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Provider 1205845567

NPI: 1205845567Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.8M

$14,837,695

Total Claims

1.9M

Beneficiaries

1.7M

1.1 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-37%
2019
$1.6M
-13%
2020
$1.4M
+22%
2021
$1.7M
+20%
2022
$2.1M
+35%
2023
$2.8M
-10%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 15% of total spending.

0450Normal range

Emergency room visit

$2.2M

181K claims · 14.5%

Your Cost: $11.93/claim|Median: $44.95
0.3× median
99199Top 10%

Unlisted special service, procedure, or report

$1.6M

29K claims · 10.6%

Your Cost: $53.55/claim|Median: $5.39
9.9× median
74177Normal range

CT abdomen and pelvis with contrast

$793K

14K claims · 5.3%

Your Cost: $56.05/claim|Median: $65.76
0.9× median
Z7502Normal range

$642K

18K claims · 4.3%

Your Cost: $36.61/claim|Median: $37.17
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$533K

36K claims · 3.6%

Your Cost: $14.78/claim|Median: $21.76
0.7× median
Z9725Normal range

$521K

12K claims · 3.5%

Your Cost: $42.99/claim|Median: $42.99
1.0× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$484K

6,259 claims · 3.3%

Your Cost: $77.39/claim|Median: $144.30
0.5× median
70450Normal range

CT head/brain without contrast

$477K

10K claims · 3.2%

Your Cost: $46.15/claim|Median: $45.53
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$334K

34K claims · 2.3%

Your Cost: $9.88/claim|Median: $9.70
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$297K

116K claims · 2.0%

Your Cost: $2.55/claim|Median: $4.71
0.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$253K

2,150 claims · 1.7%

Your Cost: $117.62/claim|Median: $169.17
0.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$232K

26K claims · 1.6%

Your Cost: $8.95/claim|Median: $14.92
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$208K

29K claims · 1.4%

Your Cost: $7.18/claim|Median: $9.56
0.8× median
80048Normal range

Basic metabolic panel

$207K

75K claims · 1.4%

Your Cost: $2.76/claim|Median: $5.78
0.5× median
71046Normal range

Chest X-ray, 2 views

$204K

29K claims · 1.4%

Your Cost: $6.93/claim|Median: $8.92
0.8× median
0360Normal range

$194K

11K claims · 1.3%

Your Cost: $18.27/claim|Median: $95.40
0.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$188K

13K claims · 1.3%

Your Cost: $13.94/claim|Median: $63.08
0.2× median
96361Normal range

IV infusion, hydration, each additional hour

$156K

19K claims · 1.1%

Your Cost: $8.15/claim|Median: $38.92
0.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$140K

23K claims · 0.9%

Your Cost: $6.19/claim|Median: $7.50
0.8× median
80053Normal range

Comprehensive metabolic panel

$138K

42K claims · 0.9%

Your Cost: $3.27/claim|Median: $7.24
0.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$138K

2,316 claims · 0.9%

Your Cost: $59.59/claim|Median: $85.65
0.7× median
72125Normal range

CT cervical spine without contrast

$137K

2,572 claims · 0.9%

Your Cost: $53.35/claim|Median: $32.30
1.7× median
C9803Normal range

$133K

26K claims · 0.9%

Your Cost: $5.16/claim|Median: $13.20
0.4× median
70551Normal range

MRI brain without contrast

$130K

1,108 claims · 0.9%

Your Cost: $116.89/claim|Median: $85.39
1.4× median
84484Normal range

Troponin, quantitative

$125K

38K claims · 0.8%

Your Cost: $3.29/claim|Median: $4.84
0.7× median
V2632Normal range

$124K

1,873 claims · 0.8%

Your Cost: $66.02/claim|Median: $22.85
2.9× median
74176Normal range

CT abdomen and pelvis without contrast

$119K

3,987 claims · 0.8%

Your Cost: $29.80/claim|Median: $60.19
0.5× median
80076Normal range

Hepatic function panel

$109K

45K claims · 0.7%

Your Cost: $2.44/claim|Median: $4.59
0.5× median
71045Top 25%

Chest X-ray, single view

$107K

14K claims · 0.7%

Your Cost: $7.86/claim|Median: $4.93
1.6× median
99284Normal range

Emergency dept visit, high complexity

$103K

3,155 claims · 0.7%

Your Cost: $32.77/claim|Median: $69.51
0.5× median
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