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Provider 1245420660

NPI: 1245420660Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$16.4M

$16,389,791

Total Claims

557K

Beneficiaries

465K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-5%
2019
$1.7M
+2%
2020
$1.7M
+31%
2021
$2.2M
+25%
2022
$2.8M
+9%
2023
$3.1M
+2%
2024
$3.1M

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 27% of total spending.

99281Normal range

Emergency dept visit, minimal complexity

$4.4M

59K claims · 26.6%

Your Cost: $73.65/claim|Median: $52.03
1.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.1M

26K claims · 6.8%

Your Cost: $43.23/claim|Median: $24.49
1.8× median
72148Top 1%

MRI lumbar spine without contrast

$632K

906 claims · 3.9%

Your Cost: $697.30/claim|Median: $101.03
6.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$612K

2,177 claims · 3.7%

Your Cost: $280.95/claim|Median: $65.76
4.3× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$519K

11K claims · 3.2%

Your Cost: $46.12/claim|Median: $16.79
2.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$507K

10K claims · 3.1%

Your Cost: $48.32/claim|Median: $39.70
1.2× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$478K

4,401 claims · 2.9%

Your Cost: $108.71/claim|Median: $37.81
2.9× median
70450Top 10%

CT head/brain without contrast

$476K

2,157 claims · 2.9%

Your Cost: $220.66/claim|Median: $45.53
4.8× median
77067Top 5%

Screening mammography, bilateral, including CAD

$458K

3,247 claims · 2.8%

Your Cost: $140.93/claim|Median: $39.33
3.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$359K

4,192 claims · 2.2%

Your Cost: $85.56/claim|Median: $21.76
3.9× median
80053Normal range

Comprehensive metabolic panel

$323K

31K claims · 2.0%

Your Cost: $10.35/claim|Median: $7.24
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$268K

35K claims · 1.6%

Your Cost: $7.60/claim|Median: $4.71
1.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$244K

6,663 claims · 1.5%

Your Cost: $36.65/claim|Median: $7.50
4.9× median
80061Top 25%

Lipid panel

$238K

17K claims · 1.5%

Your Cost: $13.73/claim|Median: $8.41
1.6× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$232K

14K claims · 1.4%

Your Cost: $17.06/claim|Median: $9.87
1.7× median
76700Top 25%

Ultrasound, abdominal, complete

$212K

2,104 claims · 1.3%

Your Cost: $100.95/claim|Median: $50.69
2.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$211K

8,316 claims · 1.3%

Your Cost: $25.36/claim|Median: $20.04
1.3× median
76705Top 25%

Ultrasound, abdominal, limited

$206K

2,733 claims · 1.3%

Your Cost: $75.19/claim|Median: $23.81
3.2× median
99243Normal range

Office or other outpatient consultation, low complexity

$200K

2,682 claims · 1.2%

Your Cost: $74.61/claim|Median: $82.43
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$199K

1,770 claims · 1.2%

Your Cost: $112.59/claim|Median: $106.79
1.1× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$168K

17K claims · 1.0%

Your Cost: $9.85/claim|Median: $5.50
1.8× median
97530Normal range

Therapeutic activities, each 15 min

$166K

8,098 claims · 1.0%

Your Cost: $20.55/claim|Median: $33.11
0.6× median
73721Top 5%

MRI joint of lower extremity without contrast

$163K

280 claims · 1.0%

Your Cost: $582.15/claim|Median: $127.34
4.6× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$163K

4,356 claims · 1.0%

Your Cost: $37.31/claim|Median: $24.95
1.5× median
76830Top 25%

Ultrasound, transvaginal

$153K

1,768 claims · 0.9%

Your Cost: $86.35/claim|Median: $57.47
1.5× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$148K

2,712 claims · 0.9%

Your Cost: $54.58/claim|Median: $14.92
3.7× median
96361Normal range

IV infusion, hydration, each additional hour

$142K

3,555 claims · 0.9%

Your Cost: $40.00/claim|Median: $38.92
1.0× median
96360Normal range

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

$137K

1,468 claims · 0.8%

Your Cost: $93.55/claim|Median: $61.57
1.5× median
76856Top 25%

Ultrasound, pelvic, complete

$137K

1,563 claims · 0.8%

Your Cost: $87.48/claim|Median: $47.58
1.8× median
97014Top 25%

Electrical stimulation, unattended

$133K

7,523 claims · 0.8%

Your Cost: $17.65/claim|Median: $8.83
2.0× median
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