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Provider 1285845982

NPI: 1285845982Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,391,765

Total Claims

2.0M

Beneficiaries

1.6M

1.2 claims/patient

Avg Cost/Claim

$4

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$293K
+183%
2020
$831K
+34%
2021
$1.1M
+66%
2022
$1.9M
+23%
2023
$2.3M
-11%
2024
$2.0M

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 22% of total spending.

0450Normal range

Emergency room visit

$1.9M

38K claims · 22.0%

Your Cost: $48.13/claim|Median: $44.95
1.1× median
74174Normal range

$540K

8,574 claims · 6.4%

Your Cost: $62.94/claim|Median: $89.41
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$430K

4,610 claims · 5.1%

Your Cost: $93.33/claim|Median: $111.09
0.8× median
G9008Normal range

Coordination of long-term care services, per month

$222K

9,115 claims · 2.6%

Your Cost: $24.33/claim|Median: $66.78
0.4× median
70450Normal range

CT head/brain without contrast

$210K

6,224 claims · 2.5%

Your Cost: $33.72/claim|Median: $45.53
0.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$210K

38K claims · 2.5%

Your Cost: $5.56/claim|Median: $7.50
0.7× median
99199Top 25%

Unlisted special service, procedure, or report

$199K

3,924 claims · 2.4%

Your Cost: $50.75/claim|Median: $5.39
9.4× median
0510Normal range

Revenue code, clinic services

$197K

11K claims · 2.4%

Your Cost: $17.57/claim|Median: $28.38
0.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$183K

5,608 claims · 2.2%

Your Cost: $32.68/claim|Median: $91.47
0.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$155K

16K claims · 1.9%

Your Cost: $9.61/claim|Median: $85.65
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$150K

6,800 claims · 1.8%

Your Cost: $22.04/claim|Median: $74.09
0.3× median
80048Normal range

Basic metabolic panel

$150K

41K claims · 1.8%

Your Cost: $3.67/claim|Median: $5.78
0.6× median
99284Normal range

Emergency dept visit, high complexity

$132K

20K claims · 1.6%

Your Cost: $6.71/claim|Median: $69.51
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$126K

38K claims · 1.5%

Your Cost: $3.36/claim|Median: $4.71
0.7× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$114K

768 claims · 1.4%

Your Cost: $148.06/claim|Median: $5,391.55
0.0× median
99283Normal range

Emergency dept visit, moderate complexity

$108K

21K claims · 1.3%

Your Cost: $5.23/claim|Median: $42.48
0.1× median
76705Normal range

Ultrasound, abdominal, limited

$107K

5,349 claims · 1.3%

Your Cost: $19.93/claim|Median: $23.81
0.8× median
G0463Normal range

Hospital outpatient clinic visit

$99K

1,993 claims · 1.2%

Your Cost: $49.91/claim|Median: $26.41
1.9× median
Q5103Normal range

$86K

824 claims · 1.0%

Your Cost: $104.78/claim|Median: $1,075.28
0.1× median
0760Normal range

$80K

3,183 claims · 1.0%

Your Cost: $25.07/claim|Median: $22.01
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$75K

2,642 claims · 0.9%

Your Cost: $28.46/claim|Median: $63.08
0.5× median
71046Normal range

Chest X-ray, 2 views

$67K

16K claims · 0.8%

Your Cost: $4.28/claim|Median: $8.92
0.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$67K

5,854 claims · 0.8%

Your Cost: $11.40/claim|Median: $24.95
0.5× median
71045Normal range

Chest X-ray, single view

$66K

20K claims · 0.8%

Your Cost: $3.37/claim|Median: $4.93
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$66K

5,754 claims · 0.8%

Your Cost: $11.43/claim|Median: $23.39
0.5× median
59025Normal range

Fetal non-stress test

$64K

7,846 claims · 0.8%

Your Cost: $8.14/claim|Median: $26.45
0.3× median
71275Normal range

CT angiography, chest, with contrast

$60K

1,548 claims · 0.7%

Your Cost: $38.69/claim|Median: $92.96
0.4× median
99221Normal range

Initial hospital care, straightforward/low

$56K

2,025 claims · 0.7%

Your Cost: $27.87/claim|Median: $39.96
0.7× median
Q9967Normal range

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$56K

5,251 claims · 0.7%

Your Cost: $10.59/claim|Median: $3.42
3.1× median
80076Normal range

Hepatic function panel

$56K

12K claims · 0.7%

Your Cost: $4.77/claim|Median: $4.59
1.0× median
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