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Provider 1215030697

NPI: 1215030697Share
Active Billing Period:2018-08→2024-12(75 months)

Total Paid

$7.8M

$7,788,387

Total Claims

169K

Beneficiaries

131K

1.3 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$914
+29927%
2019
$274K
+134%
2020
$643K
+154%
2021
$1.6M
-3%
2022
$1.6M
+23%
2023
$1.9M
-12%
2024
$1.7M

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

$2.3M

14K claims · 29.0%

Your Cost: $160.30/claim|Median: $42.48
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$1.4M

9,319 claims · 18.5%

Your Cost: $154.63/claim|Median: $69.51
2.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$677K

4,303 claims · 8.7%

Your Cost: $157.44/claim|Median: $85.65
1.8× median
99282Top 10%

Emergency dept visit, low complexity

$577K

3,579 claims · 7.4%

Your Cost: $161.10/claim|Median: $37.72
4.3× median
70450Top 10%

CT head/brain without contrast

$430K

1,896 claims · 5.5%

Your Cost: $226.86/claim|Median: $45.53
5.0× median
74160Top 10%

$416K

1,370 claims · 5.3%

Your Cost: $303.99/claim|Median: $67.13
4.5× median
80053Top 25%

Comprehensive metabolic panel

$341K

19K claims · 4.4%

Your Cost: $18.22/claim|Median: $7.24
2.5× median
J1439Normal range

$302K

681 claims · 3.9%

Your Cost: $443.02/claim|Median: $477.34
0.9× median
74150Top 25%

CT scan of abdomen without contrast

$246K

991 claims · 3.2%

Your Cost: $247.75/claim|Median: $47.35
5.2× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$238K

19K claims · 3.1%

Your Cost: $12.43/claim|Median: $26.94
0.5× median
80048Top 25%

Basic metabolic panel

$193K

15K claims · 2.5%

Your Cost: $12.69/claim|Median: $5.78
2.2× median
99281Top 10%

Emergency dept visit, minimal complexity

$96K

606 claims · 1.2%

Your Cost: $159.16/claim|Median: $52.03
3.1× median
71250Top 5%

CT scan of chest without contrast

$68K

273 claims · 0.9%

Your Cost: $248.82/claim|Median: $39.11
6.4× median
96365Normal range

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

$51K

1,489 claims · 0.7%

Your Cost: $34.55/claim|Median: $54.77
0.6× median
70553Top 10%

MRI brain without contrast, then with contrast

$50K

105 claims · 0.6%

Your Cost: $471.99/claim|Median: $133.68
3.5× median
83880Top 25%

$40K

1,308 claims · 0.5%

Your Cost: $30.40/claim|Median: $11.81
2.6× median
86905Top 25%

$36K

972 claims · 0.5%

Your Cost: $36.66/claim|Median: $3.06
12.0× median
66984Top 1%

Extracapsular cataract removal with IOL insertion

$31K

15 claims · 0.4%

Your Cost: $2,078.44/claim|Median: $268.70
7.7× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$28K

412 claims · 0.4%

Your Cost: $67.65/claim|Median: $169.17
0.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$25K

1,755 claims · 0.3%

Your Cost: $14.15/claim|Median: $9.56
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$23K

14K claims · 0.3%

Your Cost: $1.66/claim|Median: $4.71
0.4× median
J1437Normal range

$19K

17 claims · 0.2%

Your Cost: $1,142.00/claim|Median: $979.19
1.2× median
81025Normal range

Urine pregnancy test

$19K

6,148 claims · 0.2%

Your Cost: $3.08/claim|Median: $4.81
0.6× median
76700Top 1%

Ultrasound, abdominal, complete

$16K

24 claims · 0.2%

Your Cost: $679.95/claim|Median: $50.69
13.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$15K

530 claims · 0.2%

Your Cost: $27.91/claim|Median: $14.92
1.9× median
87276Normal range

$14K

4,992 claims · 0.2%

Your Cost: $2.75/claim|Median: $11.29
0.2× median
82962Top 10%

Blood glucose test by monitoring device

$13K

1,691 claims · 0.2%

Your Cost: $7.71/claim|Median: $1.40
5.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$11K

693 claims · 0.1%

Your Cost: $16.12/claim|Median: $40.11
0.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$11K

254 claims · 0.1%

Your Cost: $43.31/claim|Median: $23.99
1.8× median
43239Top 5%

Upper GI endoscopy with biopsy

$11K

13 claims · 0.1%

Your Cost: $818.44/claim|Median: $151.68
5.4× median
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