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Provider 1225048838

NPI: 1225048838Share
Active Billing Period:2018-01→2024-12(68 months)

Total Paid

$8.6M

$8,629,850

Total Claims

364K

Beneficiaries

323K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$2K
+176%
2019
$6K
+10195%
2020
$641K
+492%
2021
$3.8M
-64%
2022
$1.4M
+11%
2023
$1.5M
-12%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 29% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.5M

22K claims · 28.7%

Your Cost: $110.48/claim|Median: $69.51
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$880K

11K claims · 10.2%

Your Cost: $77.91/claim|Median: $42.48
1.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$596K

3,987 claims · 6.9%

Your Cost: $149.40/claim|Median: $85.65
1.7× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$431K

15K claims · 5.0%

Your Cost: $28.60/claim|Median: $121.16
0.2× median
74177Normal range

CT abdomen and pelvis with contrast

$217K

1,478 claims · 2.5%

Your Cost: $146.74/claim|Median: $65.76
2.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$198K

2,120 claims · 2.3%

Your Cost: $93.60/claim|Median: $75.28
1.2× median
80053Normal range

Comprehensive metabolic panel

$193K

21K claims · 2.2%

Your Cost: $9.36/claim|Median: $7.24
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$191K

8,467 claims · 2.2%

Your Cost: $22.61/claim|Median: $21.76
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$165K

2,110 claims · 1.9%

Your Cost: $78.28/claim|Median: $91.47
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$164K

35K claims · 1.9%

Your Cost: $4.73/claim|Median: $4.71
1.0× median
G0378Normal range

Hospital observation service, per hour

$138K

529 claims · 1.6%

Your Cost: $260.80/claim|Median: $99.39
2.6× median
80050Top 25%

General health panel

$123K

2,564 claims · 1.4%

Your Cost: $47.86/claim|Median: $25.59
1.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$120K

5,011 claims · 1.4%

Your Cost: $24.05/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$113K

4,930 claims · 1.3%

Your Cost: $22.96/claim|Median: $23.39
1.0× median
70450Normal range

CT head/brain without contrast

$96K

1,786 claims · 1.1%

Your Cost: $54.03/claim|Median: $45.53
1.2× median
96365Normal range

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

$91K

3,072 claims · 1.1%

Your Cost: $29.52/claim|Median: $54.77
0.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$72K

4,438 claims · 0.8%

Your Cost: $16.27/claim|Median: $14.92
1.1× median
87480Top 25%

$72K

3,262 claims · 0.8%

Your Cost: $21.99/claim|Median: $14.31
1.5× median
87660Top 25%

$71K

3,256 claims · 0.8%

Your Cost: $21.74/claim|Median: $13.84
1.6× median
82306Top 25%

Vitamin D, 25 hydroxy

$71K

2,393 claims · 0.8%

Your Cost: $29.52/claim|Median: $18.18
1.6× median
80061Top 25%

Lipid panel

$64K

4,807 claims · 0.7%

Your Cost: $13.30/claim|Median: $8.41
1.6× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$62K

2,076 claims · 0.7%

Your Cost: $29.87/claim|Median: $19.06
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$61K

820 claims · 0.7%

Your Cost: $74.15/claim|Median: $60.19
1.2× median
77067Top 25%

Screening mammography, bilateral, including CAD

$59K

735 claims · 0.7%

Your Cost: $80.68/claim|Median: $39.33
2.1× median
73721Top 25%

MRI joint of lower extremity without contrast

$57K

242 claims · 0.7%

Your Cost: $234.02/claim|Median: $127.34
1.8× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$48K

1,324 claims · 0.6%

Your Cost: $36.62/claim|Median: $25.57
1.4× median
76856Normal range

Ultrasound, pelvic, complete

$47K

1,042 claims · 0.5%

Your Cost: $44.68/claim|Median: $47.58
0.9× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$47K

2,090 claims · 0.5%

Your Cost: $22.27/claim|Median: $9.87
2.3× median
83735Top 25%

Magnesium blood level test

$44K

8,011 claims · 0.5%

Your Cost: $5.53/claim|Median: $2.77
2.0× median
71275Normal range

CT angiography, chest, with contrast

$44K

301 claims · 0.5%

Your Cost: $144.91/claim|Median: $92.96
1.6× median
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