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Provider 1275531956

NPI: 1275531956Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,124,141

Total Claims

617K

Beneficiaries

526K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-1%
2019
$3.0M
-19%
2020
$2.4M
+23%
2021
$3.0M
-22%
2022
$2.3M
-12%
2023
$2.0M
-32%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 30% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$5.1M

33K claims · 29.9%

Your Cost: $156.93/claim|Median: $69.51
2.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.1M

35K claims · 23.9%

Your Cost: $115.96/claim|Median: $42.48
2.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.6M

9,300 claims · 9.5%

Your Cost: $175.51/claim|Median: $85.65
2.0× median
G0378Normal range

Hospital observation service, per hour

$960K

5,526 claims · 5.6%

Your Cost: $173.71/claim|Median: $99.39
1.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$708K

8,713 claims · 4.1%

Your Cost: $81.25/claim|Median: $36.13
2.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$540K

1,273 claims · 3.2%

Your Cost: $423.81/claim|Median: $763.43
0.6× median
43239Top 10%

Upper GI endoscopy with biopsy

$443K

961 claims · 2.6%

Your Cost: $461.46/claim|Median: $151.68
3.0× median
G0463Normal range

Hospital outpatient clinic visit

$357K

15K claims · 2.1%

Your Cost: $24.49/claim|Median: $26.41
0.9× median
97530Top 25%

Therapeutic activities, each 15 min

$266K

4,141 claims · 1.6%

Your Cost: $64.34/claim|Median: $33.11
1.9× median
G0379Normal range

Direct admission to hospital observation

$260K

2,309 claims · 1.5%

Your Cost: $112.54/claim|Median: $48.25
2.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$242K

70K claims · 1.4%

Your Cost: $3.44/claim|Median: $4.71
0.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$209K

2,364 claims · 1.2%

Your Cost: $88.36/claim|Median: $75.28
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$176K

4,360 claims · 1.0%

Your Cost: $40.42/claim|Median: $39.70
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$165K

16K claims · 1.0%

Your Cost: $10.07/claim|Median: $21.76
0.5× median
92507Normal range

Speech/hearing/language treatment

$159K

3,013 claims · 0.9%

Your Cost: $52.70/claim|Median: $49.45
1.1× median
84484Normal range

Troponin, quantitative

$145K

19K claims · 0.8%

Your Cost: $7.73/claim|Median: $4.84
1.6× median
80051Normal range

Electrolyte panel blood test

$115K

47K claims · 0.7%

Your Cost: $2.44/claim|Median: $1.56
1.6× median
82565Normal range

Creatinine blood test

$114K

47K claims · 0.7%

Your Cost: $2.41/claim|Median: $1.94
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$111K

2,045 claims · 0.6%

Your Cost: $54.28/claim|Median: $65.76
0.8× median
82947Normal range

Blood glucose level test

$100K

47K claims · 0.6%

Your Cost: $2.11/claim|Median: $2.38
0.9× median
J0875Normal range

$99K

46 claims · 0.6%

Your Cost: $2,153.28/claim|Median: $2,947.77
0.7× median
77412Normal range

$92K

1,421 claims · 0.5%

Your Cost: $64.77/claim|Median: $111.69
0.6× median
99282Top 25%

Emergency dept visit, low complexity

$75K

796 claims · 0.4%

Your Cost: $94.15/claim|Median: $37.72
2.5× median
70450Normal range

CT head/brain without contrast

$68K

2,421 claims · 0.4%

Your Cost: $28.21/claim|Median: $45.53
0.6× median
87400Normal range

$64K

17K claims · 0.4%

Your Cost: $3.81/claim|Median: $8.40
0.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$61K

19K claims · 0.4%

Your Cost: $3.29/claim|Median: $7.50
0.4× median
83605Normal range

$57K

11K claims · 0.3%

Your Cost: $4.96/claim|Median: $4.66
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$49K

8,209 claims · 0.3%

Your Cost: $5.96/claim|Median: $38.92
0.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$42K

5,993 claims · 0.2%

Your Cost: $7.06/claim|Median: $14.92
0.5× median
87086Normal range

Urine culture, colony count, with identification

$33K

8,275 claims · 0.2%

Your Cost: $3.96/claim|Median: $5.31
0.7× median
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