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Provider 1285688697

NPI: 1285688697Share
Active Billing Period:2018-01→2021-11(47 months)
Billing appears to have stoppedLast active: 2021-11

Total Paid

$10.6M

$10,617,083

Total Claims

217K

Beneficiaries

198K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-40%
2019
$2.4M
-10%
2020
$2.1M
+5%
2021
$2.2M

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 19% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

15K claims · 18.8%

Your Cost: $129.13/claim|Median: $42.48
3.0× median
99284Top 10%

Emergency dept visit, high complexity

$1.8M

10K claims · 17.2%

Your Cost: $174.74/claim|Median: $69.51
2.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$542K

2,522 claims · 5.1%

Your Cost: $214.76/claim|Median: $85.65
2.5× median
G0378Top 25%

Hospital observation service, per hour

$411K

848 claims · 3.9%

Your Cost: $484.42/claim|Median: $99.39
4.9× median
74177Top 10%

CT abdomen and pelvis with contrast

$341K

894 claims · 3.2%

Your Cost: $381.03/claim|Median: $65.76
5.8× median
70450Top 10%

CT head/brain without contrast

$311K

1,778 claims · 2.9%

Your Cost: $175.10/claim|Median: $45.53
3.8× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$255K

4,202 claims · 2.4%

Your Cost: $60.67/claim|Median: $35.43
1.7× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$255K

4,552 claims · 2.4%

Your Cost: $55.98/claim|Median: $7.50
7.5× median
74176Top 10%

CT abdomen and pelvis without contrast

$250K

952 claims · 2.4%

Your Cost: $262.19/claim|Median: $60.19
4.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$221K

6,341 claims · 2.1%

Your Cost: $34.89/claim|Median: $21.76
1.6× median
80053Top 25%

Comprehensive metabolic panel

$218K

16K claims · 2.1%

Your Cost: $13.84/claim|Median: $7.24
1.9× median
87426Top 25%

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

$196K

4,849 claims · 1.8%

Your Cost: $40.44/claim|Median: $30.04
1.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$178K

4,413 claims · 1.7%

Your Cost: $40.26/claim|Median: $14.92
2.7× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$164K

1,264 claims · 1.5%

Your Cost: $129.42/claim|Median: $10.88
11.9× median
71045Top 10%

Chest X-ray, single view

$161K

4,087 claims · 1.5%

Your Cost: $39.42/claim|Median: $4.93
8.0× median
96365Normal range

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

$154K

1,697 claims · 1.5%

Your Cost: $90.78/claim|Median: $54.77
1.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$147K

16K claims · 1.4%

Your Cost: $9.12/claim|Median: $4.71
1.9× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$137K

4,694 claims · 1.3%

Your Cost: $29.27/claim|Median: $9.87
3.0× median
96361Normal range

IV infusion, hydration, each additional hour

$118K

3,611 claims · 1.1%

Your Cost: $32.71/claim|Median: $38.92
0.8× median
99282Normal range

Emergency dept visit, low complexity

$107K

1,374 claims · 1.0%

Your Cost: $78.03/claim|Median: $37.72
2.1× median
99281Normal range

Emergency dept visit, minimal complexity

$101K

1,983 claims · 0.9%

Your Cost: $50.72/claim|Median: $52.03
1.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$99K

2,935 claims · 0.9%

Your Cost: $33.62/claim|Median: $9.56
3.5× median
C9803Normal range

$97K

4,891 claims · 0.9%

Your Cost: $19.80/claim|Median: $13.20
1.5× median
87804Top 25%

Influenza virus detection, rapid test

$93K

3,980 claims · 0.9%

Your Cost: $23.48/claim|Median: $12.59
1.9× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$81K

2,636 claims · 0.8%

Your Cost: $30.58/claim|Median: $11.48
2.7× median
84484Top 10%

Troponin, quantitative

$80K

3,420 claims · 0.8%

Your Cost: $23.52/claim|Median: $4.84
4.9× median
99291Top 10%

Critical care, first 30-74 minutes

$80K

280 claims · 0.7%

Your Cost: $284.11/claim|Median: $101.24
2.8× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$78K

3,065 claims · 0.7%

Your Cost: $25.50/claim|Median: $0.58
44.0× median
71046Top 5%

Chest X-ray, 2 views

$75K

1,353 claims · 0.7%

Your Cost: $55.79/claim|Median: $8.92
6.3× median
J2704Top 5%

$63K

1,149 claims · 0.6%

Your Cost: $54.80/claim|Median: $0.76
72.1× median
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