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Provider 1285603837

NPI: 1285603837Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,987,606

Total Claims

189K

Beneficiaries

159K

1.2 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$279K
+23%
2019
$344K
+85%
2020
$637K
+152%
2021
$1.6M
+36%
2022
$2.2M
+32%
2023
$2.9M
+42%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (93975 (Duplex scan of arterial inflow and venous outflow, complete)) accounts for 11% of total spending.

93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$1.4M

9,088 claims · 11.5%

Your Cost: $151.19/claim|Median: $79.28
1.9× median
93976Top 25%

$955K

7,736 claims · 8.0%

Your Cost: $123.43/claim|Median: $42.06
2.9× median
77067Top 25%

Screening mammography, bilateral, including CAD

$887K

11K claims · 7.4%

Your Cost: $82.61/claim|Median: $39.33
2.1× median
73721Normal range

MRI joint of lower extremity without contrast

$676K

3,707 claims · 5.6%

Your Cost: $182.35/claim|Median: $127.34
1.4× median
76700Normal range

Ultrasound, abdominal, complete

$660K

9,600 claims · 5.5%

Your Cost: $68.78/claim|Median: $50.69
1.4× median
76856Normal range

Ultrasound, pelvic, complete

$596K

11K claims · 5.0%

Your Cost: $55.03/claim|Median: $47.58
1.2× median
72148Normal range

MRI lumbar spine without contrast

$591K

3,525 claims · 4.9%

Your Cost: $167.62/claim|Median: $101.03
1.7× median
76830Normal range

Ultrasound, transvaginal

$559K

9,226 claims · 4.7%

Your Cost: $60.56/claim|Median: $57.47
1.1× median
76641Normal range

Ultrasound imaging of one breast, complete

$454K

6,336 claims · 3.8%

Your Cost: $71.66/claim|Median: $49.03
1.5× median
73221Normal range

MRI of upper extremity joint with contrast

$403K

2,214 claims · 3.4%

Your Cost: $182.15/claim|Median: $122.11
1.5× median
78013Top 1%

$344K

2,501 claims · 2.9%

Your Cost: $137.47/claim|Median: $31.68
4.3× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$286K

2,663 claims · 2.4%

Your Cost: $107.51/claim|Median: $74.78
1.4× median
72141Normal range

MRI of cervical spine without contrast

$244K

1,436 claims · 2.0%

Your Cost: $169.93/claim|Median: $112.68
1.5× median
76825Normal range

$238K

2,148 claims · 2.0%

Your Cost: $110.79/claim|Median: $103.74
1.1× median
70551Normal range

MRI brain without contrast

$226K

1,266 claims · 1.9%

Your Cost: $178.58/claim|Median: $85.39
2.1× median
76820Normal range

$203K

4,867 claims · 1.7%

Your Cost: $41.73/claim|Median: $31.79
1.3× median
70553Top 25%

MRI brain without contrast, then with contrast

$194K

637 claims · 1.6%

Your Cost: $304.43/claim|Median: $133.68
2.3× median
77066Top 25%

$187K

1,654 claims · 1.6%

Your Cost: $113.16/claim|Median: $43.94
2.6× median
76536Normal range

$187K

3,280 claims · 1.6%

Your Cost: $56.93/claim|Median: $44.06
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$179K

1,227 claims · 1.5%

Your Cost: $145.83/claim|Median: $106.79
1.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$172K

3,066 claims · 1.4%

Your Cost: $55.95/claim|Median: $58.16
1.0× median
77065Top 25%

$168K

2,041 claims · 1.4%

Your Cost: $82.14/claim|Median: $35.39
2.3× median
76770Normal range

Ultrasound, retroperitoneal, complete

$157K

2,507 claims · 1.3%

Your Cost: $62.44/claim|Median: $37.35
1.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$153K

2,642 claims · 1.3%

Your Cost: $57.76/claim|Median: $47.65
1.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$143K

939 claims · 1.2%

Your Cost: $152.42/claim|Median: $60.19
2.5× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$129K

1,626 claims · 1.1%

Your Cost: $79.13/claim|Median: $36.79
2.2× median
71250Top 25%

CT scan of chest without contrast

$102K

984 claims · 0.8%

Your Cost: $103.20/claim|Median: $39.11
2.6× median
76881Normal range

$99K

2,258 claims · 0.8%

Your Cost: $43.68/claim|Median: $45.18
1.0× median
71271Top 25%

$93K

973 claims · 0.8%

Your Cost: $95.92/claim|Median: $50.75
1.9× median
71046Normal range

Chest X-ray, 2 views

$90K

8,664 claims · 0.7%

Your Cost: $10.35/claim|Median: $8.92
1.2× median
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