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Provider 1295728491

NPI: 1295728491Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,689,323

Total Claims

329K

Beneficiaries

272K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$856K
+88%
2019
$1.6M
+2%
2020
$1.6M
+21%
2021
$2.0M
+34%
2022
$2.7M
+18%
2023
$3.1M
-12%
2024
$2.8M

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 19% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$2.8M

18K claims · 19.2%

Your Cost: $159.64/claim|Median: $42.48
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$2.8M

17K claims · 18.9%

Your Cost: $162.20/claim|Median: $69.51
2.3× median
96361Top 10%

IV infusion, hydration, each additional hour

$2.7M

8,905 claims · 18.1%

Your Cost: $297.79/claim|Median: $38.92
7.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.3M

14K claims · 15.5%

Your Cost: $164.20/claim|Median: $85.65
1.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$809K

3,442 claims · 5.5%

Your Cost: $235.01/claim|Median: $65.76
3.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$469K

7,936 claims · 3.2%

Your Cost: $59.09/claim|Median: $91.47
0.6× median
70450Top 25%

CT head/brain without contrast

$402K

2,667 claims · 2.7%

Your Cost: $150.91/claim|Median: $45.53
3.3× median
99282Top 10%

Emergency dept visit, low complexity

$399K

2,682 claims · 2.7%

Your Cost: $148.87/claim|Median: $37.72
3.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$266K

1,232 claims · 1.8%

Your Cost: $215.54/claim|Median: $60.19
3.6× median
96360Top 25%

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

$247K

2,130 claims · 1.7%

Your Cost: $115.79/claim|Median: $61.57
1.9× median
G0378Normal range

Hospital observation service, per hour

$160K

967 claims · 1.1%

Your Cost: $165.03/claim|Median: $99.39
1.7× median
96365Normal range

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

$153K

2,539 claims · 1.0%

Your Cost: $60.23/claim|Median: $54.77
1.1× median
80053Normal range

Comprehensive metabolic panel

$147K

18K claims · 1.0%

Your Cost: $8.07/claim|Median: $7.24
1.1× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$114K

433 claims · 0.8%

Your Cost: $264.30/claim|Median: $54.68
4.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$98K

2,524 claims · 0.7%

Your Cost: $38.78/claim|Median: $35.43
1.1× median
71275Top 10%

CT angiography, chest, with contrast

$91K

339 claims · 0.6%

Your Cost: $268.20/claim|Median: $92.96
2.9× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$89K

1,623 claims · 0.6%

Your Cost: $55.09/claim|Median: $10.88
5.1× median
76705Top 10%

Ultrasound, abdominal, limited

$76K

802 claims · 0.5%

Your Cost: $95.22/claim|Median: $23.81
4.0× median
76856Top 25%

Ultrasound, pelvic, complete

$63K

731 claims · 0.4%

Your Cost: $86.78/claim|Median: $47.58
1.8× median
99281Top 25%

Emergency dept visit, minimal complexity

$53K

463 claims · 0.4%

Your Cost: $114.17/claim|Median: $52.03
2.2× median
77063Top 10%

Screening digital breast tomosynthesis, bilateral

$35K

688 claims · 0.2%

Your Cost: $50.28/claim|Median: $21.41
2.3× median
71046Normal range

Chest X-ray, 2 views

$35K

6,526 claims · 0.2%

Your Cost: $5.30/claim|Median: $8.92
0.6× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$32K

314 claims · 0.2%

Your Cost: $102.73/claim|Median: $40.12
2.6× median
Q9957Normal range

$25K

604 claims · 0.2%

Your Cost: $40.61/claim|Median: $15.89
2.6× median
76830Top 25%

Ultrasound, transvaginal

$24K

281 claims · 0.2%

Your Cost: $86.48/claim|Median: $57.47
1.5× median
80048Normal range

Basic metabolic panel

$24K

3,562 claims · 0.2%

Your Cost: $6.74/claim|Median: $5.78
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$23K

4,844 claims · 0.2%

Your Cost: $4.71/claim|Median: $5.60
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$21K

1,037 claims · 0.1%

Your Cost: $20.58/claim|Median: $39.70
0.5× median
71250Normal range

CT scan of chest without contrast

$20K

352 claims · 0.1%

Your Cost: $58.18/claim|Median: $39.11
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$19K

663 claims · 0.1%

Your Cost: $29.08/claim|Median: $63.08
0.5× median
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