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Provider 1245294826

NPI: 1245294826Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,599,178

Total Claims

859K

Beneficiaries

664K

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+127%
2019
$2.5M
-20%
2020
$2.0M
+80%
2021
$3.6M
+15%
2022
$4.1M
-45%
2023
$2.3M
-53%
2024
$1.1M

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 22% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.7M

51K claims · 22.1%

Your Cost: $72.13/claim|Median: $42.48
1.7× median
99284Normal range

Emergency dept visit, high complexity

$3.5M

50K claims · 20.9%

Your Cost: $68.85/claim|Median: $69.51
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$723K

5,688 claims · 4.4%

Your Cost: $127.16/claim|Median: $65.76
1.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$589K

9,908 claims · 3.5%

Your Cost: $59.43/claim|Median: $85.65
0.7× median
99282Normal range

Emergency dept visit, low complexity

$480K

6,432 claims · 2.9%

Your Cost: $74.59/claim|Median: $37.72
2.0× median
70450Normal range

CT head/brain without contrast

$457K

8,237 claims · 2.8%

Your Cost: $55.48/claim|Median: $45.53
1.2× median
G0378Normal range

Hospital observation service, per hour

$388K

8,170 claims · 2.3%

Your Cost: $47.54/claim|Median: $99.39
0.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$355K

7,075 claims · 2.1%

Your Cost: $50.15/claim|Median: $24.49
2.0× median
74176Normal range

CT abdomen and pelvis without contrast

$314K

2,897 claims · 1.9%

Your Cost: $108.25/claim|Median: $60.19
1.8× median
96365Normal range

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

$275K

6,372 claims · 1.7%

Your Cost: $43.19/claim|Median: $54.77
0.8× median
84702Top 10%

$254K

12K claims · 1.5%

Your Cost: $20.49/claim|Median: $8.25
2.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$218K

19K claims · 1.3%

Your Cost: $11.66/claim|Median: $21.76
0.5× median
99281Normal range

Emergency dept visit, minimal complexity

$210K

2,918 claims · 1.3%

Your Cost: $72.08/claim|Median: $52.03
1.4× median
71275Normal range

CT angiography, chest, with contrast

$209K

1,805 claims · 1.3%

Your Cost: $116.03/claim|Median: $92.96
1.2× median
G0463Normal range

Hospital outpatient clinic visit

$159K

11K claims · 1.0%

Your Cost: $13.93/claim|Median: $26.41
0.5× median
80053Normal range

Comprehensive metabolic panel

$152K

20K claims · 0.9%

Your Cost: $7.72/claim|Median: $7.24
1.1× median
80048Normal range

Basic metabolic panel

$149K

45K claims · 0.9%

Your Cost: $3.31/claim|Median: $5.78
0.6× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$140K

2,257 claims · 0.8%

Your Cost: $62.01/claim|Median: $36.79
1.7× median
96361Normal range

IV infusion, hydration, each additional hour

$138K

3,200 claims · 0.8%

Your Cost: $43.12/claim|Median: $38.92
1.1× median
72125Normal range

CT cervical spine without contrast

$135K

3,261 claims · 0.8%

Your Cost: $41.28/claim|Median: $32.30
1.3× median
81001Top 25%

Urinalysis, automated, with microscopy

$134K

30K claims · 0.8%

Your Cost: $4.42/claim|Median: $2.03
2.2× median
84484Top 25%

Troponin, quantitative

$125K

13K claims · 0.8%

Your Cost: $9.39/claim|Median: $4.84
1.9× median
92650Normal range

$124K

3,037 claims · 0.7%

Your Cost: $40.75/claim|Median: $31.90
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$124K

1,040 claims · 0.7%

Your Cost: $118.82/claim|Median: $54.68
2.2× median
92587Normal range

$105K

3,922 claims · 0.6%

Your Cost: $26.84/claim|Median: $19.24
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$105K

761 claims · 0.6%

Your Cost: $138.11/claim|Median: $151.68
0.9× median
82948Top 10%

$105K

12K claims · 0.6%

Your Cost: $8.83/claim|Median: $1.78
5.0× median
86850Top 25%

$94K

4,081 claims · 0.6%

Your Cost: $23.14/claim|Median: $5.44
4.3× median
45380Top 25%

Colonoscopy with biopsy

$87K

230 claims · 0.5%

Your Cost: $378.39/claim|Median: $200.68
1.9× median
71046Normal range

Chest X-ray, 2 views

$82K

5,110 claims · 0.5%

Your Cost: $15.96/claim|Median: $8.92
1.8× median
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