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Provider 1265468946

NPI: 1265468946Share
Active Billing Period:2018-01→2023-12(72 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$11.5M

$11,463,653

Total Claims

388K

Beneficiaries

318K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-13%
2019
$1.8M
-24%
2020
$1.3M
+43%
2021
$1.9M
+23%
2022
$2.4M
-14%
2023
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99499 (Unlisted evaluation and management service)) accounts for 16% of total spending.

99499Top 5%

Unlisted evaluation and management service

$1.8M

11K claims · 15.8%

Your Cost: $164.13/claim|Median: $30.88
5.3× median
0450Normal range

Emergency room visit

$1.5M

23K claims · 12.8%

Your Cost: $63.03/claim|Median: $44.95
1.4× median
99283Normal range

Emergency dept visit, moderate complexity

$916K

16K claims · 8.0%

Your Cost: $56.94/claim|Median: $42.48
1.3× median
0121Normal range

Revenue code, all-inclusive room and board

$613K

348 claims · 5.3%

Your Cost: $1,761.91/claim|Median: $2,650.78
0.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$556K

9,173 claims · 4.9%

Your Cost: $60.64/claim|Median: $21.76
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$341K

1,590 claims · 3.0%

Your Cost: $214.53/claim|Median: $65.76
3.3× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$336K

5,394 claims · 2.9%

Your Cost: $62.31/claim|Median: $37.56
1.7× median
70450Top 25%

CT head/brain without contrast

$308K

3,113 claims · 2.7%

Your Cost: $98.97/claim|Median: $45.53
2.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$272K

12K claims · 2.4%

Your Cost: $22.75/claim|Median: $7.50
3.0× median
Z7502Normal range

$224K

5,988 claims · 2.0%

Your Cost: $37.45/claim|Median: $37.17
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$211K

2,381 claims · 1.8%

Your Cost: $88.41/claim|Median: $85.65
1.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$199K

8,541 claims · 1.7%

Your Cost: $23.29/claim|Median: $9.56
2.4× median
80053Normal range

Comprehensive metabolic panel

$189K

21K claims · 1.7%

Your Cost: $9.07/claim|Median: $7.24
1.3× median
99284Normal range

Emergency dept visit, high complexity

$185K

2,917 claims · 1.6%

Your Cost: $63.58/claim|Median: $69.51
0.9× median
0300Top 5%

$185K

361 claims · 1.6%

Your Cost: $512.11/claim|Median: $8.79
58.3× median
0250Top 25%

$181K

6,228 claims · 1.6%

Your Cost: $29.00/claim|Median: $3.70
7.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$165K

26K claims · 1.4%

Your Cost: $6.27/claim|Median: $4.71
1.3× median
99199Top 25%

Unlisted special service, procedure, or report

$158K

3,173 claims · 1.4%

Your Cost: $49.73/claim|Median: $5.39
9.2× median
0730Top 1%

$157K

192 claims · 1.4%

Your Cost: $817.55/claim|Median: $4.92
166.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$152K

5,763 claims · 1.3%

Your Cost: $26.33/claim|Median: $14.92
1.8× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$129K

1,908 claims · 1.1%

Your Cost: $67.72/claim|Median: $35.43
1.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$129K

4,323 claims · 1.1%

Your Cost: $29.78/claim|Median: $30.04
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$122K

6,887 claims · 1.1%

Your Cost: $17.78/claim|Median: $38.92
0.5× median
0270Top 25%

$113K

6,171 claims · 1.0%

Your Cost: $18.30/claim|Median: $5.50
3.3× median
0301Top 1%

$113K

182 claims · 1.0%

Your Cost: $619.72/claim|Median: $11.15
55.6× median
96360Normal range

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

$112K

1,928 claims · 1.0%

Your Cost: $58.15/claim|Median: $61.57
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$102K

5,452 claims · 0.9%

Your Cost: $18.67/claim|Median: $24.49
0.8× median
C9803Normal range

$94K

4,452 claims · 0.8%

Your Cost: $21.14/claim|Median: $13.20
1.6× median
71045Top 25%

Chest X-ray, single view

$93K

9,182 claims · 0.8%

Your Cost: $10.17/claim|Median: $4.93
2.1× median
74176Normal range

CT abdomen and pelvis without contrast

$93K

927 claims · 0.8%

Your Cost: $99.80/claim|Median: $60.19
1.7× median
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