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Provider 1205882396

NPI: 1205882396Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.3M

$14,293,171

Total Claims

409K

Beneficiaries

314K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+92%
2019
$1.9M
-13%
2020
$1.7M
+6%
2021
$1.8M
+39%
2022
$2.5M
+18%
2023
$2.9M
-16%
2024
$2.5M

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 29% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$4.1M

26K claims · 28.8%

Your Cost: $157.47/claim|Median: $42.48
3.7× median
99284Top 25%

Emergency dept visit, high complexity

$2.4M

17K claims · 16.5%

Your Cost: $142.36/claim|Median: $69.51
2.0× median
99282Top 10%

Emergency dept visit, low complexity

$1.3M

7,571 claims · 8.8%

Your Cost: $165.63/claim|Median: $37.72
4.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.2M

5,177 claims · 8.3%

Your Cost: $229.40/claim|Median: $38.92
5.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$683K

4,672 claims · 4.8%

Your Cost: $146.26/claim|Median: $85.65
1.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$675K

3,527 claims · 4.7%

Your Cost: $191.26/claim|Median: $65.76
2.9× median
70450Top 25%

CT head/brain without contrast

$540K

3,497 claims · 3.8%

Your Cost: $154.30/claim|Median: $45.53
3.4× median
99281Top 10%

Emergency dept visit, minimal complexity

$290K

1,638 claims · 2.0%

Your Cost: $176.84/claim|Median: $52.03
3.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$285K

1,786 claims · 2.0%

Your Cost: $159.76/claim|Median: $60.19
2.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$209K

5,768 claims · 1.5%

Your Cost: $36.18/claim|Median: $35.43
1.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$204K

552 claims · 1.4%

Your Cost: $369.72/claim|Median: $151.68
2.4× median
96365Normal range

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

$201K

2,780 claims · 1.4%

Your Cost: $72.33/claim|Median: $54.77
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$193K

5,356 claims · 1.3%

Your Cost: $35.95/claim|Median: $24.49
1.5× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$157K

2,275 claims · 1.1%

Your Cost: $68.87/claim|Median: $39.70
1.7× median
97530Normal range

Therapeutic activities, each 15 min

$152K

5,522 claims · 1.1%

Your Cost: $27.59/claim|Median: $33.11
0.8× median
96360Top 25%

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

$138K

1,021 claims · 1.0%

Your Cost: $134.86/claim|Median: $61.57
2.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$130K

4,941 claims · 0.9%

Your Cost: $26.31/claim|Median: $63.08
0.4× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$120K

537 claims · 0.8%

Your Cost: $223.94/claim|Median: $54.68
4.1× median
C9803Normal range

$103K

4,648 claims · 0.7%

Your Cost: $22.16/claim|Median: $13.20
1.7× median
71275Top 25%

CT angiography, chest, with contrast

$96K

503 claims · 0.7%

Your Cost: $190.62/claim|Median: $92.96
2.1× median
96366Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$94K

415 claims · 0.7%

Your Cost: $226.12/claim|Median: $40.12
5.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$93K

4,287 claims · 0.7%

Your Cost: $21.76/claim|Median: $16.79
1.3× median
80053Normal range

Comprehensive metabolic panel

$67K

21K claims · 0.5%

Your Cost: $3.15/claim|Median: $7.24
0.4× median
71046Normal range

Chest X-ray, 2 views

$62K

4,972 claims · 0.4%

Your Cost: $12.38/claim|Median: $8.92
1.4× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$59K

2,072 claims · 0.4%

Your Cost: $28.61/claim|Median: $10.88
2.6× median
76705Top 25%

Ultrasound, abdominal, limited

$57K

663 claims · 0.4%

Your Cost: $86.36/claim|Median: $23.81
3.6× median
77336Normal range

$54K

890 claims · 0.4%

Your Cost: $60.65/claim|Median: $55.04
1.1× median
G0378Normal range

Hospital observation service, per hour

$47K

1,282 claims · 0.3%

Your Cost: $36.70/claim|Median: $99.39
0.4× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$46K

222 claims · 0.3%

Your Cost: $208.47/claim|Median: $260.56
0.8× median
45380Top 10%

Colonoscopy with biopsy

$41K

66 claims · 0.3%

Your Cost: $623.26/claim|Median: $200.68
3.1× median
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