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Provider 1225082209

NPI: 1225082209Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,147,552

Total Claims

374K

Beneficiaries

302K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$4.3M
+15%
2019
$5.0M
-47%
2020
$2.7M
-98%
2021
$66K
+18%
2022
$78K
-62%
2023
$29K
-26%
2024
$22K

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 30% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$3.7M

18K claims · 30.3%

Your Cost: $206.87/claim|Median: $69.51
3.0× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.0M

18K claims · 24.9%

Your Cost: $168.27/claim|Median: $42.48
4.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$592K

2,030 claims · 4.9%

Your Cost: $291.86/claim|Median: $85.65
3.4× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$391K

1,063 claims · 3.2%

Your Cost: $368.08/claim|Median: $169.17
2.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$341K

15K claims · 2.8%

Your Cost: $23.48/claim|Median: $21.76
1.1× median
99282Normal range

Emergency dept visit, low complexity

$332K

4,148 claims · 2.7%

Your Cost: $79.94/claim|Median: $37.72
2.1× median
74177Normal range

CT abdomen and pelvis with contrast

$258K

2,254 claims · 2.1%

Your Cost: $114.28/claim|Median: $65.76
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$222K

7,943 claims · 1.8%

Your Cost: $27.98/claim|Median: $7.50
3.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$210K

6,623 claims · 1.7%

Your Cost: $31.69/claim|Median: $14.92
2.1× median
97530Normal range

Therapeutic activities, each 15 min

$194K

3,261 claims · 1.6%

Your Cost: $59.60/claim|Median: $33.11
1.8× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$152K

2,250 claims · 1.3%

Your Cost: $67.73/claim|Median: $37.56
1.8× median
92507Normal range

Speech/hearing/language treatment

$152K

3,077 claims · 1.2%

Your Cost: $49.25/claim|Median: $49.45
1.0× median
80053Normal range

Comprehensive metabolic panel

$149K

22K claims · 1.2%

Your Cost: $6.64/claim|Median: $7.24
0.9× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$145K

1,069 claims · 1.2%

Your Cost: $135.78/claim|Median: $65.45
2.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$110K

2,543 claims · 0.9%

Your Cost: $43.41/claim|Median: $35.43
1.2× median
96365Normal range

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

$108K

2,126 claims · 0.9%

Your Cost: $50.82/claim|Median: $54.77
0.9× median
85027Normal range

Complete blood count (CBC), automated

$103K

25K claims · 0.8%

Your Cost: $4.06/claim|Median: $3.72
1.1× median
70450Normal range

CT head/brain without contrast

$90K

2,622 claims · 0.7%

Your Cost: $34.45/claim|Median: $45.53
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$90K

2,946 claims · 0.7%

Your Cost: $30.41/claim|Median: $24.49
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$86K

1,157 claims · 0.7%

Your Cost: $74.66/claim|Median: $65.64
1.1× median
71046Normal range

Chest X-ray, 2 views

$72K

5,825 claims · 0.6%

Your Cost: $12.35/claim|Median: $8.92
1.4× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$71K

2,075 claims · 0.6%

Your Cost: $34.01/claim|Median: $26.72
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$67K

27K claims · 0.5%

Your Cost: $2.44/claim|Median: $1.57
1.6× median
87581Top 25%

$63K

1,968 claims · 0.5%

Your Cost: $32.20/claim|Median: $17.13
1.9× median
87486Top 25%

$63K

1,965 claims · 0.5%

Your Cost: $32.24/claim|Median: $19.16
1.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$56K

118 claims · 0.5%

Your Cost: $473.81/claim|Median: $331.68
1.4× median
71275Normal range

CT angiography, chest, with contrast

$53K

586 claims · 0.4%

Your Cost: $89.89/claim|Median: $92.96
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$47K

884 claims · 0.4%

Your Cost: $53.16/claim|Median: $60.19
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$43K

3,297 claims · 0.4%

Your Cost: $12.90/claim|Median: $9.87
1.3× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$42K

716 claims · 0.3%

Your Cost: $58.69/claim|Median: $35.80
1.6× median
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