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Provider 1295743060

NPI: 1295743060Share
Active Billing Period:2018-01→2024-12(79 months)

Total Paid

$7.7M

$7,722,571

Total Claims

141K

Beneficiaries

115K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$11K
+2593%
2019
$305K
+229%
2020
$1.0M
+68%
2021
$1.7M
-0%
2022
$1.7M
+3%
2023
$1.7M
-25%
2024
$1.3M

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 5%

Emergency dept visit, moderate complexity

$1.5M

7,604 claims · 19.1%

Your Cost: $193.64/claim|Median: $42.48
4.6× median
99284Top 10%

Emergency dept visit, high complexity

$976K

5,627 claims · 12.6%

Your Cost: $173.43/claim|Median: $69.51
2.5× median
99213Top 5%

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

$733K

6,285 claims · 9.5%

Your Cost: $116.62/claim|Median: $37.81
3.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$559K

7,225 claims · 7.2%

Your Cost: $77.30/claim|Median: $24.49
3.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$488K

2,708 claims · 6.3%

Your Cost: $180.17/claim|Median: $85.65
2.1× median
96361Top 25%

IV infusion, hydration, each additional hour

$332K

1,656 claims · 4.3%

Your Cost: $200.39/claim|Median: $38.92
5.1× median
99282Top 5%

Emergency dept visit, low complexity

$322K

1,669 claims · 4.2%

Your Cost: $192.78/claim|Median: $37.72
5.1× median
36415Top 5%

Collection of venous blood by venipuncture

$287K

18K claims · 3.7%

Your Cost: $15.89/claim|Median: $1.57
10.1× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$261K

5,198 claims · 3.4%

Your Cost: $50.29/claim|Median: $16.79
3.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$260K

1,151 claims · 3.4%

Your Cost: $226.25/claim|Median: $65.76
3.4× median
99214Top 5%

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

$211K

1,577 claims · 2.7%

Your Cost: $133.95/claim|Median: $53.41
2.5× median
77067Top 10%

Screening mammography, bilateral, including CAD

$198K

1,753 claims · 2.6%

Your Cost: $113.04/claim|Median: $39.33
2.9× median
70450Top 10%

CT head/brain without contrast

$198K

1,053 claims · 2.6%

Your Cost: $188.16/claim|Median: $45.53
4.1× median
80053Top 25%

Comprehensive metabolic panel

$135K

7,582 claims · 1.8%

Your Cost: $17.85/claim|Median: $7.24
2.5× median
Q9967Top 5%

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

$130K

1,540 claims · 1.7%

Your Cost: $84.27/claim|Median: $3.42
24.6× median
96365Top 10%

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

$118K

804 claims · 1.5%

Your Cost: $146.46/claim|Median: $54.77
2.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$117K

1,802 claims · 1.5%

Your Cost: $65.12/claim|Median: $63.08
1.0× median
76641Top 25%

Ultrasound imaging of one breast, complete

$117K

1,317 claims · 1.5%

Your Cost: $88.89/claim|Median: $49.03
1.8× median
76830Top 10%

Ultrasound, transvaginal

$71K

666 claims · 0.9%

Your Cost: $106.26/claim|Median: $57.47
1.8× median
96360Top 25%

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

$49K

287 claims · 0.6%

Your Cost: $171.81/claim|Median: $61.57
2.8× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$46K

1,751 claims · 0.6%

Your Cost: $26.46/claim|Median: $21.41
1.2× median
76700Top 25%

Ultrasound, abdominal, complete

$39K

341 claims · 0.5%

Your Cost: $114.87/claim|Median: $50.69
2.3× median
A9579Top 5%

$38K

146 claims · 0.5%

Your Cost: $261.10/claim|Median: $13.25
19.7× median
71046Top 25%

Chest X-ray, 2 views

$33K

1,346 claims · 0.4%

Your Cost: $24.53/claim|Median: $8.92
2.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$32K

180 claims · 0.4%

Your Cost: $179.44/claim|Median: $60.19
3.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$32K

2,563 claims · 0.4%

Your Cost: $12.60/claim|Median: $21.76
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$26K

756 claims · 0.3%

Your Cost: $34.78/claim|Median: $35.43
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$23K

1,069 claims · 0.3%

Your Cost: $21.74/claim|Median: $39.70
0.5× median
80048Top 25%

Basic metabolic panel

$23K

1,279 claims · 0.3%

Your Cost: $17.96/claim|Median: $5.78
3.1× median
J3490Normal range

Unclassified drugs

$22K

2,178 claims · 0.3%

Your Cost: $10.20/claim|Median: $5.70
1.8× median
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