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Provider 1295702728

NPI: 1295702728Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.3M

$12,327,579

Total Claims

613K

Beneficiaries

495K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$700K
+175%
2019
$1.9M
-29%
2020
$1.4M
+49%
2021
$2.0M
+46%
2022
$3.0M
-24%
2023
$2.2M
-51%
2024
$1.1M

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 27% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.3M

34K claims · 26.8%

Your Cost: $95.94/claim|Median: $69.51
1.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.9M

30K claims · 23.5%

Your Cost: $96.43/claim|Median: $42.48
2.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.6M

17K claims · 13.3%

Your Cost: $96.18/claim|Median: $85.65
1.1× median
99282Normal range

Emergency dept visit, low complexity

$456K

5,184 claims · 3.7%

Your Cost: $88.04/claim|Median: $37.72
2.3× median
36415Top 5%

Collection of venous blood by venipuncture

$419K

29K claims · 3.4%

Your Cost: $14.20/claim|Median: $1.57
9.0× median
80053Normal range

Comprehensive metabolic panel

$305K

36K claims · 2.5%

Your Cost: $8.35/claim|Median: $7.24
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$214K

3,397 claims · 1.7%

Your Cost: $62.88/claim|Median: $65.76
1.0× median
70450Normal range

CT head/brain without contrast

$194K

5,825 claims · 1.6%

Your Cost: $33.31/claim|Median: $45.53
0.7× median
87400Top 5%

$166K

4,223 claims · 1.3%

Your Cost: $39.21/claim|Median: $8.40
4.7× median
74176Normal range

CT abdomen and pelvis without contrast

$151K

2,071 claims · 1.2%

Your Cost: $73.13/claim|Median: $60.19
1.2× median
87430Top 5%

$123K

2,754 claims · 1.0%

Your Cost: $44.62/claim|Median: $9.41
4.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$122K

2,418 claims · 1.0%

Your Cost: $50.60/claim|Median: $24.49
2.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$113K

3,766 claims · 0.9%

Your Cost: $29.96/claim|Median: $35.43
0.8× median
87486Normal range

$110K

8,765 claims · 0.9%

Your Cost: $12.55/claim|Median: $19.16
0.7× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$102K

9,540 claims · 0.8%

Your Cost: $10.73/claim|Median: $169.17
0.1× median
99218Normal range

$84K

4,712 claims · 0.7%

Your Cost: $17.91/claim|Median: $51.50
0.3× median
99281Normal range

Emergency dept visit, minimal complexity

$84K

920 claims · 0.7%

Your Cost: $91.17/claim|Median: $52.03
1.8× median
87088Top 10%

$83K

8,601 claims · 0.7%

Your Cost: $9.65/claim|Median: $5.45
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$82K

3,610 claims · 0.7%

Your Cost: $22.69/claim|Median: $38.92
0.6× median
81001Top 25%

Urinalysis, automated, with microscopy

$80K

19K claims · 0.6%

Your Cost: $4.27/claim|Median: $2.03
2.1× median
71045Normal range

Chest X-ray, single view

$68K

15K claims · 0.6%

Your Cost: $4.50/claim|Median: $4.93
0.9× median
84484Normal range

Troponin, quantitative

$65K

10K claims · 0.5%

Your Cost: $6.48/claim|Median: $4.84
1.3× median
80048Top 25%

Basic metabolic panel

$60K

5,778 claims · 0.5%

Your Cost: $10.46/claim|Median: $5.78
1.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$57K

4,128 claims · 0.5%

Your Cost: $13.70/claim|Median: $10.88
1.3× median
71275Normal range

CT angiography, chest, with contrast

$47K

1,372 claims · 0.4%

Your Cost: $33.92/claim|Median: $92.96
0.4× median
71046Normal range

Chest X-ray, 2 views

$44K

2,820 claims · 0.4%

Your Cost: $15.47/claim|Median: $8.92
1.7× median
86850Top 25%

$43K

2,192 claims · 0.3%

Your Cost: $19.65/claim|Median: $5.44
3.6× median
A9270Normal range

$43K

46K claims · 0.3%

Your Cost: $0.93/claim|Median: $0.20
4.7× median
99291Normal range

Critical care, first 30-74 minutes

$39K

379 claims · 0.3%

Your Cost: $102.20/claim|Median: $101.24
1.0× median
86900Top 25%

$38K

3,688 claims · 0.3%

Your Cost: $10.28/claim|Median: $2.55
4.0× median
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