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Provider 1205893450

NPI: 1205893450Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,410,100

Total Claims

457K

Beneficiaries

419K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-3%
2019
$1.2M
-5%
2020
$1.2M
+69%
2021
$2.0M
+10%
2022
$2.2M
+12%
2023
$2.5M
-14%
2024
$2.1M

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 14% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$1.8M

12K claims · 14.1%

Your Cost: $143.05/claim|Median: $85.65
1.7× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$1.2M

7,884 claims · 9.6%

Your Cost: $151.83/claim|Median: $37.81
4.0× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.0M

2,998 claims · 8.1%

Your Cost: $337.09/claim|Median: $38.92
8.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$814K

5,896 claims · 6.6%

Your Cost: $138.01/claim|Median: $42.48
3.2× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$797K

1,054 claims · 6.4%

Your Cost: $756.38/claim|Median: $233.73
3.2× median
99284Top 25%

Emergency dept visit, high complexity

$770K

5,851 claims · 6.2%

Your Cost: $131.57/claim|Median: $69.51
1.9× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$716K

4,933 claims · 5.8%

Your Cost: $145.05/claim|Median: $53.41
2.7× median
95811Top 10%

Sleep study with CPAP titration, polysomnography

$592K

873 claims · 4.8%

Your Cost: $678.62/claim|Median: $255.03
2.7× median
G0378Normal range

Hospital observation service, per hour

$369K

2,211 claims · 3.0%

Your Cost: $166.77/claim|Median: $99.39
1.7× median
G0463Normal range

Hospital outpatient clinic visit

$362K

16K claims · 2.9%

Your Cost: $23.28/claim|Median: $26.41
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$259K

2,881 claims · 2.1%

Your Cost: $90.01/claim|Median: $65.76
1.4× median
S9485Normal range

Crisis intervention mental health services, per diem

$240K

820 claims · 1.9%

Your Cost: $293.28/claim|Median: $501.33
0.6× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$199K

2,481 claims · 1.6%

Your Cost: $80.06/claim|Median: $21.41
3.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$198K

3,785 claims · 1.6%

Your Cost: $52.23/claim|Median: $63.08
0.8× median
45380Top 5%

Colonoscopy with biopsy

$193K

195 claims · 1.6%

Your Cost: $991.74/claim|Median: $200.68
4.9× median
70450Normal range

CT head/brain without contrast

$163K

2,583 claims · 1.3%

Your Cost: $62.94/claim|Median: $45.53
1.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$146K

4,635 claims · 1.2%

Your Cost: $31.45/claim|Median: $91.47
0.3× median
96365Normal range

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

$119K

1,590 claims · 1.0%

Your Cost: $75.06/claim|Median: $54.77
1.4× median
97110Top 10%

Therapeutic exercises, each 15 min

$119K

1,772 claims · 1.0%

Your Cost: $67.12/claim|Median: $24.49
2.7× median
82306Normal range

Vitamin D, 25 hydroxy

$105K

6,434 claims · 0.8%

Your Cost: $16.26/claim|Median: $18.18
0.9× median
80053Normal range

Comprehensive metabolic panel

$101K

24K claims · 0.8%

Your Cost: $4.19/claim|Median: $7.24
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$97K

26K claims · 0.8%

Your Cost: $3.65/claim|Median: $4.71
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$95K

12K claims · 0.8%

Your Cost: $7.98/claim|Median: $9.87
0.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$84K

14K claims · 0.7%

Your Cost: $6.11/claim|Median: $5.50
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$72K

2,205 claims · 0.6%

Your Cost: $32.53/claim|Median: $24.95
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$72K

2,498 claims · 0.6%

Your Cost: $28.64/claim|Median: $39.33
0.7× median
71046Normal range

Chest X-ray, 2 views

$69K

4,868 claims · 0.6%

Your Cost: $14.18/claim|Median: $8.92
1.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$68K

2,209 claims · 0.6%

Your Cost: $30.92/claim|Median: $23.39
1.3× median
80048Normal range

Basic metabolic panel

$68K

16K claims · 0.5%

Your Cost: $4.28/claim|Median: $5.78
0.7× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$68K

753 claims · 0.5%

Your Cost: $89.98/claim|Median: $36.13
2.5× median
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