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Provider 1275538530

NPI: 1275538530Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$17,973,833

Total Claims

481K

Beneficiaries

407K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+33%
2019
$1.9M
-29%
2020
$1.4M
+32%
2021
$1.8M
+73%
2022
$3.1M
+39%
2023
$4.4M
-10%
2024
$3.9M

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 33% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$5.9M

15K claims · 32.6%

Your Cost: $381.76/claim|Median: $42.48
9.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$4.4M

16K claims · 24.2%

Your Cost: $278.22/claim|Median: $85.65
3.2× median
0450Top 25%

Emergency room visit

$1.4M

17K claims · 7.7%

Your Cost: $80.10/claim|Median: $44.95
1.8× median
99284Top 1%

Emergency dept visit, high complexity

$1.1M

1,155 claims · 6.1%

Your Cost: $954.56/claim|Median: $69.51
13.7× median
97110Normal range

Therapeutic exercises, each 15 min

$371K

9,207 claims · 2.1%

Your Cost: $40.25/claim|Median: $24.49
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$314K

2,837 claims · 1.7%

Your Cost: $110.52/claim|Median: $65.76
1.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$223K

9,172 claims · 1.2%

Your Cost: $24.30/claim|Median: $21.76
1.1× median
70450Normal range

CT head/brain without contrast

$177K

3,594 claims · 1.0%

Your Cost: $49.31/claim|Median: $45.53
1.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$168K

2,208 claims · 0.9%

Your Cost: $76.20/claim|Median: $39.33
1.9× median
80053Normal range

Comprehensive metabolic panel

$156K

26K claims · 0.9%

Your Cost: $6.09/claim|Median: $7.24
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$151K

2,357 claims · 0.8%

Your Cost: $64.10/claim|Median: $60.19
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$138K

7,539 claims · 0.8%

Your Cost: $18.24/claim|Median: $39.70
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$131K

30K claims · 0.7%

Your Cost: $4.41/claim|Median: $4.71
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$128K

5,286 claims · 0.7%

Your Cost: $24.17/claim|Median: $38.92
0.6× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$122K

4,709 claims · 0.7%

Your Cost: $26.00/claim|Median: $20.04
1.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$119K

8,238 claims · 0.7%

Your Cost: $14.39/claim|Median: $14.92
1.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$113K

8,476 claims · 0.6%

Your Cost: $13.32/claim|Median: $9.87
1.3× median
96365Normal range

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

$108K

3,195 claims · 0.6%

Your Cost: $33.76/claim|Median: $54.77
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$106K

4,197 claims · 0.6%

Your Cost: $25.37/claim|Median: $35.43
0.7× median
97530Normal range

Therapeutic activities, each 15 min

$105K

4,489 claims · 0.6%

Your Cost: $23.38/claim|Median: $33.11
0.7× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$101K

3,705 claims · 0.6%

Your Cost: $27.24/claim|Median: $37.81
0.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$96K

6,413 claims · 0.5%

Your Cost: $14.97/claim|Median: $9.56
1.6× median
71045Normal range

Chest X-ray, single view

$95K

18K claims · 0.5%

Your Cost: $5.37/claim|Median: $4.93
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$88K

10K claims · 0.5%

Your Cost: $8.65/claim|Median: $7.50
1.2× median
76700Normal range

Ultrasound, abdominal, complete

$88K

1,226 claims · 0.5%

Your Cost: $71.44/claim|Median: $50.69
1.4× median
93010Top 5%

Electrocardiogram, interpretation and report only

$87K

6,578 claims · 0.5%

Your Cost: $13.22/claim|Median: $5.60
2.4× median
99282Top 1%

Emergency dept visit, low complexity

$82K

285 claims · 0.5%

Your Cost: $287.21/claim|Median: $37.72
7.6× median
80061Normal range

Lipid panel

$81K

7,316 claims · 0.5%

Your Cost: $11.08/claim|Median: $8.41
1.3× median
43239Top 5%

Upper GI endoscopy with biopsy

$73K

83 claims · 0.4%

Your Cost: $875.81/claim|Median: $151.68
5.8× median
Z7502Normal range

$65K

1,759 claims · 0.4%

Your Cost: $36.98/claim|Median: $37.17
1.0× median
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