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Provider 1295106870

NPI: 1295106870Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.9M

$8,941,290

Total Claims

731K

Beneficiaries

491K

1.5 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$524K
+270%
2019
$1.9M
-17%
2020
$1.6M
+1%
2021
$1.6M
+26%
2022
$2.1M
-56%
2023
$903K
-71%
2024
$263K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 13% of total spending.

99284Normal range

Emergency dept visit, high complexity

$1.2M

26K claims · 13.3%

Your Cost: $46.20/claim|Median: $69.51
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.1M

23K claims · 12.3%

Your Cost: $48.58/claim|Median: $85.65
0.6× median
80053Top 10%

Comprehensive metabolic panel

$968K

44K claims · 10.8%

Your Cost: $21.79/claim|Median: $7.24
3.0× median
99283Normal range

Emergency dept visit, moderate complexity

$760K

15K claims · 8.5%

Your Cost: $50.84/claim|Median: $42.48
1.2× median
70450Normal range

CT head/brain without contrast

$448K

8,400 claims · 5.0%

Your Cost: $53.36/claim|Median: $45.53
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$418K

4,429 claims · 4.7%

Your Cost: $94.31/claim|Median: $65.76
1.4× median
Q9967Top 25%

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

$340K

8,030 claims · 3.8%

Your Cost: $42.37/claim|Median: $3.42
12.4× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$237K

3,511 claims · 2.6%

Your Cost: $67.37/claim|Median: $36.13
1.9× median
97110Normal range

Therapeutic exercises, each 15 min

$229K

5,990 claims · 2.6%

Your Cost: $38.20/claim|Median: $24.49
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$171K

2,033 claims · 1.9%

Your Cost: $84.24/claim|Median: $60.19
1.4× median
G0378Normal range

Hospital observation service, per hour

$161K

23K claims · 1.8%

Your Cost: $7.05/claim|Median: $99.39
0.1× median
80048Top 25%

Basic metabolic panel

$154K

12K claims · 1.7%

Your Cost: $12.56/claim|Median: $5.78
2.2× median
71275Normal range

CT angiography, chest, with contrast

$130K

1,513 claims · 1.5%

Your Cost: $85.75/claim|Median: $92.96
0.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$125K

4,985 claims · 1.4%

Your Cost: $25.05/claim|Median: $75.28
0.3× median
99282Normal range

Emergency dept visit, low complexity

$122K

2,194 claims · 1.4%

Your Cost: $55.47/claim|Median: $37.72
1.5× median
96365Normal range

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

$115K

1,976 claims · 1.3%

Your Cost: $58.09/claim|Median: $54.77
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$111K

4,847 claims · 1.2%

Your Cost: $22.97/claim|Median: $26.41
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$110K

2,444 claims · 1.2%

Your Cost: $45.12/claim|Median: $54.68
0.8× median
80047Top 25%

$92K

7,453 claims · 1.0%

Your Cost: $12.40/claim|Median: $6.12
2.0× median
G0257Normal range

$82K

1,131 claims · 0.9%

Your Cost: $72.31/claim|Median: $70.95
1.0× median
81025Top 10%

Urine pregnancy test

$78K

7,273 claims · 0.9%

Your Cost: $10.74/claim|Median: $4.81
2.2× median
99281Normal range

Emergency dept visit, minimal complexity

$76K

1,315 claims · 0.8%

Your Cost: $57.78/claim|Median: $52.03
1.1× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$72K

2,486 claims · 0.8%

Your Cost: $28.81/claim|Median: $61.57
0.5× median
36415Top 25%

Collection of venous blood by venipuncture

$71K

24K claims · 0.8%

Your Cost: $2.93/claim|Median: $1.57
1.9× median
72125Normal range

CT cervical spine without contrast

$69K

2,175 claims · 0.8%

Your Cost: $31.65/claim|Median: $32.30
1.0× median
84484Normal range

Troponin, quantitative

$68K

24K claims · 0.8%

Your Cost: $2.90/claim|Median: $4.84
0.6× median
82948Normal range

$63K

25K claims · 0.7%

Your Cost: $2.53/claim|Median: $1.78
1.4× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$55K

5,421 claims · 0.6%

Your Cost: $10.16/claim|Median: $10.88
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$55K

58K claims · 0.6%

Your Cost: $0.94/claim|Median: $4.71
0.2× median
97161Normal range

Physical therapy evaluation, low complexity

$54K

1,198 claims · 0.6%

Your Cost: $45.18/claim|Median: $47.89
0.9× median
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