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Provider 1285785519

NPI: 1285785519Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.9M

$10,909,934

Total Claims

232K

Beneficiaries

230K

1.0 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$962K
+97%
2019
$1.9M
-30%
2020
$1.3M
+28%
2021
$1.7M
+32%
2022
$2.3M
-18%
2023
$1.9M
-52%
2024
$882K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (77067 (Screening mammography, bilateral, including CAD)) accounts for 17% of total spending.

77067Normal range

Screening mammography, bilateral, including CAD

$1.8M

33K claims · 16.6%

Your Cost: $54.32/claim|Median: $39.33
1.4× median
76700Normal range

Ultrasound, abdominal, complete

$1.5M

32K claims · 13.7%

Your Cost: $46.98/claim|Median: $50.69
0.9× median
74178Normal range

$642K

3,433 claims · 5.9%

Your Cost: $187.04/claim|Median: $122.85
1.5× median
76856Normal range

Ultrasound, pelvic, complete

$531K

12K claims · 4.9%

Your Cost: $44.94/claim|Median: $47.58
0.9× median
71046Normal range

Chest X-ray, 2 views

$505K

31K claims · 4.6%

Your Cost: $16.05/claim|Median: $8.92
1.8× median
76641Normal range

Ultrasound imaging of one breast, complete

$454K

6,262 claims · 4.2%

Your Cost: $72.42/claim|Median: $49.03
1.5× median
71250Top 25%

CT scan of chest without contrast

$441K

3,869 claims · 4.0%

Your Cost: $113.88/claim|Median: $39.11
2.9× median
72148Normal range

MRI lumbar spine without contrast

$406K

2,560 claims · 3.7%

Your Cost: $158.70/claim|Median: $101.03
1.6× median
70551Normal range

MRI brain without contrast

$318K

1,918 claims · 2.9%

Your Cost: $165.67/claim|Median: $85.39
1.9× median
70450Top 25%

CT head/brain without contrast

$269K

2,524 claims · 2.5%

Your Cost: $106.66/claim|Median: $45.53
2.3× median
77066Normal range

$233K

3,435 claims · 2.1%

Your Cost: $67.92/claim|Median: $43.94
1.5× median
76830Normal range

Ultrasound, transvaginal

$213K

8,492 claims · 1.9%

Your Cost: $25.04/claim|Median: $57.47
0.4× median
73721Normal range

MRI joint of lower extremity without contrast

$211K

1,113 claims · 1.9%

Your Cost: $189.42/claim|Median: $127.34
1.5× median
71270Top 25%

$203K

1,250 claims · 1.9%

Your Cost: $162.26/claim|Median: $61.20
2.7× median
74176Normal range

CT abdomen and pelvis without contrast

$198K

1,739 claims · 1.8%

Your Cost: $114.06/claim|Median: $60.19
1.9× median
76770Normal range

Ultrasound, retroperitoneal, complete

$194K

4,236 claims · 1.8%

Your Cost: $45.88/claim|Median: $37.35
1.2× median
77080Normal range

Dual-energy x-ray absorptiometry (DEXA) bone density scan

$186K

11K claims · 1.7%

Your Cost: $17.07/claim|Median: $18.93
0.9× median
76536Normal range

$184K

5,378 claims · 1.7%

Your Cost: $34.30/claim|Median: $44.06
0.8× median
72141Normal range

MRI of cervical spine without contrast

$173K

1,037 claims · 1.6%

Your Cost: $167.07/claim|Median: $112.68
1.5× median
70553Normal range

MRI brain without contrast, then with contrast

$161K

741 claims · 1.5%

Your Cost: $217.60/claim|Median: $133.68
1.6× median
76642Normal range

$159K

3,051 claims · 1.5%

Your Cost: $52.21/claim|Median: $32.06
1.6× median
77065Normal range

$155K

2,430 claims · 1.4%

Your Cost: $63.80/claim|Median: $35.39
1.8× median
74183Normal range

$146K

678 claims · 1.3%

Your Cost: $216.07/claim|Median: $151.91
1.4× median
72100Normal range

$122K

7,265 claims · 1.1%

Your Cost: $16.80/claim|Median: $15.14
1.1× median
74170Normal range

$115K

853 claims · 1.1%

Your Cost: $135.25/claim|Median: $126.48
1.1× median
71260Top 25%

CT chest with contrast

$107K

652 claims · 1.0%

Your Cost: $164.19/claim|Median: $48.36
3.4× median
73562Normal range

$107K

6,446 claims · 1.0%

Your Cost: $16.58/claim|Median: $12.28
1.4× median
72197Normal range

$93K

485 claims · 0.9%

Your Cost: $192.72/claim|Median: $201.67
1.0× median
71271Top 25%

$92K

814 claims · 0.8%

Your Cost: $112.52/claim|Median: $50.75
2.2× median
74177Normal range

CT abdomen and pelvis with contrast

$88K

740 claims · 0.8%

Your Cost: $119.40/claim|Median: $65.76
1.8× median
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