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Provider 1235111071

NPI: 1235111071Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,797,379

Total Claims

318K

Beneficiaries

256K

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+24%
2019
$1.5M
-23%
2020
$1.2M
-7%
2021
$1.1M
+3%
2022
$1.1M
-11%
2023
$998K
-29%
2024
$705K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A0425 (Ground mileage, per statute mile)) accounts for 10% of total spending.

A0425Top 25%

Ground mileage, per statute mile

$761K

13K claims · 9.8%

Your Cost: $56.69/claim|Median: $23.36
2.4× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$740K

6,401 claims · 9.5%

Your Cost: $115.67/claim|Median: $164.22
0.7× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$619K

6,462 claims · 7.9%

Your Cost: $95.80/claim|Median: $65.64
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$480K

3,566 claims · 6.2%

Your Cost: $134.57/claim|Median: $65.76
2.0× median
70450Top 25%

CT head/brain without contrast

$387K

4,143 claims · 5.0%

Your Cost: $93.44/claim|Median: $45.53
2.1× median
A0429Normal range

Ambulance, BLS emergency transport

$319K

3,316 claims · 4.1%

Your Cost: $96.34/claim|Median: $138.19
0.7× median
96365Normal range

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

$310K

3,668 claims · 4.0%

Your Cost: $84.40/claim|Median: $54.77
1.5× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$291K

4,537 claims · 3.7%

Your Cost: $64.22/claim|Median: $35.43
1.8× median
A0428Normal range

Ambulance service, BLS, non-emergency transport

$234K

4,275 claims · 3.0%

Your Cost: $54.75/claim|Median: $58.05
0.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$232K

1,917 claims · 3.0%

Your Cost: $121.04/claim|Median: $36.13
3.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$197K

28K claims · 2.5%

Your Cost: $7.15/claim|Median: $4.71
1.5× median
59025Top 10%

Fetal non-stress test

$192K

1,334 claims · 2.5%

Your Cost: $144.07/claim|Median: $26.45
5.4× median
80048Top 25%

Basic metabolic panel

$192K

14K claims · 2.5%

Your Cost: $13.59/claim|Median: $5.78
2.4× median
80053Top 25%

Comprehensive metabolic panel

$155K

12K claims · 2.0%

Your Cost: $13.16/claim|Median: $7.24
1.8× median
99283Normal range

Emergency dept visit, moderate complexity

$150K

2,917 claims · 1.9%

Your Cost: $51.42/claim|Median: $42.48
1.2× median
72125Top 25%

CT cervical spine without contrast

$132K

1,283 claims · 1.7%

Your Cost: $103.26/claim|Median: $32.30
3.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$112K

1,557 claims · 1.4%

Your Cost: $71.79/claim|Median: $21.76
3.3× median
74176Normal range

CT abdomen and pelvis without contrast

$96K

1,398 claims · 1.2%

Your Cost: $68.98/claim|Median: $60.19
1.1× median
U0003Top 25%

Infectious disease detection (COVID-19)

$96K

1,182 claims · 1.2%

Your Cost: $80.87/claim|Median: $63.08
1.3× median
99284Normal range

Emergency dept visit, high complexity

$94K

3,120 claims · 1.2%

Your Cost: $30.17/claim|Median: $69.51
0.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$89K

9,308 claims · 1.1%

Your Cost: $9.59/claim|Median: $7.50
1.3× median
87634Normal range

$72K

1,250 claims · 0.9%

Your Cost: $57.89/claim|Median: $48.78
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$67K

778 claims · 0.9%

Your Cost: $86.35/claim|Median: $38.92
2.2× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$67K

1,602 claims · 0.9%

Your Cost: $41.59/claim|Median: $34.62
1.2× median
71046Top 25%

Chest X-ray, 2 views

$64K

3,459 claims · 0.8%

Your Cost: $18.54/claim|Median: $8.92
2.1× median
84703Top 25%

Human chorionic gonadotropin (hCG) quantitative blood test

$63K

6,802 claims · 0.8%

Your Cost: $9.26/claim|Median: $4.20
2.2× median
97110Normal range

Therapeutic exercises, each 15 min

$61K

1,740 claims · 0.8%

Your Cost: $34.86/claim|Median: $24.49
1.4× median
83880Top 25%

$60K

2,510 claims · 0.8%

Your Cost: $23.87/claim|Median: $11.81
2.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$55K

2,561 claims · 0.7%

Your Cost: $21.39/claim|Median: $85.65
0.2× median
71045Top 25%

Chest X-ray, single view

$50K

6,343 claims · 0.6%

Your Cost: $7.95/claim|Median: $4.93
1.6× median
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