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Provider 1235248071

NPI: 1235248071Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,431,317

Total Claims

331K

Beneficiaries

292K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-4%
2019
$1.1M
+16%
2020
$1.3M
+36%
2021
$1.7M
+4%
2022
$1.8M
-4%
2023
$1.7M
-7%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 18% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

14K claims · 17.7%

Your Cost: $131.44/claim|Median: $42.48
3.1× median
99284Top 10%

Emergency dept visit, high complexity

$1.8M

9,218 claims · 17.3%

Your Cost: $196.24/claim|Median: $69.51
2.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.3M

4,231 claims · 12.5%

Your Cost: $309.18/claim|Median: $85.65
3.6× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$627K

5,259 claims · 6.0%

Your Cost: $119.18/claim|Median: $21.76
5.5× median
99282Normal range

Emergency dept visit, low complexity

$512K

5,735 claims · 4.9%

Your Cost: $89.28/claim|Median: $37.72
2.4× median
96365Top 25%

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

$488K

4,417 claims · 4.7%

Your Cost: $110.59/claim|Median: $54.77
2.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$488K

2,672 claims · 4.7%

Your Cost: $182.62/claim|Median: $65.76
2.8× median
70450Top 25%

CT head/brain without contrast

$289K

2,449 claims · 2.8%

Your Cost: $118.13/claim|Median: $45.53
2.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$251K

6,958 claims · 2.4%

Your Cost: $36.12/claim|Median: $39.70
0.9× median
G0463Top 25%

Hospital outpatient clinic visit

$235K

3,552 claims · 2.3%

Your Cost: $66.30/claim|Median: $26.41
2.5× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$230K

5,567 claims · 2.2%

Your Cost: $41.36/claim|Median: $14.92
2.8× median
97110Normal range

Therapeutic exercises, each 15 min

$221K

8,461 claims · 2.1%

Your Cost: $26.17/claim|Median: $24.49
1.1× median
71046Top 10%

Chest X-ray, 2 views

$188K

4,453 claims · 1.8%

Your Cost: $42.30/claim|Median: $8.92
4.7× median
96361Normal range

IV infusion, hydration, each additional hour

$168K

4,804 claims · 1.6%

Your Cost: $34.88/claim|Median: $38.92
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$133K

1,088 claims · 1.3%

Your Cost: $122.04/claim|Median: $60.19
2.0× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$130K

1,175 claims · 1.2%

Your Cost: $110.60/claim|Median: $61.57
1.8× median
71045Top 5%

Chest X-ray, single view

$120K

2,698 claims · 1.2%

Your Cost: $44.55/claim|Median: $4.93
9.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$119K

1,921 claims · 1.1%

Your Cost: $61.96/claim|Median: $39.33
1.6× median
80061Top 10%

Lipid panel

$95K

5,946 claims · 0.9%

Your Cost: $16.03/claim|Median: $8.41
1.9× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$69K

380 claims · 0.7%

Your Cost: $180.32/claim|Median: $36.13
5.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$66K

2,787 claims · 0.6%

Your Cost: $23.59/claim|Median: $20.04
1.2× median
80053Normal range

Comprehensive metabolic panel

$65K

23K claims · 0.6%

Your Cost: $2.84/claim|Median: $7.24
0.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$65K

6,832 claims · 0.6%

Your Cost: $9.50/claim|Median: $9.87
1.0× median
76705Top 25%

Ultrasound, abdominal, limited

$52K

720 claims · 0.5%

Your Cost: $72.79/claim|Median: $23.81
3.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$50K

25K claims · 0.5%

Your Cost: $2.05/claim|Median: $4.71
0.4× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$45K

207 claims · 0.4%

Your Cost: $219.35/claim|Median: $54.68
4.0× median
76830Normal range

Ultrasound, transvaginal

$38K

497 claims · 0.4%

Your Cost: $77.36/claim|Median: $57.47
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$38K

26K claims · 0.4%

Your Cost: $1.49/claim|Median: $1.57
0.9× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$36K

1,109 claims · 0.3%

Your Cost: $32.51/claim|Median: $40.12
0.8× median
82306Normal range

Vitamin D, 25 hydroxy

$36K

2,029 claims · 0.3%

Your Cost: $17.63/claim|Median: $18.18
1.0× median
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