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Provider 1245335629

NPI: 1245335629Share
Active Billing Period:2019-08→2024-12(65 months)

Total Paid

$17.2M

$17,192,960

Total Claims

254K

Beneficiaries

230K

1.1 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2019
$30K
+6026%
2020
$1.8M
+216%
2021
$5.8M
-38%
2022
$3.6M
-1%
2023
$3.5M
-29%
2024
$2.5M

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 39% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$6.7M

30K claims · 38.9%

Your Cost: $221.93/claim|Median: $42.48
5.2× median
99284Top 10%

Emergency dept visit, high complexity

$6.4M

30K claims · 37.3%

Your Cost: $210.61/claim|Median: $69.51
3.0× median
G0378Top 5%

Hospital observation service, per hour

$805K

623 claims · 4.7%

Your Cost: $1,292.79/claim|Median: $99.39
13.0× median
99281Top 5%

Emergency dept visit, minimal complexity

$336K

1,493 claims · 2.0%

Your Cost: $224.95/claim|Median: $52.03
4.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$291K

3,172 claims · 1.7%

Your Cost: $91.80/claim|Median: $63.08
1.5× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$264K

9,037 claims · 1.5%

Your Cost: $29.16/claim|Median: $121.16
0.2× median
X0621Top 1%

$174K

313 claims · 1.0%

Your Cost: $557.01/claim|Median: $212.75
2.6× median
G0463Top 10%

Hospital outpatient clinic visit

$155K

1,735 claims · 0.9%

Your Cost: $89.16/claim|Median: $26.41
3.4× median
64483Top 1%

$149K

116 claims · 0.9%

Your Cost: $1,286.00/claim|Median: $124.24
10.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$114K

871 claims · 0.7%

Your Cost: $130.69/claim|Median: $85.65
1.5× median
77067Top 5%

Screening mammography, bilateral, including CAD

$106K

715 claims · 0.6%

Your Cost: $148.07/claim|Median: $39.33
3.8× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$100K

428 claims · 0.6%

Your Cost: $233.60/claim|Median: $75.28
3.1× median
99282Top 5%

Emergency dept visit, low complexity

$94K

424 claims · 0.5%

Your Cost: $222.31/claim|Median: $37.72
5.9× median
74177Normal range

CT abdomen and pelvis with contrast

$74K

918 claims · 0.4%

Your Cost: $80.93/claim|Median: $65.76
1.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$66K

407 claims · 0.4%

Your Cost: $162.84/claim|Median: $54.68
3.0× median
90750Top 1%

$59K

196 claims · 0.3%

Your Cost: $299.43/claim|Median: $96.16
3.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$58K

6,316 claims · 0.3%

Your Cost: $9.22/claim|Median: $21.76
0.4× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$49K

226 claims · 0.3%

Your Cost: $217.41/claim|Median: $106.79
2.0× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$44K

2,598 claims · 0.3%

Your Cost: $16.84/claim|Median: $100.62
0.2× median
96365Normal range

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

$42K

900 claims · 0.2%

Your Cost: $47.13/claim|Median: $54.77
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$41K

9,929 claims · 0.2%

Your Cost: $4.11/claim|Median: $7.50
0.5× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$40K

356 claims · 0.2%

Your Cost: $112.90/claim|Median: $58.55
1.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$39K

21K claims · 0.2%

Your Cost: $1.86/claim|Median: $4.71
0.4× median
80053Normal range

Comprehensive metabolic panel

$39K

13K claims · 0.2%

Your Cost: $3.09/claim|Median: $7.24
0.4× median
76830Normal range

Ultrasound, transvaginal

$38K

512 claims · 0.2%

Your Cost: $74.94/claim|Median: $57.47
1.3× median
77066Top 5%

$38K

238 claims · 0.2%

Your Cost: $160.83/claim|Median: $43.94
3.7× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$38K

930 claims · 0.2%

Your Cost: $40.66/claim|Median: $41.92
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$38K

2,116 claims · 0.2%

Your Cost: $17.75/claim|Median: $9.56
1.9× median
76815Normal range

Ultrasound, pregnant uterus, limited

$32K

528 claims · 0.2%

Your Cost: $59.80/claim|Median: $36.79
1.6× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$31K

445 claims · 0.2%

Your Cost: $70.53/claim|Median: $47.65
1.5× median
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