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Provider 1295708683

NPI: 1295708683Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,688,456

Total Claims

132K

Beneficiaries

109K

1.2 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+20%
2019
$1.4M
-17%
2020
$1.2M
+12%
2021
$1.3M
+45%
2022
$1.9M
+0%
2023
$1.9M
-1%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 20% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.1M

10K claims · 19.6%

Your Cost: $200.60/claim|Median: $42.48
4.7× median
99284Top 5%

Emergency dept visit, high complexity

$1.2M

4,050 claims · 11.0%

Your Cost: $290.08/claim|Median: $69.51
4.2× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.2M

2,476 claims · 11.0%

Your Cost: $473.42/claim|Median: $85.65
5.5× median
74177Top 1%

CT abdomen and pelvis with contrast

$1.0M

538 claims · 9.5%

Your Cost: $1,887.52/claim|Median: $65.76
28.7× median
70450Top 1%

CT head/brain without contrast

$577K

956 claims · 5.4%

Your Cost: $603.57/claim|Median: $45.53
13.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$393K

3,163 claims · 3.7%

Your Cost: $124.26/claim|Median: $38.92
3.2× median
71046Top 1%

Chest X-ray, 2 views

$391K

2,910 claims · 3.7%

Your Cost: $134.20/claim|Median: $8.92
15.0× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$368K

2,636 claims · 3.4%

Your Cost: $139.48/claim|Median: $14.92
9.3× median
96365Top 25%

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

$308K

2,302 claims · 2.9%

Your Cost: $133.97/claim|Median: $54.77
2.4× median
99282Top 25%

Emergency dept visit, low complexity

$223K

1,697 claims · 2.1%

Your Cost: $131.33/claim|Median: $37.72
3.5× median
80306Top 5%

$218K

2,490 claims · 2.0%

Your Cost: $87.57/claim|Median: $10.29
8.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$206K

9,901 claims · 1.9%

Your Cost: $20.76/claim|Median: $4.71
4.4× median
80053Top 25%

Comprehensive metabolic panel

$201K

10K claims · 1.9%

Your Cost: $20.09/claim|Median: $7.24
2.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$165K

3,527 claims · 1.5%

Your Cost: $46.92/claim|Median: $7.50
6.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$159K

2,173 claims · 1.5%

Your Cost: $73.13/claim|Median: $21.76
3.4× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$157K

3,774 claims · 1.5%

Your Cost: $41.47/claim|Median: $9.87
4.2× median
36415Top 5%

Collection of venous blood by venipuncture

$117K

10K claims · 1.1%

Your Cost: $11.40/claim|Median: $1.57
7.3× median
71045Top 5%

Chest X-ray, single view

$108K

1,315 claims · 1.0%

Your Cost: $82.31/claim|Median: $4.93
16.7× median
80061Top 5%

Lipid panel

$104K

2,448 claims · 1.0%

Your Cost: $42.69/claim|Median: $8.41
5.1× median
Q9967Top 10%

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

$89K

1,540 claims · 0.8%

Your Cost: $58.05/claim|Median: $3.42
17.0× median
84484Top 5%

Troponin, quantitative

$88K

2,777 claims · 0.8%

Your Cost: $31.57/claim|Median: $4.84
6.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$84K

3,152 claims · 0.8%

Your Cost: $26.80/claim|Median: $39.70
0.7× median
83690Top 5%

$73K

1,957 claims · 0.7%

Your Cost: $37.51/claim|Median: $3.35
11.2× median
81001Top 10%

Urinalysis, automated, with microscopy

$64K

5,244 claims · 0.6%

Your Cost: $12.12/claim|Median: $2.03
6.0× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$60K

2,007 claims · 0.6%

Your Cost: $30.08/claim|Median: $5.50
5.5× median
80048Top 10%

Basic metabolic panel

$56K

2,275 claims · 0.5%

Your Cost: $24.52/claim|Median: $5.78
4.2× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$55K

940 claims · 0.5%

Your Cost: $58.27/claim|Median: $35.43
1.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$54K

1,256 claims · 0.5%

Your Cost: $42.82/claim|Median: $9.56
4.5× median
87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$49K

127 claims · 0.5%

Your Cost: $382.19/claim|Median: $169.17
2.3× median
87804Normal range

Influenza virus detection, rapid test

$38K

2,819 claims · 0.4%

Your Cost: $13.63/claim|Median: $12.59
1.1× median
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