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Provider 1285688267

NPI: 1285688267Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,089,432

Total Claims

958K

Beneficiaries

845K

1.1 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$4.2M
-45%
2019
$2.3M
-63%
2020
$863K
+39%
2021
$1.2M
+50%
2022
$1.8M
+31%
2023
$2.4M
-2%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 37% of total spending.

0450Normal range

Emergency room visit

$5.6M

198K claims · 37.4%

Your Cost: $28.59/claim|Median: $44.95
0.6× median
T1999Top 25%

Miscellaneous therapeutic items and supplies

$1.7M

8,413 claims · 11.0%

Your Cost: $198.15/claim|Median: $28.63
6.9× median
99199Top 10%

Unlisted special service, procedure, or report

$1.1M

14K claims · 7.0%

Your Cost: $77.11/claim|Median: $5.39
14.3× median
J3490Top 25%

Unclassified drugs

$1000K

18K claims · 6.6%

Your Cost: $55.20/claim|Median: $5.70
9.7× median
0270Normal range

$877K

74K claims · 5.8%

Your Cost: $11.85/claim|Median: $5.50
2.2× median
36415Top 5%

Collection of venous blood by venipuncture

$606K

18K claims · 4.0%

Your Cost: $34.07/claim|Median: $1.57
21.7× median
0250Top 25%

$574K

24K claims · 3.8%

Your Cost: $23.75/claim|Median: $3.70
6.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$316K

19K claims · 2.1%

Your Cost: $16.90/claim|Median: $30.04
0.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$214K

14K claims · 1.4%

Your Cost: $15.15/claim|Median: $21.76
0.7× median
71045Normal range

Chest X-ray, single view

$210K

31K claims · 1.4%

Your Cost: $6.82/claim|Median: $4.93
1.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$202K

33K claims · 1.3%

Your Cost: $6.12/claim|Median: $7.50
0.8× median
87400Top 25%

$187K

12K claims · 1.2%

Your Cost: $16.28/claim|Median: $8.40
1.9× median
80053Normal range

Comprehensive metabolic panel

$184K

53K claims · 1.2%

Your Cost: $3.46/claim|Median: $7.24
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$181K

14K claims · 1.2%

Your Cost: $13.13/claim|Median: $9.56
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$167K

4,231 claims · 1.1%

Your Cost: $39.52/claim|Median: $65.76
0.6× median
85027Normal range

Complete blood count (CBC), automated

$131K

76K claims · 0.9%

Your Cost: $1.73/claim|Median: $3.72
0.5× median
70450Normal range

CT head/brain without contrast

$130K

6,085 claims · 0.9%

Your Cost: $21.36/claim|Median: $45.53
0.5× median
96361Normal range

IV infusion, hydration, each additional hour

$104K

9,052 claims · 0.7%

Your Cost: $11.47/claim|Median: $38.92
0.3× median
0762Normal range

$91K

765 claims · 0.6%

Your Cost: $119.06/claim|Median: $102.28
1.2× median
71046Normal range

Chest X-ray, 2 views

$89K

5,564 claims · 0.6%

Your Cost: $16.03/claim|Median: $8.92
1.8× median
U0002Normal range

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

$76K

2,993 claims · 0.5%

Your Cost: $25.43/claim|Median: $34.62
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$66K

3,750 claims · 0.4%

Your Cost: $17.69/claim|Median: $39.70
0.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$57K

4,935 claims · 0.4%

Your Cost: $11.47/claim|Median: $28.46
0.4× median
83690Normal range

$52K

32K claims · 0.3%

Your Cost: $1.61/claim|Median: $3.35
0.5× median
84484Normal range

Troponin, quantitative

$49K

22K claims · 0.3%

Your Cost: $2.21/claim|Median: $4.84
0.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$47K

324 claims · 0.3%

Your Cost: $144.47/claim|Median: $169.17
0.9× median
81001Normal range

Urinalysis, automated, with microscopy

$43K

26K claims · 0.3%

Your Cost: $1.69/claim|Median: $2.03
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$43K

6,122 claims · 0.3%

Your Cost: $6.95/claim|Median: $14.92
0.5× median
76705Normal range

Ultrasound, abdominal, limited

$41K

3,854 claims · 0.3%

Your Cost: $10.63/claim|Median: $23.81
0.4× median
74176Normal range

CT abdomen and pelvis without contrast

$40K

1,614 claims · 0.3%

Your Cost: $24.92/claim|Median: $60.19
0.4× median
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