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Provider 1275570376

NPI: 1275570376Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,144,639

Total Claims

464K

Beneficiaries

377K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+51%
2019
$1.9M
+0%
2020
$1.9M
+14%
2021
$2.1M
+39%
2022
$2.9M
+28%
2023
$3.8M
-10%
2024
$3.4M

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 26% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$4.4M

27K claims · 25.7%

Your Cost: $166.26/claim|Median: $42.48
3.9× median
99284Top 25%

Emergency dept visit, high complexity

$3.4M

22K claims · 19.8%

Your Cost: $156.92/claim|Median: $69.51
2.3× median
99282Top 10%

Emergency dept visit, low complexity

$1.1M

6,770 claims · 6.4%

Your Cost: $162.83/claim|Median: $37.72
4.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$879K

5,651 claims · 5.1%

Your Cost: $155.49/claim|Median: $85.65
1.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$785K

4,476 claims · 4.6%

Your Cost: $175.39/claim|Median: $65.76
2.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$746K

3,271 claims · 4.3%

Your Cost: $228.00/claim|Median: $38.92
5.9× median
70450Top 25%

CT head/brain without contrast

$576K

3,519 claims · 3.4%

Your Cost: $163.61/claim|Median: $45.53
3.6× median
43239Top 25%

Upper GI endoscopy with biopsy

$501K

1,234 claims · 2.9%

Your Cost: $405.68/claim|Median: $151.68
2.7× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$421K

223 claims · 2.5%

Your Cost: $1,886.47/claim|Median: $331.68
5.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$412K

1,429 claims · 2.4%

Your Cost: $288.43/claim|Median: $54.68
5.3× median
G0378Normal range

Hospital observation service, per hour

$408K

5,042 claims · 2.4%

Your Cost: $81.01/claim|Median: $99.39
0.8× median
99281Top 10%

Emergency dept visit, minimal complexity

$331K

1,940 claims · 1.9%

Your Cost: $170.83/claim|Median: $52.03
3.3× median
69436Top 25%

Tympanostomy, general anesthesia

$294K

278 claims · 1.7%

Your Cost: $1,058.82/claim|Median: $205.50
5.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$182K

4,791 claims · 1.1%

Your Cost: $37.98/claim|Median: $35.43
1.1× median
71275Top 25%

CT angiography, chest, with contrast

$178K

785 claims · 1.0%

Your Cost: $226.93/claim|Median: $92.96
2.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$170K

925 claims · 1.0%

Your Cost: $183.45/claim|Median: $60.19
3.0× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$135K

283 claims · 0.8%

Your Cost: $478.25/claim|Median: $123.40
3.9× median
76705Top 25%

Ultrasound, abdominal, limited

$127K

1,418 claims · 0.7%

Your Cost: $89.29/claim|Median: $23.81
3.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$126K

5,129 claims · 0.7%

Your Cost: $24.50/claim|Median: $63.08
0.4× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$113K

1,775 claims · 0.7%

Your Cost: $63.76/claim|Median: $39.70
1.6× median
80053Normal range

Comprehensive metabolic panel

$110K

32K claims · 0.6%

Your Cost: $3.47/claim|Median: $7.24
0.5× median
96360Top 25%

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

$99K

733 claims · 0.6%

Your Cost: $134.60/claim|Median: $61.57
2.2× median
C9803Normal range

$95K

4,751 claims · 0.6%

Your Cost: $19.90/claim|Median: $13.20
1.5× median
G0383Top 25%

$63K

336 claims · 0.4%

Your Cost: $187.74/claim|Median: $108.78
1.7× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$61K

10K claims · 0.4%

Your Cost: $5.99/claim|Median: $0.58
10.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$59K

16K claims · 0.3%

Your Cost: $3.62/claim|Median: $21.76
0.2× median
J1170Top 5%

Injection, hydromorphone, up to four milligrams

$59K

2,647 claims · 0.3%

Your Cost: $22.30/claim|Median: $1.03
21.7× median
J1100Top 5%

$59K

2,612 claims · 0.3%

Your Cost: $22.59/claim|Median: $0.52
43.4× median
J3010Top 5%

$59K

2,549 claims · 0.3%

Your Cost: $23.11/claim|Median: $0.55
42.0× median
J2704Top 5%

$59K

1,807 claims · 0.3%

Your Cost: $32.58/claim|Median: $0.76
42.9× median
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