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Provider 1205889458

NPI: 1205889458Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,768,428

Total Claims

219K

Beneficiaries

195K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+25%
2019
$1.4M
-12%
2020
$1.3M
+58%
2021
$2.0M
+23%
2022
$2.5M
-10%
2023
$2.2M
-47%
2024
$1.2M

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 12% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

14K claims · 12.3%

Your Cost: $101.40/claim|Median: $42.48
2.4× median
81025Top 1%

Urine pregnancy test

$1.4M

8,212 claims · 11.9%

Your Cost: $170.71/claim|Median: $4.81
35.5× median
80048Top 1%

Basic metabolic panel

$1.1M

6,448 claims · 9.0%

Your Cost: $164.03/claim|Median: $5.78
28.4× median
80053Top 1%

Comprehensive metabolic panel

$886K

7,747 claims · 7.5%

Your Cost: $114.40/claim|Median: $7.24
15.8× median
36415Top 1%

Collection of venous blood by venipuncture

$622K

4,653 claims · 5.3%

Your Cost: $133.65/claim|Median: $1.57
85.1× median
94010Top 1%

$568K

873 claims · 4.8%

Your Cost: $650.61/claim|Median: $18.11
35.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$553K

4,861 claims · 4.7%

Your Cost: $113.67/claim|Median: $9.56
11.9× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$492K

2,919 claims · 4.2%

Your Cost: $168.38/claim|Median: $35.80
4.7× median
81001Top 5%

Urinalysis, automated, with microscopy

$419K

11K claims · 3.6%

Your Cost: $38.85/claim|Median: $2.03
19.1× median
99282Top 10%

Emergency dept visit, low complexity

$397K

2,491 claims · 3.4%

Your Cost: $159.56/claim|Median: $37.72
4.2× median
96361Normal range

IV infusion, hydration, each additional hour

$397K

4,943 claims · 3.4%

Your Cost: $80.22/claim|Median: $38.92
2.1× median
99284Normal range

Emergency dept visit, high complexity

$373K

11K claims · 3.2%

Your Cost: $33.45/claim|Median: $69.51
0.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$274K

5,127 claims · 2.3%

Your Cost: $53.35/claim|Median: $21.76
2.5× median
84702Top 1%

$236K

2,269 claims · 2.0%

Your Cost: $103.91/claim|Median: $8.25
12.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$202K

1,607 claims · 1.7%

Your Cost: $125.69/claim|Median: $91.47
1.4× median
85027Top 5%

Complete blood count (CBC), automated

$186K

3,352 claims · 1.6%

Your Cost: $55.58/claim|Median: $3.72
14.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$162K

4,964 claims · 1.4%

Your Cost: $32.66/claim|Median: $85.65
0.4× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$144K

12K claims · 1.2%

Your Cost: $11.58/claim|Median: $4.71
2.5× median
96360Normal range

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

$119K

1,355 claims · 1.0%

Your Cost: $88.18/claim|Median: $61.57
1.4× median
86900Top 5%

$108K

1,269 claims · 0.9%

Your Cost: $84.83/claim|Median: $2.55
33.3× median
87086Top 5%

Urine culture, colony count, with identification

$101K

2,305 claims · 0.9%

Your Cost: $43.75/claim|Median: $5.31
8.2× median
87210Top 1%

$92K

904 claims · 0.8%

Your Cost: $102.03/claim|Median: $3.65
28.0× median
76830Top 5%

Ultrasound, transvaginal

$83K

510 claims · 0.7%

Your Cost: $161.95/claim|Median: $57.47
2.8× median
86850Top 1%

$80K

749 claims · 0.7%

Your Cost: $106.97/claim|Median: $5.44
19.7× median
77063Top 1%

Screening digital breast tomosynthesis, bilateral

$73K

633 claims · 0.6%

Your Cost: $114.85/claim|Median: $21.41
5.4× median
74177Normal range

CT abdomen and pelvis with contrast

$71K

1,543 claims · 0.6%

Your Cost: $46.28/claim|Median: $65.76
0.7× median
84112Top 5%

$61K

201 claims · 0.5%

Your Cost: $305.16/claim|Median: $31.88
9.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$61K

1,583 claims · 0.5%

Your Cost: $38.50/claim|Median: $35.43
1.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$61K

1,986 claims · 0.5%

Your Cost: $30.51/claim|Median: $39.33
0.8× median
76642Top 25%

$58K

878 claims · 0.5%

Your Cost: $65.62/claim|Median: $32.06
2.0× median
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