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Provider 1265419907

NPI: 1265419907Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,194,246

Total Claims

394K

Beneficiaries

289K

1.4 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$707K
+89%
2019
$1.3M
-17%
2020
$1.1M
+61%
2021
$1.8M
+25%
2022
$2.2M
-39%
2023
$1.4M
-50%
2024
$675K

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

$2.0M

19K claims · 22.1%

Your Cost: $106.72/claim|Median: $42.48
2.5× median
99284Normal range

Emergency dept visit, high complexity

$1.6M

23K claims · 17.1%

Your Cost: $68.95/claim|Median: $69.51
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$660K

11K claims · 7.2%

Your Cost: $62.17/claim|Median: $85.65
0.7× median
80053Top 10%

Comprehensive metabolic panel

$606K

16K claims · 6.6%

Your Cost: $37.84/claim|Median: $7.24
5.2× median
70450Normal range

CT head/brain without contrast

$402K

5,639 claims · 4.4%

Your Cost: $71.33/claim|Median: $45.53
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$335K

2,927 claims · 3.6%

Your Cost: $114.41/claim|Median: $65.76
1.7× median
36415Top 5%

Collection of venous blood by venipuncture

$318K

28K claims · 3.5%

Your Cost: $11.18/claim|Median: $1.57
7.1× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$273K

5,804 claims · 3.0%

Your Cost: $47.10/claim|Median: $144.30
0.3× median
76819Top 10%

Fetal biophysical profile with non-stress test

$257K

2,403 claims · 2.8%

Your Cost: $106.97/claim|Median: $49.45
2.2× median
Q9967Top 25%

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

$195K

4,868 claims · 2.1%

Your Cost: $39.97/claim|Median: $3.42
11.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$159K

3,174 claims · 1.7%

Your Cost: $50.10/claim|Median: $35.43
1.4× median
99282Normal range

Emergency dept visit, low complexity

$140K

1,672 claims · 1.5%

Your Cost: $83.56/claim|Median: $37.72
2.2× median
J7050Top 5%

Normal saline solution infusion, 250 cc

$137K

1,139 claims · 1.5%

Your Cost: $120.12/claim|Median: $0.82
146.5× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$136K

3,044 claims · 1.5%

Your Cost: $44.78/claim|Median: $10.88
4.1× median
G0463Normal range

Hospital outpatient clinic visit

$135K

4,235 claims · 1.5%

Your Cost: $31.82/claim|Median: $26.41
1.2× median
59025Top 25%

Fetal non-stress test

$122K

2,454 claims · 1.3%

Your Cost: $49.61/claim|Median: $26.45
1.9× median
74176Normal range

CT abdomen and pelvis without contrast

$112K

1,382 claims · 1.2%

Your Cost: $80.97/claim|Median: $60.19
1.3× median
G0378Normal range

Hospital observation service, per hour

$110K

12K claims · 1.2%

Your Cost: $9.17/claim|Median: $99.39
0.1× median
81003Top 5%

Urinalysis, automated without microscopy

$104K

14K claims · 1.1%

Your Cost: $7.44/claim|Median: $1.48
5.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$102K

1,277 claims · 1.1%

Your Cost: $80.19/claim|Median: $36.13
2.2× median
82948Top 10%

$98K

9,510 claims · 1.1%

Your Cost: $10.31/claim|Median: $1.78
5.8× median
59899Normal range

$86K

2,671 claims · 0.9%

Your Cost: $32.17/claim|Median: $86.86
0.4× median
80048Top 25%

Basic metabolic panel

$73K

4,941 claims · 0.8%

Your Cost: $14.72/claim|Median: $5.78
2.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$70K

1,573 claims · 0.8%

Your Cost: $44.59/claim|Median: $24.49
1.8× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$57K

1,348 claims · 0.6%

Your Cost: $42.38/claim|Median: $65.45
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$54K

30K claims · 0.6%

Your Cost: $1.80/claim|Median: $4.71
0.4× median
87086Top 25%

Urine culture, colony count, with identification

$46K

4,026 claims · 0.5%

Your Cost: $11.40/claim|Median: $5.31
2.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$44K

2,903 claims · 0.5%

Your Cost: $15.03/claim|Median: $39.70
0.4× median
80047Normal range

$36K

9,199 claims · 0.4%

Your Cost: $3.92/claim|Median: $6.12
0.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$35K

1,576 claims · 0.4%

Your Cost: $22.00/claim|Median: $63.08
0.3× median
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