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Provider 1235371378

NPI: 1235371378Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,789,576

Total Claims

1.1M

Beneficiaries

822K

1.4 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$817K
+251%
2019
$2.9M
-5%
2020
$2.7M
+24%
2021
$3.4M
+6%
2022
$3.6M
-53%
2023
$1.7M
-56%
2024
$746K

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 17% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.7M

33K claims · 17.3%

Your Cost: $81.97/claim|Median: $42.48
1.9× median
99284Normal range

Emergency dept visit, high complexity

$2.3M

39K claims · 14.6%

Your Cost: $58.97/claim|Median: $69.51
0.8× median
80053Top 25%

Comprehensive metabolic panel

$885K

51K claims · 5.6%

Your Cost: $17.37/claim|Median: $7.24
2.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$849K

19K claims · 5.4%

Your Cost: $45.55/claim|Median: $85.65
0.5× median
70450Normal range

CT head/brain without contrast

$619K

10K claims · 3.9%

Your Cost: $60.80/claim|Median: $45.53
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$588K

5,212 claims · 3.7%

Your Cost: $112.87/claim|Median: $65.76
1.7× median
36415Top 10%

Collection of venous blood by venipuncture

$491K

81K claims · 3.1%

Your Cost: $6.08/claim|Median: $1.57
3.9× median
99282Normal range

Emergency dept visit, low complexity

$419K

5,363 claims · 2.7%

Your Cost: $78.04/claim|Median: $37.72
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$399K

11K claims · 2.5%

Your Cost: $36.26/claim|Median: $63.08
0.6× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$380K

8,740 claims · 2.4%

Your Cost: $43.49/claim|Median: $3.42
12.7× median
92507Top 10%

Speech/hearing/language treatment

$358K

3,590 claims · 2.3%

Your Cost: $99.71/claim|Median: $49.45
2.0× median
80048Top 25%

Basic metabolic panel

$353K

25K claims · 2.2%

Your Cost: $14.27/claim|Median: $5.78
2.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$345K

8,170 claims · 2.2%

Your Cost: $42.21/claim|Median: $24.49
1.7× median
81003Top 5%

Urinalysis, automated without microscopy

$238K

34K claims · 1.5%

Your Cost: $6.90/claim|Median: $1.48
4.7× median
74176Normal range

CT abdomen and pelvis without contrast

$225K

2,205 claims · 1.4%

Your Cost: $101.85/claim|Median: $60.19
1.7× median
59899Normal range

$192K

3,105 claims · 1.2%

Your Cost: $61.89/claim|Median: $86.86
0.7× median
C1729Top 1%

$185K

647 claims · 1.2%

Your Cost: $285.38/claim|Median: $4.52
63.1× median
96365Normal range

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

$173K

2,102 claims · 1.1%

Your Cost: $82.41/claim|Median: $54.77
1.5× median
71275Normal range

CT angiography, chest, with contrast

$150K

1,448 claims · 0.9%

Your Cost: $103.46/claim|Median: $92.96
1.1× median
G0378Normal range

Hospital observation service, per hour

$143K

18K claims · 0.9%

Your Cost: $7.89/claim|Median: $99.39
0.1× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$143K

3,587 claims · 0.9%

Your Cost: $39.94/claim|Median: $65.45
0.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$131K

3,074 claims · 0.8%

Your Cost: $42.58/claim|Median: $36.13
1.2× median
99281Normal range

Emergency dept visit, minimal complexity

$114K

1,357 claims · 0.7%

Your Cost: $83.65/claim|Median: $52.03
1.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$113K

7,210 claims · 0.7%

Your Cost: $15.66/claim|Median: $35.43
0.4× median
96360Normal range

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

$109K

2,728 claims · 0.7%

Your Cost: $39.89/claim|Median: $61.57
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$101K

8,427 claims · 0.6%

Your Cost: $11.94/claim|Median: $39.70
0.3× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$97K

1,301 claims · 0.6%

Your Cost: $74.24/claim|Median: $144.30
0.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$93K

8,440 claims · 0.6%

Your Cost: $11.04/claim|Median: $91.47
0.1× median
81025Top 5%

Urine pregnancy test

$92K

4,069 claims · 0.6%

Your Cost: $22.65/claim|Median: $4.81
4.7× median
72125Normal range

CT cervical spine without contrast

$90K

2,036 claims · 0.6%

Your Cost: $44.43/claim|Median: $32.30
1.4× median
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