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Provider 1205882669

NPI: 1205882669Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,075,681

Total Claims

253K

Beneficiaries

181K

1.4 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-23%
2019
$1.5M
-31%
2020
$1.0M
+28%
2021
$1.3M
+27%
2022
$1.6M
-11%
2023
$1.5M
-9%
2024
$1.3M

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 27% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.7M

21K claims · 26.6%

Your Cost: $126.95/claim|Median: $42.48
3.0× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$1.5M

3,746 claims · 14.9%

Your Cost: $399.80/claim|Median: $57.39
7.0× median
99284Top 25%

Emergency dept visit, high complexity

$1.2M

7,664 claims · 12.2%

Your Cost: $160.59/claim|Median: $69.51
2.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$747K

9,282 claims · 7.4%

Your Cost: $80.46/claim|Median: $120.85
0.7× median
99282Normal range

Emergency dept visit, low complexity

$470K

5,854 claims · 4.7%

Your Cost: $80.26/claim|Median: $37.72
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$365K

1,915 claims · 3.6%

Your Cost: $190.45/claim|Median: $85.65
2.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$293K

3,876 claims · 2.9%

Your Cost: $75.54/claim|Median: $21.76
3.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$261K

7,776 claims · 2.6%

Your Cost: $33.59/claim|Median: $9.56
3.5× median
99281Normal range

Emergency dept visit, minimal complexity

$211K

4,558 claims · 2.1%

Your Cost: $46.19/claim|Median: $52.03
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$202K

5,380 claims · 2.0%

Your Cost: $37.61/claim|Median: $39.70
0.9× median
71045Top 10%

Chest X-ray, single view

$199K

5,989 claims · 2.0%

Your Cost: $33.26/claim|Median: $4.93
6.7× median
74176Normal range

CT abdomen and pelvis without contrast

$159K

1,679 claims · 1.6%

Your Cost: $94.81/claim|Median: $60.19
1.6× median
D3220Normal range

Therapeutic pulpotomy

$135K

2,517 claims · 1.3%

Your Cost: $53.51/claim|Median: $81.27
0.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$109K

5,281 claims · 1.1%

Your Cost: $20.63/claim|Median: $7.50
2.8× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$100K

1,238 claims · 1.0%

Your Cost: $81.15/claim|Median: $10.88
7.5× median
70450Normal range

CT head/brain without contrast

$98K

2,026 claims · 1.0%

Your Cost: $48.43/claim|Median: $45.53
1.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$97K

2,179 claims · 1.0%

Your Cost: $44.68/claim|Median: $39.63
1.1× median
87430Normal range

$97K

8,322 claims · 1.0%

Your Cost: $11.67/claim|Median: $9.41
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$93K

2,484 claims · 0.9%

Your Cost: $37.40/claim|Median: $54.60
0.7× median
C9803Normal range

$91K

5,892 claims · 0.9%

Your Cost: $15.46/claim|Median: $13.20
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$75K

946 claims · 0.7%

Your Cost: $79.00/claim|Median: $71.00
1.1× median
87276Normal range

$73K

6,535 claims · 0.7%

Your Cost: $11.18/claim|Median: $11.29
1.0× median
G0378Normal range

Hospital observation service, per hour

$71K

283 claims · 0.7%

Your Cost: $250.33/claim|Median: $99.39
2.5× median
71046Top 10%

Chest X-ray, 2 views

$66K

1,871 claims · 0.7%

Your Cost: $35.25/claim|Median: $8.92
4.0× median
87275Normal range

$61K

6,535 claims · 0.6%

Your Cost: $9.33/claim|Median: $10.59
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$58K

1,783 claims · 0.6%

Your Cost: $32.64/claim|Median: $38.92
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$56K

12K claims · 0.6%

Your Cost: $4.50/claim|Median: $4.71
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$54K

2,501 claims · 0.5%

Your Cost: $21.57/claim|Median: $14.92
1.4× median
80053Normal range

Comprehensive metabolic panel

$53K

8,835 claims · 0.5%

Your Cost: $6.04/claim|Median: $7.24
0.8× median
87070Normal range

Bacterial culture, any source except blood or urine

$34K

5,092 claims · 0.3%

Your Cost: $6.75/claim|Median: $5.89
1.1× median
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