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Provider 1275523912

NPI: 1275523912Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,951,850

Total Claims

417K

Beneficiaries

308K

1.4 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$933K
+37%
2019
$1.3M
-18%
2020
$1.0M
-4%
2021
$1000K
+20%
2022
$1.2M
+14%
2023
$1.4M
-17%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 10% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$759K

22K claims · 9.5%

Your Cost: $33.84/claim|Median: $24.49
1.4× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$574K

5,838 claims · 7.2%

Your Cost: $98.32/claim|Median: $65.64
1.5× median
A0425Top 25%

Ground mileage, per statute mile

$442K

6,494 claims · 5.6%

Your Cost: $68.05/claim|Median: $23.36
2.9× median
73721Top 25%

MRI joint of lower extremity without contrast

$386K

1,240 claims · 4.9%

Your Cost: $311.67/claim|Median: $127.34
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$374K

2,737 claims · 4.7%

Your Cost: $136.69/claim|Median: $65.76
2.1× median
70450Top 25%

CT head/brain without contrast

$349K

3,696 claims · 4.4%

Your Cost: $94.53/claim|Median: $45.53
2.1× median
80053Top 25%

Comprehensive metabolic panel

$336K

23K claims · 4.2%

Your Cost: $14.71/claim|Median: $7.24
2.0× median
72148Top 10%

MRI lumbar spine without contrast

$233K

820 claims · 2.9%

Your Cost: $284.30/claim|Median: $101.03
2.8× median
99283Normal range

Emergency dept visit, moderate complexity

$204K

4,743 claims · 2.6%

Your Cost: $42.99/claim|Median: $42.48
1.0× median
96365Normal range

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

$204K

3,420 claims · 2.6%

Your Cost: $59.53/claim|Median: $54.77
1.1× median
80050Normal range

General health panel

$187K

4,981 claims · 2.4%

Your Cost: $37.60/claim|Median: $25.59
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$180K

26K claims · 2.3%

Your Cost: $6.88/claim|Median: $4.71
1.5× median
97530Normal range

Therapeutic activities, each 15 min

$178K

5,017 claims · 2.2%

Your Cost: $35.58/claim|Median: $33.11
1.1× median
87503Top 25%

$140K

5,835 claims · 1.8%

Your Cost: $24.05/claim|Median: $9.26
2.6× median
72125Top 25%

CT cervical spine without contrast

$140K

1,131 claims · 1.8%

Your Cost: $123.98/claim|Median: $32.30
3.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$132K

8,042 claims · 1.7%

Your Cost: $16.36/claim|Median: $21.76
0.8× median
92507Normal range

Speech/hearing/language treatment

$122K

2,360 claims · 1.5%

Your Cost: $51.64/claim|Median: $49.45
1.0× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$113K

2,574 claims · 1.4%

Your Cost: $43.97/claim|Median: $28.46
1.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$105K

10K claims · 1.3%

Your Cost: $10.48/claim|Median: $7.50
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$100K

1,493 claims · 1.3%

Your Cost: $67.20/claim|Median: $60.19
1.1× median
J1100Top 5%

$99K

7,305 claims · 1.2%

Your Cost: $13.54/claim|Median: $0.52
26.0× median
99284Normal range

Emergency dept visit, high complexity

$99K

3,806 claims · 1.2%

Your Cost: $25.88/claim|Median: $69.51
0.4× median
96361Normal range

IV infusion, hydration, each additional hour

$97K

6,252 claims · 1.2%

Your Cost: $15.49/claim|Median: $38.92
0.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$90K

1,585 claims · 1.1%

Your Cost: $56.84/claim|Median: $63.08
0.9× median
80306Top 25%

$84K

5,116 claims · 1.1%

Your Cost: $16.49/claim|Median: $10.29
1.6× median
71046Normal range

Chest X-ray, 2 views

$80K

5,067 claims · 1.0%

Your Cost: $15.82/claim|Median: $8.92
1.8× median
87591Top 10%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$71K

1,658 claims · 0.9%

Your Cost: $42.89/claim|Median: $23.39
1.8× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$70K

1,638 claims · 0.9%

Your Cost: $42.84/claim|Median: $24.95
1.7× median
71045Top 25%

Chest X-ray, single view

$67K

8,686 claims · 0.8%

Your Cost: $7.74/claim|Median: $4.93
1.6× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$62K

2,627 claims · 0.8%

Your Cost: $23.72/claim|Median: $164.22
0.1× median
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