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Provider 1235162645

NPI: 1235162645Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.2M

$12,201,903

Total Claims

283K

Beneficiaries

241K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-18%
2019
$1.6M
-21%
2020
$1.3M
+21%
2021
$1.6M
+16%
2022
$1.8M
+5%
2023
$1.9M
-2%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99281 (Emergency dept visit, minimal complexity)) accounts for 15% of total spending.

99281Normal range

Emergency dept visit, minimal complexity

$1.8M

22K claims · 14.5%

Your Cost: $79.86/claim|Median: $52.03
1.5× median
99283Normal range

Emergency dept visit, moderate complexity

$1.5M

26K claims · 12.3%

Your Cost: $57.54/claim|Median: $42.48
1.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$827K

2,529 claims · 6.8%

Your Cost: $327.08/claim|Median: $65.76
5.0× median
93976Top 5%

$724K

2,526 claims · 5.9%

Your Cost: $286.77/claim|Median: $42.06
6.8× median
77067Top 5%

Screening mammography, bilateral, including CAD

$618K

4,220 claims · 5.1%

Your Cost: $146.33/claim|Median: $39.33
3.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$449K

5,437 claims · 3.7%

Your Cost: $82.60/claim|Median: $21.76
3.8× median
70450Top 10%

CT head/brain without contrast

$409K

2,127 claims · 3.3%

Your Cost: $192.06/claim|Median: $45.53
4.2× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$337K

2,384 claims · 2.8%

Your Cost: $141.53/claim|Median: $97.61
1.4× median
J3490Normal range

Unclassified drugs

$268K

31K claims · 2.2%

Your Cost: $8.76/claim|Median: $5.70
1.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$251K

6,528 claims · 2.1%

Your Cost: $38.45/claim|Median: $7.50
5.1× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$245K

4,873 claims · 2.0%

Your Cost: $50.28/claim|Median: $14.92
3.4× median
76856Top 25%

Ultrasound, pelvic, complete

$220K

2,287 claims · 1.8%

Your Cost: $96.13/claim|Median: $47.58
2.0× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$199K

1,355 claims · 1.6%

Your Cost: $147.21/claim|Median: $27.38
5.4× median
76830Top 25%

Ultrasound, transvaginal

$196K

2,026 claims · 1.6%

Your Cost: $96.51/claim|Median: $57.47
1.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$189K

1,034 claims · 1.5%

Your Cost: $182.72/claim|Median: $40.11
4.6× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$170K

3,926 claims · 1.4%

Your Cost: $43.25/claim|Median: $21.41
2.0× median
76705Top 25%

Ultrasound, abdominal, limited

$166K

1,941 claims · 1.4%

Your Cost: $85.40/claim|Median: $23.81
3.6× median
96361Normal range

IV infusion, hydration, each additional hour

$159K

4,070 claims · 1.3%

Your Cost: $39.09/claim|Median: $38.92
1.0× median
96365Top 25%

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

$158K

1,462 claims · 1.3%

Your Cost: $107.77/claim|Median: $54.77
2.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$157K

818 claims · 1.3%

Your Cost: $192.05/claim|Median: $60.19
3.2× median
73721Top 10%

MRI joint of lower extremity without contrast

$157K

380 claims · 1.3%

Your Cost: $412.11/claim|Median: $127.34
3.2× median
U0003Top 25%

Infectious disease detection (COVID-19)

$153K

1,875 claims · 1.3%

Your Cost: $81.59/claim|Median: $63.08
1.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$143K

2,775 claims · 1.2%

Your Cost: $51.65/claim|Median: $35.43
1.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$114K

2,260 claims · 0.9%

Your Cost: $50.45/claim|Median: $24.49
2.1× median
80053Normal range

Comprehensive metabolic panel

$113K

13K claims · 0.9%

Your Cost: $8.78/claim|Median: $7.24
1.2× median
J2704Top 5%

$104K

2,768 claims · 0.8%

Your Cost: $37.47/claim|Median: $0.76
49.3× median
71046Top 25%

Chest X-ray, 2 views

$104K

4,044 claims · 0.8%

Your Cost: $25.64/claim|Median: $8.92
2.9× median
97139Normal range

$102K

2,001 claims · 0.8%

Your Cost: $51.22/claim|Median: $28.71
1.8× median
76700Top 25%

Ultrasound, abdominal, complete

$96K

863 claims · 0.8%

Your Cost: $111.11/claim|Median: $50.69
2.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$93K

15K claims · 0.8%

Your Cost: $6.17/claim|Median: $4.71
1.3× median
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