M

27K claims · 17.2%

Your Cost: $97.54/claim|Median: $7.24
13.5× median
99283Normal range

Emergency dept visit, moderate complexity

$1.8M

33K claims · 11.9%

Your Cost: $55.73/claim|Median: $42.48
1.3× median
Q9967Top 1%

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

$1.5M

4,901 claims · 9.5%

Your Cost: $297.65/claim|Median: $3.42
87.0× median
J7030Top 1%

Normal saline solution infusion, 1000 cc

$1.3M

8,230 claims · 8.7%

Your Cost: $162.55/claim|Median: $1.53
106.2× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.2M

8,283 claims · 8.1%

Your Cost: $149.84/claim|Median: $97.61
1.5× median
81001Top 5%

Urinalysis, automated, with microscopy

$817K

18K claims · 5.3%

Your Cost: $44.80/claim|Median: $2.03
22.1× median
J7120Top 1%

Ringer's lactate infusion, up to 1000 cc

$650K

1,745 claims · 4.2%

Your Cost: $372.23/claim|Median: $1.51
246.5× median
99282Top 10%

Emergency dept visit, low complexity

$498K

3,305 claims · 3.2%

Your Cost: $150.54/claim|Median: $37.72
4.0× median
U0003Top 25%

Infectious disease detection (COVID-19)

$438K

4,864 claims · 2.8%

Your Cost: $90.08/claim|Median: $63.08
1.4× median
80048Top 5%

Basic metabolic panel

$328K

4,144 claims · 2.1%

Your Cost: $79.09/claim|Median: $5.78
13.7× median
36415Top 1%

Collection of venous blood by venipuncture

$218K

3,307 claims · 1.4%

Your Cost: $65.80/claim|Median: $1.57
41.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$189K

4,503 claims · 1.2%

Your Cost: $41.91/claim|Median: $35.43
1.2× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$172K

4,528 claims · 1.1%

Your Cost: $38.05/claim|Median: $24.95
1.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$172K

4,491 claims · 1.1%

Your Cost: $38.27/claim|Median: $9.56
4.0× median
87804Top 1%

Influenza virus detection, rapid test

$169K

2,061 claims · 1.1%

Your Cost: $82.24/claim|Median: $12.59
6.5× median
71046Top 10%

Chest X-ray, 2 views

$164K

4,121 claims · 1.1%

Your Cost: $39.68/claim|Median: $8.92
4.4× median
87081Top 1%

Culture screening for pathogenic organisms

$151K

1,458 claims · 1.0%

Your Cost: $103.62/claim|Median: $5.09
20.4× median
73610Top 1%

X-ray of ankle, complete, minimum three views

$146K

1,126 claims · 1.0%

Your Cost: $130.10/claim|Median: $13.55
9.6× median
81025Top 5%

Urine pregnancy test

$146K

8,272 claims · 1.0%

Your Cost: $17.67/claim|Median: $4.81
3.7× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$142K

1,436 claims · 0.9%

Your Cost: $99.02/claim|Median: $12.06
8.2× median
71045Top 25%

Chest X-ray, single view

$139K

8,991 claims · 0.9%

Your Cost: $15.41/claim|Median: $4.93
3.1× median
J7040Top 5%

Normal saline solution infusion, 500 cc

$132K

1,037 claims · 0.9%

Your Cost: $127.49/claim|Median: $1.11
114.9× median
87070Top 1%

Bacterial culture, any source except blood or urine

$121K

734 claims · 0.8%

Your Cost: $165.03/claim|Median: $5.89
28.0× median
76830Top 5%

Ultrasound, transvaginal

$114K

828 claims · 0.7%

Your Cost: $138.00/claim|Median: $57.47
2.4× median
73130Top 1%

$111K

754 claims · 0.7%

Your Cost: $147.14/claim|Median: $10.69
13.8× median
87075Top 1%

$109K

1,190 claims · 0.7%

Your Cost: $91.91/claim|Median: $4.65
19.8× median
70450Normal range

CT head/brain without contrast

$108K

3,670 claims · 0.7%

Your Cost: $29.30/claim|Median: $45.53
0.6× median
81003Top 1%

Urinalysis, automated without microscopy

$96K

1,363 claims · 0.6%

Your Cost: $70.67/claim|Median: $1.48
47.7× median
73562Top 5%

$94K

1,213 claims · 0.6%

Your Cost: $77.29/claim|Median: $12.28
6.3× median
99284Normal range

Emergency dept visit, high complexity

$86K

11K claims · 0.6%

Your Cost: $7.83/claim|Median: $69.51
0.1× median
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