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Provider 1225036346

NPI: 1225036346Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,202,112

Total Claims

486K

Beneficiaries

385K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+13%
2019
$1.4M
+6%
2020
$1.5M
+9%
2021
$1.6M
+16%
2022
$1.9M
+6%
2023
$2.0M
-20%
2024
$1.6M

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 15% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$1.6M

12K claims · 14.7%

Your Cost: $137.92/claim|Median: $85.65
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

11K claims · 12.6%

Your Cost: $129.60/claim|Median: $42.48
3.1× median
99284Top 25%

Emergency dept visit, high complexity

$1.4M

11K claims · 12.4%

Your Cost: $128.56/claim|Median: $69.51
1.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$782K

3,535 claims · 7.0%

Your Cost: $221.32/claim|Median: $38.92
5.7× median
70450Top 25%

CT head/brain without contrast

$599K

3,672 claims · 5.3%

Your Cost: $163.06/claim|Median: $45.53
3.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$547K

3,110 claims · 4.9%

Your Cost: $175.99/claim|Median: $60.19
2.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$517K

2,458 claims · 4.6%

Your Cost: $210.49/claim|Median: $65.76
3.2× median
G0378Normal range

Hospital observation service, per hour

$392K

2,036 claims · 3.5%

Your Cost: $192.61/claim|Median: $99.39
1.9× median
96365Normal range

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

$270K

3,757 claims · 2.4%

Your Cost: $71.77/claim|Median: $54.77
1.3× median
71275Top 25%

CT angiography, chest, with contrast

$208K

993 claims · 1.9%

Your Cost: $209.87/claim|Median: $92.96
2.3× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$204K

924 claims · 1.8%

Your Cost: $221.27/claim|Median: $54.68
4.0× median
80053Normal range

Comprehensive metabolic panel

$186K

28K claims · 1.7%

Your Cost: $6.74/claim|Median: $7.24
0.9× median
99282Top 25%

Emergency dept visit, low complexity

$181K

1,429 claims · 1.6%

Your Cost: $126.42/claim|Median: $37.72
3.4× median
36415Top 25%

Collection of venous blood by venipuncture

$164K

41K claims · 1.5%

Your Cost: $4.02/claim|Median: $1.57
2.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$158K

47K claims · 1.4%

Your Cost: $3.36/claim|Median: $4.71
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$149K

6,187 claims · 1.3%

Your Cost: $24.08/claim|Median: $39.70
0.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$137K

3,598 claims · 1.2%

Your Cost: $38.09/claim|Median: $10.88
3.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$125K

7,783 claims · 1.1%

Your Cost: $16.02/claim|Median: $65.64
0.2× median
86738Normal range

$119K

11K claims · 1.1%

Your Cost: $10.89/claim|Median: $12.43
0.9× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$113K

700 claims · 1.0%

Your Cost: $162.05/claim|Median: $40.12
4.0× median
71046Top 25%

Chest X-ray, 2 views

$98K

4,848 claims · 0.9%

Your Cost: $20.27/claim|Median: $8.92
2.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$94K

5,137 claims · 0.8%

Your Cost: $18.35/claim|Median: $28.46
0.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$83K

13K claims · 0.7%

Your Cost: $6.33/claim|Median: $7.50
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$82K

2,282 claims · 0.7%

Your Cost: $35.94/claim|Median: $24.49
1.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$70K

11K claims · 0.6%

Your Cost: $6.19/claim|Median: $9.87
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$63K

7,396 claims · 0.6%

Your Cost: $8.47/claim|Median: $9.56
0.9× median
82306Normal range

Vitamin D, 25 hydroxy

$61K

5,009 claims · 0.5%

Your Cost: $12.08/claim|Median: $18.18
0.7× median
72110Normal range

$55K

1,635 claims · 0.5%

Your Cost: $33.44/claim|Median: $21.02
1.6× median
87634Normal range

$48K

2,450 claims · 0.4%

Your Cost: $19.42/claim|Median: $48.78
0.4× median
C9803Top 25%

$47K

1,747 claims · 0.4%

Your Cost: $26.85/claim|Median: $13.20
2.0× median
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