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Provider 1225032881

NPI: 1225032881Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,852,327

Total Claims

445K

Beneficiaries

349K

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$868K
+80%
2019
$1.6M
-0%
2020
$1.6M
+66%
2021
$2.6M
+37%
2022
$3.6M
-5%
2023
$3.4M
-30%
2024
$2.4M

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 26% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.2M

35K claims · 26.4%

Your Cost: $120.80/claim|Median: $42.48
2.8× median
99284Top 25%

Emergency dept visit, high complexity

$3.1M

30K claims · 19.8%

Your Cost: $103.28/claim|Median: $69.51
1.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.7M

16K claims · 10.6%

Your Cost: $102.96/claim|Median: $85.65
1.2× median
71045Top 1%

Chest X-ray, single view

$833K

7,786 claims · 5.3%

Your Cost: $107.00/claim|Median: $4.93
21.7× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$598K

11K claims · 3.8%

Your Cost: $52.82/claim|Median: $7.50
7.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$477K

4,562 claims · 3.0%

Your Cost: $104.54/claim|Median: $91.47
1.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$471K

15K claims · 3.0%

Your Cost: $31.97/claim|Median: $9.56
3.3× median
99214Top 25%

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

$433K

4,429 claims · 2.7%

Your Cost: $97.82/claim|Median: $53.41
1.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$332K

5,254 claims · 2.1%

Your Cost: $63.12/claim|Median: $63.08
1.0× median
88305Top 1%

Surgical pathology, gross and microscopic examination

$279K

1,064 claims · 1.8%

Your Cost: $262.31/claim|Median: $35.80
7.3× median
80050Top 5%

General health panel

$265K

1,740 claims · 1.7%

Your Cost: $152.39/claim|Median: $25.59
6.0× median
96361Normal range

IV infusion, hydration, each additional hour

$238K

5,022 claims · 1.5%

Your Cost: $47.44/claim|Median: $38.92
1.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$235K

1,378 claims · 1.5%

Your Cost: $170.26/claim|Median: $60.19
2.8× median
99213Top 5%

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

$225K

2,569 claims · 1.4%

Your Cost: $87.50/claim|Median: $37.81
2.3× median
80053Normal range

Comprehensive metabolic panel

$208K

47K claims · 1.3%

Your Cost: $4.39/claim|Median: $7.24
0.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$195K

7,994 claims · 1.2%

Your Cost: $24.34/claim|Median: $21.76
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$193K

60K claims · 1.2%

Your Cost: $3.25/claim|Median: $4.71
0.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$156K

4,303 claims · 1.0%

Your Cost: $36.23/claim|Median: $14.92
2.4× median
70450Top 25%

CT head/brain without contrast

$150K

1,776 claims · 0.9%

Your Cost: $84.44/claim|Median: $45.53
1.9× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$133K

812 claims · 0.8%

Your Cost: $164.37/claim|Median: $29.03
5.7× median
36415Normal range

Collection of venous blood by venipuncture

$129K

76K claims · 0.8%

Your Cost: $1.69/claim|Median: $1.57
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$116K

4,790 claims · 0.7%

Your Cost: $24.18/claim|Median: $26.41
0.9× median
71046Top 5%

Chest X-ray, 2 views

$103K

1,129 claims · 0.7%

Your Cost: $91.55/claim|Median: $8.92
10.3× median
99281Top 25%

Emergency dept visit, minimal complexity

$86K

564 claims · 0.5%

Your Cost: $152.65/claim|Median: $52.03
2.9× median
99218Top 5%

$73K

200 claims · 0.5%

Your Cost: $366.04/claim|Median: $51.50
7.1× median
80061Normal range

Lipid panel

$70K

10K claims · 0.4%

Your Cost: $7.00/claim|Median: $8.41
0.8× median
92507Top 5%

Speech/hearing/language treatment

$70K

536 claims · 0.4%

Your Cost: $130.18/claim|Median: $49.45
2.6× median
43239Normal range

Upper GI endoscopy with biopsy

$60K

354 claims · 0.4%

Your Cost: $169.79/claim|Median: $151.68
1.1× median
99282Top 25%

Emergency dept visit, low complexity

$57K

496 claims · 0.4%

Your Cost: $115.62/claim|Median: $37.72
3.1× median
99212Top 5%

Office/outpatient visit, low complexity

$43K

382 claims · 0.3%

Your Cost: $111.82/claim|Median: $25.06
4.5× median
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