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Provider 1285861773

NPI: 1285861773Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.3M

$9,320,820

Total Claims

311K

Beneficiaries

294K

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$954K
-0%
2019
$953K
-9%
2020
$870K
+72%
2021
$1.5M
+9%
2022
$1.6M
+4%
2023
$1.7M
+3%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 35% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$3.3M

62K claims · 35.5%

Your Cost: $52.94/claim|Median: $53.41
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.4M

30K claims · 14.7%

Your Cost: $45.53/claim|Median: $35.43
1.3× median
G0482Top 25%

Drug test, definitive, 15-21 drug classes

$1.0M

7,857 claims · 11.1%

Your Cost: $131.61/claim|Median: $75.26
1.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$409K

4,411 claims · 4.4%

Your Cost: $92.72/claim|Median: $84.03
1.1× median
G0659Top 25%

$335K

6,194 claims · 3.6%

Your Cost: $54.13/claim|Median: $32.24
1.7× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$283K

3,172 claims · 3.0%

Your Cost: $89.33/claim|Median: $37.56
2.4× median
G0481Top 10%

Drug test, definitive, 8-14 drug classes

$281K

2,260 claims · 3.0%

Your Cost: $124.46/claim|Median: $64.72
1.9× median
82306Normal range

Vitamin D, 25 hydroxy

$211K

8,939 claims · 2.3%

Your Cost: $23.57/claim|Median: $18.18
1.3× median
64483Normal range

$198K

1,313 claims · 2.1%

Your Cost: $150.80/claim|Median: $124.24
1.2× median
77002Normal range

$132K

3,707 claims · 1.4%

Your Cost: $35.57/claim|Median: $23.55
1.5× median
80050Top 25%

General health panel

$126K

2,947 claims · 1.3%

Your Cost: $42.67/claim|Median: $25.59
1.7× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$108K

8,966 claims · 1.2%

Your Cost: $12.00/claim|Median: $8.72
1.4× median
82746Top 25%

$100K

8,522 claims · 1.1%

Your Cost: $11.69/claim|Median: $6.83
1.7× median
82728Normal range

Ferritin

$78K

6,779 claims · 0.8%

Your Cost: $11.50/claim|Median: $6.00
1.9× median
64493Normal range

$75K

526 claims · 0.8%

Your Cost: $142.84/claim|Median: $103.44
1.4× median
80053Normal range

Comprehensive metabolic panel

$67K

8,138 claims · 0.7%

Your Cost: $8.23/claim|Median: $7.24
1.1× median
83735Top 25%

Magnesium blood level test

$67K

12K claims · 0.7%

Your Cost: $5.37/claim|Median: $2.77
1.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$66K

1,325 claims · 0.7%

Your Cost: $49.86/claim|Median: $37.81
1.3× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$66K

1,606 claims · 0.7%

Your Cost: $41.13/claim|Median: $13.30
3.1× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$64K

414 claims · 0.7%

Your Cost: $155.70/claim|Median: $121.58
1.3× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$64K

2,273 claims · 0.7%

Your Cost: $28.20/claim|Median: $29.03
1.0× median
83550Top 25%

$48K

6,537 claims · 0.5%

Your Cost: $7.34/claim|Median: $3.49
2.1× median
82550Top 25%

Creatine kinase (CK) total blood test

$45K

8,535 claims · 0.5%

Your Cost: $5.25/claim|Median: $2.97
1.8× median
84100Top 25%

$43K

12K claims · 0.5%

Your Cost: $3.64/claim|Median: $1.34
2.7× median
84550Normal range

$42K

12K claims · 0.5%

Your Cost: $3.61/claim|Median: $2.51
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$38K

6,344 claims · 0.4%

Your Cost: $5.96/claim|Median: $4.71
1.3× median
83540Normal range

Iron blood level test

$37K

6,719 claims · 0.4%

Your Cost: $5.47/claim|Median: $2.93
1.9× median
83992Top 25%

$36K

2,860 claims · 0.4%

Your Cost: $12.49/claim|Median: $5.65
2.2× median
80305Normal range

$34K

3,458 claims · 0.4%

Your Cost: $9.96/claim|Median: $7.44
1.3× median
80356Top 25%

Benzodiazepine drug assay by definitive method

$34K

2,852 claims · 0.4%

Your Cost: $11.96/claim|Median: $5.78
2.1× median