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Provider 1205824737

NPI: 1205824737Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$16,980,457

Total Claims

649K

Beneficiaries

557K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-3%
2019
$2.7M
-20%
2020
$2.1M
+13%
2021
$2.4M
-6%
2022
$2.3M
+13%
2023
$2.6M
-15%
2024
$2.2M

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 24% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$4.1M

12K claims · 24.1%

Your Cost: $340.19/claim|Median: $85.65
4.0× median
99284Top 10%

Emergency dept visit, high complexity

$3.6M

20K claims · 21.5%

Your Cost: $180.44/claim|Median: $69.51
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

16K claims · 10.9%

Your Cost: $117.07/claim|Median: $42.48
2.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

12K claims · 6.5%

Your Cost: $88.69/claim|Median: $21.76
4.1× median
74177Normal range

CT abdomen and pelvis with contrast

$784K

5,082 claims · 4.6%

Your Cost: $154.33/claim|Median: $65.76
2.3× median
96361Normal range

IV infusion, hydration, each additional hour

$508K

13K claims · 3.0%

Your Cost: $39.90/claim|Median: $38.92
1.0× median
96360Normal range

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

$295K

3,185 claims · 1.7%

Your Cost: $92.50/claim|Median: $61.57
1.5× median
G0463Normal range

Hospital outpatient clinic visit

$295K

12K claims · 1.7%

Your Cost: $24.79/claim|Median: $26.41
0.9× median
70450Normal range

CT head/brain without contrast

$290K

3,956 claims · 1.7%

Your Cost: $73.32/claim|Median: $45.53
1.6× median
97110Normal range

Therapeutic exercises, each 15 min

$286K

12K claims · 1.7%

Your Cost: $23.49/claim|Median: $24.49
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$271K

10K claims · 1.6%

Your Cost: $26.70/claim|Median: $14.92
1.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$256K

3,712 claims · 1.5%

Your Cost: $68.97/claim|Median: $100.62
0.7× median
71045Top 10%

Chest X-ray, single view

$250K

7,602 claims · 1.5%

Your Cost: $32.86/claim|Median: $4.93
6.7× median
96365Normal range

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

$239K

3,221 claims · 1.4%

Your Cost: $74.15/claim|Median: $54.77
1.4× median
99282Normal range

Emergency dept visit, low complexity

$221K

3,175 claims · 1.3%

Your Cost: $69.57/claim|Median: $37.72
1.8× median
99291Top 5%

Critical care, first 30-74 minutes

$205K

360 claims · 1.2%

Your Cost: $569.47/claim|Median: $101.24
5.6× median
74176Normal range

CT abdomen and pelvis without contrast

$200K

1,906 claims · 1.2%

Your Cost: $105.14/claim|Median: $60.19
1.7× median
71046Top 10%

Chest X-ray, 2 views

$149K

4,377 claims · 0.9%

Your Cost: $34.01/claim|Median: $8.92
3.8× median
82947Top 5%

Blood glucose level test

$137K

4,958 claims · 0.8%

Your Cost: $27.66/claim|Median: $2.38
11.6× median
43239Top 25%

Upper GI endoscopy with biopsy

$123K

397 claims · 0.7%

Your Cost: $308.93/claim|Median: $151.68
2.0× median
80061Top 25%

Lipid panel

$108K

7,243 claims · 0.6%

Your Cost: $14.90/claim|Median: $8.41
1.8× median
G0378Normal range

Hospital observation service, per hour

$98K

2,887 claims · 0.6%

Your Cost: $34.12/claim|Median: $99.39
0.3× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$89K

180 claims · 0.5%

Your Cost: $494.99/claim|Median: $233.73
2.1× median
76856Normal range

Ultrasound, pelvic, complete

$86K

1,686 claims · 0.5%

Your Cost: $50.84/claim|Median: $47.58
1.1× median
76830Normal range

Ultrasound, transvaginal

$83K

1,498 claims · 0.5%

Your Cost: $55.44/claim|Median: $57.47
1.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$82K

1,743 claims · 0.5%

Your Cost: $47.02/claim|Median: $39.33
1.2× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$72K

661 claims · 0.4%

Your Cost: $109.17/claim|Median: $79.28
1.4× median
59025Top 25%

Fetal non-stress test

$68K

830 claims · 0.4%

Your Cost: $82.02/claim|Median: $26.45
3.1× median
71275Normal range

CT angiography, chest, with contrast

$65K

875 claims · 0.4%

Your Cost: $74.32/claim|Median: $92.96
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$59K

2,512 claims · 0.3%

Your Cost: $23.54/claim|Median: $39.70
0.6× median
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