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Provider 1225285810

NPI: 1225285810Share
Active Billing Period:2020-03→2024-11(57 months)

Total Paid

$9.9M

$9,946,964

Total Claims

170K

Beneficiaries

161K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2020
$1.1M
+77%
2021
$1.9M
+14%
2022
$2.2M
+19%
2023
$2.6M
-17%
2024
$2.2M

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 44% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$4.4M

32K claims · 44.1%

Your Cost: $135.69/claim|Median: $85.65
1.6× median
99284Top 25%

Emergency dept visit, high complexity

$2.4M

23K claims · 23.7%

Your Cost: $103.01/claim|Median: $69.51
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$566K

7,468 claims · 5.7%

Your Cost: $75.73/claim|Median: $65.76
1.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$523K

7,728 claims · 5.3%

Your Cost: $67.62/claim|Median: $42.48
1.6× median
93010Top 25%

Electrocardiogram, interpretation and report only

$257K

27K claims · 2.6%

Your Cost: $9.42/claim|Median: $5.60
1.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$189K

4,629 claims · 1.9%

Your Cost: $40.85/claim|Median: $39.33
1.0× median
70450Normal range

CT head/brain without contrast

$143K

5,290 claims · 1.4%

Your Cost: $27.06/claim|Median: $45.53
0.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$142K

3,840 claims · 1.4%

Your Cost: $36.85/claim|Median: $35.80
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$134K

3,411 claims · 1.3%

Your Cost: $39.29/claim|Median: $54.68
0.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$134K

1,802 claims · 1.3%

Your Cost: $74.21/claim|Median: $23.99
3.1× median
71045Normal range

Chest X-ray, single view

$116K

18K claims · 1.2%

Your Cost: $6.47/claim|Median: $4.93
1.3× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$115K

891 claims · 1.2%

Your Cost: $129.54/claim|Median: $51.25
2.5× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$112K

3,661 claims · 1.1%

Your Cost: $30.69/claim|Median: $21.41
1.4× median
71046Normal range

Chest X-ray, 2 views

$96K

9,773 claims · 1.0%

Your Cost: $9.87/claim|Median: $8.92
1.1× median
76641Normal range

Ultrasound imaging of one breast, complete

$75K

2,137 claims · 0.8%

Your Cost: $34.94/claim|Median: $49.03
0.7× median
99223Top 10%

Initial hospital care, per day, high complexity

$70K

462 claims · 0.7%

Your Cost: $150.53/claim|Median: $67.32
2.2× median
99214Top 25%

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

$62K

655 claims · 0.6%

Your Cost: $94.95/claim|Median: $53.41
1.8× median
99215Top 10%

Office/outpatient visit, high complexity

$47K

274 claims · 0.5%

Your Cost: $170.02/claim|Median: $74.09
2.3× median
71275Normal range

CT angiography, chest, with contrast

$45K

673 claims · 0.5%

Your Cost: $67.15/claim|Median: $92.96
0.7× median
93042Top 25%

$44K

5,833 claims · 0.4%

Your Cost: $7.57/claim|Median: $2.53
3.0× median
76700Normal range

Ultrasound, abdominal, complete

$39K

1,139 claims · 0.4%

Your Cost: $34.00/claim|Median: $50.69
0.7× median
76856Normal range

Ultrasound, pelvic, complete

$37K

1,173 claims · 0.4%

Your Cost: $31.25/claim|Median: $47.58
0.7× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$32K

553 claims · 0.3%

Your Cost: $58.35/claim|Median: $79.28
0.7× median
88342Normal range

$27K

754 claims · 0.3%

Your Cost: $36.26/claim|Median: $23.66
1.5× median
74176Normal range

CT abdomen and pelvis without contrast

$26K

518 claims · 0.3%

Your Cost: $50.11/claim|Median: $60.19
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$26K

992 claims · 0.3%

Your Cost: $26.03/claim|Median: $23.81
1.1× median
77066Normal range

$26K

536 claims · 0.3%

Your Cost: $47.92/claim|Median: $43.94
1.1× median
76830Normal range

Ultrasound, transvaginal

$22K

711 claims · 0.2%

Your Cost: $31.11/claim|Median: $57.47
0.5× median
99291Normal range

Critical care, first 30-74 minutes

$9K

78 claims · 0.1%

Your Cost: $121.39/claim|Median: $101.24
1.2× median
88341Top 25%

$8K

112 claims · 0.1%

Your Cost: $73.78/claim|Median: $45.31
1.6× median
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