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Provider 1275536344

NPI: 1275536344Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,116,774

Total Claims

326K

Beneficiaries

296K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$636K
-18%
2019
$524K
+102%
2020
$1.1M
+97%
2021
$2.1M
-1%
2022
$2.0M
-1%
2023
$2.0M
-14%
2024
$1.7M

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 23% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.3M

11K claims · 22.9%

Your Cost: $202.61/claim|Median: $69.51
2.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.5M

4,412 claims · 14.4%

Your Cost: $329.18/claim|Median: $85.65
3.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

11K claims · 13.4%

Your Cost: $128.60/claim|Median: $42.48
3.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$871K

8,798 claims · 8.6%

Your Cost: $98.97/claim|Median: $21.76
4.5× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$567K

8,488 claims · 5.6%

Your Cost: $66.86/claim|Median: $60.05
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$458K

2,885 claims · 4.5%

Your Cost: $158.59/claim|Median: $65.76
2.4× median
99282Normal range

Emergency dept visit, low complexity

$401K

5,402 claims · 4.0%

Your Cost: $74.32/claim|Median: $37.72
2.0× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$226K

2,184 claims · 2.2%

Your Cost: $103.44/claim|Median: $100.62
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$181K

6,405 claims · 1.8%

Your Cost: $28.24/claim|Median: $38.92
0.7× median
71046Top 10%

Chest X-ray, 2 views

$153K

3,683 claims · 1.5%

Your Cost: $41.66/claim|Median: $8.92
4.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$146K

7,133 claims · 1.4%

Your Cost: $20.48/claim|Median: $14.92
1.4× median
96365Normal range

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

$136K

1,438 claims · 1.3%

Your Cost: $94.75/claim|Median: $54.77
1.7× median
96360Normal range

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

$123K

1,173 claims · 1.2%

Your Cost: $104.85/claim|Median: $61.57
1.7× median
97110Normal range

Therapeutic exercises, each 15 min

$116K

4,105 claims · 1.1%

Your Cost: $28.20/claim|Median: $24.49
1.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$108K

5,641 claims · 1.1%

Your Cost: $19.20/claim|Median: $15.76
1.2× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$81K

2,485 claims · 0.8%

Your Cost: $32.80/claim|Median: $34.62
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$70K

1,117 claims · 0.7%

Your Cost: $62.63/claim|Median: $23.81
2.6× median
99281Normal range

Emergency dept visit, minimal complexity

$64K

1,516 claims · 0.6%

Your Cost: $42.00/claim|Median: $52.03
0.8× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$58K

114 claims · 0.6%

Your Cost: $504.43/claim|Median: $233.73
2.2× median
C9803Normal range

$57K

6,912 claims · 0.6%

Your Cost: $8.29/claim|Median: $13.20
0.6× median
82947Top 5%

Blood glucose level test

$55K

2,493 claims · 0.5%

Your Cost: $21.89/claim|Median: $2.38
9.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$53K

1,134 claims · 0.5%

Your Cost: $46.86/claim|Median: $39.33
1.2× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$53K

430 claims · 0.5%

Your Cost: $122.50/claim|Median: $79.28
1.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$50K

131 claims · 0.5%

Your Cost: $379.64/claim|Median: $151.68
2.5× median
80061Top 10%

Lipid panel

$47K

2,322 claims · 0.5%

Your Cost: $20.22/claim|Median: $8.41
2.4× median
76830Normal range

Ultrasound, transvaginal

$45K

776 claims · 0.4%

Your Cost: $58.30/claim|Median: $57.47
1.0× median
70450Normal range

CT head/brain without contrast

$45K

1,064 claims · 0.4%

Your Cost: $42.03/claim|Median: $45.53
0.9× median
86900Top 10%

$41K

1,157 claims · 0.4%

Your Cost: $35.08/claim|Median: $2.55
13.8× median
71045Top 10%

Chest X-ray, single view

$38K

940 claims · 0.4%

Your Cost: $40.79/claim|Median: $4.93
8.3× median
36415Normal range

Collection of venous blood by venipuncture

$38K

19K claims · 0.4%

Your Cost: $2.03/claim|Median: $1.57
1.3× median
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