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Provider 1285667493

NPI: 1285667493Share
Active Billing Period:2018-01→2024-12(75 months)

Total Paid

$10.8M

$10,805,303

Total Claims

379K

Beneficiaries

300K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$8K
+344%
2019
$38K
+3493%
2020
$1.4M
+301%
2021
$5.4M
-73%
2022
$1.5M
-1%
2023
$1.5M
-30%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 20% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$2.2M

15K claims · 20.4%

Your Cost: $151.41/claim|Median: $85.65
1.8× median
G0378Top 10%

Hospital observation service, per hour

$1.5M

1,698 claims · 13.8%

Your Cost: $881.30/claim|Median: $99.39
8.9× median
99284Top 25%

Emergency dept visit, high complexity

$1.5M

9,740 claims · 13.7%

Your Cost: $151.56/claim|Median: $69.51
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.2M

8,969 claims · 11.3%

Your Cost: $136.12/claim|Median: $42.48
3.2× median
A0431Top 10%

Ambulance service, conventional air, transport, one way

$374K

126 claims · 3.5%

Your Cost: $2,966.57/claim|Median: $1,650.68
1.8× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$324K

7,149 claims · 3.0%

Your Cost: $45.36/claim|Median: $121.16
0.4× median
U0003Top 25%

Infectious disease detection (COVID-19)

$308K

3,855 claims · 2.8%

Your Cost: $79.82/claim|Median: $63.08
1.3× median
87536Top 5%

HIV-1 detection by nucleic acid, quantitative

$168K

1,257 claims · 1.6%

Your Cost: $133.95/claim|Median: $51.73
2.6× median
74177Normal range

CT abdomen and pelvis with contrast

$157K

1,571 claims · 1.5%

Your Cost: $100.15/claim|Median: $65.76
1.5× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$131K

3,091 claims · 1.2%

Your Cost: $42.31/claim|Median: $36.70
1.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$117K

3,274 claims · 1.1%

Your Cost: $35.62/claim|Median: $33.72
1.1× median
87661Top 10%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$115K

2,836 claims · 1.1%

Your Cost: $40.45/claim|Median: $21.08
1.9× median
80053Normal range

Comprehensive metabolic panel

$111K

15K claims · 1.0%

Your Cost: $7.68/claim|Median: $7.24
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$106K

4,011 claims · 1.0%

Your Cost: $26.54/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$97K

3,843 claims · 0.9%

Your Cost: $25.17/claim|Median: $23.39
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$93K

27K claims · 0.9%

Your Cost: $3.50/claim|Median: $4.71
0.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$90K

7,190 claims · 0.8%

Your Cost: $12.57/claim|Median: $21.76
0.6× median
A0436Normal range

ALS mileage, per mile, level 2

$86K

130 claims · 0.8%

Your Cost: $659.10/claim|Median: $705.08
0.9× median
70450Normal range

CT head/brain without contrast

$65K

1,838 claims · 0.6%

Your Cost: $35.21/claim|Median: $45.53
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$64K

3,990 claims · 0.6%

Your Cost: $16.08/claim|Median: $24.49
0.7× median
70553Normal range

MRI brain without contrast, then with contrast

$54K

243 claims · 0.5%

Your Cost: $223.65/claim|Median: $133.68
1.7× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$49K

2,019 claims · 0.5%

Your Cost: $24.34/claim|Median: $9.87
2.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$47K

719 claims · 0.4%

Your Cost: $64.71/claim|Median: $65.64
1.0× median
99282Top 25%

Emergency dept visit, low complexity

$46K

392 claims · 0.4%

Your Cost: $117.14/claim|Median: $37.72
3.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$45K

2,465 claims · 0.4%

Your Cost: $18.26/claim|Median: $15.76
1.2× median
80048Normal range

Basic metabolic panel

$45K

8,958 claims · 0.4%

Your Cost: $5.02/claim|Median: $5.78
0.9× median
71275Normal range

CT angiography, chest, with contrast

$45K

471 claims · 0.4%

Your Cost: $94.67/claim|Median: $92.96
1.0× median
80050Top 25%

General health panel

$44K

827 claims · 0.4%

Your Cost: $53.78/claim|Median: $25.59
2.1× median
80061Top 10%

Lipid panel

$43K

2,770 claims · 0.4%

Your Cost: $15.70/claim|Median: $8.41
1.9× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$42K

1,691 claims · 0.4%

Your Cost: $24.67/claim|Median: $18.03
1.4× median
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