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Provider 1235105800

NPI: 1235105800Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,171,899

Total Claims

169K

Beneficiaries

156K

1.1 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$930K
+18%
2019
$1.1M
-2%
2020
$1.1M
+47%
2021
$1.6M
+7%
2022
$1.7M
+26%
2023
$2.1M
-22%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (77067 (Screening mammography, bilateral, including CAD)) accounts for 20% of total spending.

77067Top 5%

Screening mammography, bilateral, including CAD

$2.0M

15K claims · 19.9%

Your Cost: $132.26/claim|Median: $39.33
3.4× median
76641Top 10%

Ultrasound imaging of one breast, complete

$1.1M

10K claims · 10.8%

Your Cost: $109.54/claim|Median: $49.03
2.2× median
74177Normal range

CT abdomen and pelvis with contrast

$1.0M

9,741 claims · 10.2%

Your Cost: $106.39/claim|Median: $65.76
1.6× median
77063Top 10%

Screening digital breast tomosynthesis, bilateral

$776K

15K claims · 7.6%

Your Cost: $52.10/claim|Median: $21.41
2.4× median
77066Top 10%

$454K

3,194 claims · 4.5%

Your Cost: $142.07/claim|Median: $43.94
3.2× median
76700Top 25%

Ultrasound, abdominal, complete

$436K

4,823 claims · 4.3%

Your Cost: $90.44/claim|Median: $50.69
1.8× median
70553Normal range

MRI brain without contrast, then with contrast

$434K

1,809 claims · 4.3%

Your Cost: $239.74/claim|Median: $133.68
1.8× median
G0279Top 10%

$341K

7,546 claims · 3.4%

Your Cost: $45.25/claim|Median: $17.77
2.5× median
76830Top 25%

Ultrasound, transvaginal

$327K

3,806 claims · 3.2%

Your Cost: $85.91/claim|Median: $57.47
1.5× median
73721Normal range

MRI joint of lower extremity without contrast

$301K

1,866 claims · 3.0%

Your Cost: $161.16/claim|Median: $127.34
1.3× median
70450Normal range

CT head/brain without contrast

$298K

8,199 claims · 2.9%

Your Cost: $36.36/claim|Median: $45.53
0.8× median
74183Top 25%

$295K

1,062 claims · 2.9%

Your Cost: $278.10/claim|Median: $151.91
1.8× median
72148Normal range

MRI lumbar spine without contrast

$213K

1,650 claims · 2.1%

Your Cost: $129.32/claim|Median: $101.03
1.3× median
76856Normal range

Ultrasound, pelvic, complete

$212K

2,818 claims · 2.1%

Your Cost: $75.23/claim|Median: $47.58
1.6× median
71045Normal range

Chest X-ray, single view

$196K

26K claims · 1.9%

Your Cost: $7.47/claim|Median: $4.93
1.5× median
76536Normal range

$190K

2,743 claims · 1.9%

Your Cost: $69.44/claim|Median: $44.06
1.6× median
77049Top 25%

$187K

564 claims · 1.8%

Your Cost: $331.23/claim|Median: $229.25
1.4× median
71046Normal range

Chest X-ray, 2 views

$154K

12K claims · 1.5%

Your Cost: $13.11/claim|Median: $8.92
1.5× median
77065Top 10%

$110K

1,022 claims · 1.1%

Your Cost: $107.26/claim|Median: $35.39
3.0× median
99213Top 25%

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

$84K

1,417 claims · 0.8%

Your Cost: $59.63/claim|Median: $37.81
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$77K

1,067 claims · 0.8%

Your Cost: $72.04/claim|Median: $60.19
1.2× median
76705Normal range

Ultrasound, abdominal, limited

$67K

1,410 claims · 0.7%

Your Cost: $47.36/claim|Median: $23.81
2.0× median
A9585Normal range

$60K

3,236 claims · 0.6%

Your Cost: $18.53/claim|Median: $10.42
1.8× median
S9999Normal range

$55K

7,850 claims · 0.5%

Your Cost: $7.04/claim|Median: $5.38
1.3× median
78815Top 10%

PET imaging for limited area

$55K

41 claims · 0.5%

Your Cost: $1,339.96/claim|Median: $325.10
4.1× median
71260Normal range

CT chest with contrast

$55K

626 claims · 0.5%

Your Cost: $87.75/claim|Median: $48.36
1.8× median
72100Normal range

$54K

2,574 claims · 0.5%

Your Cost: $20.97/claim|Median: $15.14
1.4× median
77080Normal range

Dual-energy x-ray absorptiometry (DEXA) bone density scan

$53K

1,847 claims · 0.5%

Your Cost: $28.71/claim|Median: $18.93
1.5× median
70551Normal range

MRI brain without contrast

$52K

413 claims · 0.5%

Your Cost: $125.34/claim|Median: $85.39
1.5× median
73562Normal range

$40K

2,634 claims · 0.4%

Your Cost: $15.35/claim|Median: $12.28
1.3× median
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