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Provider 1215974134

NPI: 1215974134Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.8M

$14,847,941

Total Claims

419K

Beneficiaries

315K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$394K
+547%
2019
$2.6M
-29%
2020
$1.8M
+40%
2021
$2.5M
+29%
2022
$3.3M
-21%
2023
$2.6M
-34%
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 23% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.4M

28K claims · 22.8%

Your Cost: $121.19/claim|Median: $42.48
2.9× median
99284Top 25%

Emergency dept visit, high complexity

$1.8M

18K claims · 12.1%

Your Cost: $98.02/claim|Median: $69.51
1.4× median
97110Top 1%

Therapeutic exercises, each 15 min

$1.7M

12K claims · 11.4%

Your Cost: $143.98/claim|Median: $24.49
5.9× median
97530Top 5%

Therapeutic activities, each 15 min

$1.5M

13K claims · 10.4%

Your Cost: $114.50/claim|Median: $33.11
3.5× median
92507Top 5%

Speech/hearing/language treatment

$1.2M

9,310 claims · 7.8%

Your Cost: $124.47/claim|Median: $49.45
2.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$844K

3,541 claims · 5.7%

Your Cost: $238.29/claim|Median: $60.19
4.0× median
99282Top 25%

Emergency dept visit, low complexity

$671K

5,079 claims · 4.5%

Your Cost: $132.07/claim|Median: $37.72
3.5× median
70450Top 25%

CT head/brain without contrast

$420K

3,721 claims · 2.8%

Your Cost: $112.75/claim|Median: $45.53
2.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$268K

4,236 claims · 1.8%

Your Cost: $63.32/claim|Median: $85.65
0.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$248K

1,376 claims · 1.7%

Your Cost: $179.92/claim|Median: $65.76
2.7× median
80053Top 25%

Comprehensive metabolic panel

$240K

17K claims · 1.6%

Your Cost: $14.09/claim|Median: $7.24
1.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$217K

1,386 claims · 1.5%

Your Cost: $156.32/claim|Median: $52.03
3.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$200K

1,611 claims · 1.3%

Your Cost: $124.32/claim|Median: $38.92
3.2× median
80048Top 25%

Basic metabolic panel

$117K

9,139 claims · 0.8%

Your Cost: $12.84/claim|Median: $5.78
2.2× median
87070Top 25%

Bacterial culture, any source except blood or urine

$95K

7,333 claims · 0.6%

Your Cost: $12.97/claim|Median: $5.89
2.2× median
72125Top 25%

CT cervical spine without contrast

$93K

1,178 claims · 0.6%

Your Cost: $78.80/claim|Median: $32.30
2.4× median
97163Top 10%

PT evaluation, high complexity

$88K

609 claims · 0.6%

Your Cost: $144.76/claim|Median: $50.34
2.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$82K

1,114 claims · 0.6%

Your Cost: $73.89/claim|Median: $63.08
1.2× median
A9270Top 10%

$74K

9,628 claims · 0.5%

Your Cost: $7.64/claim|Median: $0.20
38.2× median
76856Top 10%

Ultrasound, pelvic, complete

$71K

493 claims · 0.5%

Your Cost: $143.78/claim|Median: $47.58
3.0× median
36415Top 5%

Collection of venous blood by venipuncture

$70K

3,178 claims · 0.5%

Your Cost: $22.09/claim|Median: $1.57
14.1× median
85027Normal range

Complete blood count (CBC), automated

$66K

27K claims · 0.4%

Your Cost: $2.49/claim|Median: $3.72
0.7× median
96365Normal range

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

$59K

1,056 claims · 0.4%

Your Cost: $55.65/claim|Median: $54.77
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$57K

4,531 claims · 0.4%

Your Cost: $12.54/claim|Median: $9.56
1.3× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$56K

689 claims · 0.4%

Your Cost: $81.14/claim|Median: $13.55
6.0× median
G0378Normal range

Hospital observation service, per hour

$52K

3,206 claims · 0.4%

Your Cost: $16.26/claim|Median: $99.39
0.2× median
71275Top 5%

CT angiography, chest, with contrast

$48K

119 claims · 0.3%

Your Cost: $402.46/claim|Median: $92.96
4.3× median
81001Top 25%

Urinalysis, automated, with microscopy

$47K

9,814 claims · 0.3%

Your Cost: $4.82/claim|Median: $2.03
2.4× median
84484Normal range

Troponin, quantitative

$46K

8,086 claims · 0.3%

Your Cost: $5.72/claim|Median: $4.84
1.2× median
71045Normal range

Chest X-ray, single view

$44K

12K claims · 0.3%

Your Cost: $3.66/claim|Median: $4.93
0.7× median
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