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Provider 1306896253

NPI: 1306896253Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$14,009,595

Total Claims

456K

Beneficiaries

390K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-9%
2019
$2.6M
-43%
2020
$1.5M
+8%
2021
$1.6M
-0%
2022
$1.6M
+31%
2023
$2.1M
-10%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99282 (Emergency dept visit, low complexity)) accounts for 14% of total spending.

99282Normal range

Emergency dept visit, low complexity

$2.0M

26K claims · 14.5%

Your Cost: $78.88/claim|Median: $37.72
2.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

16K claims · 12.7%

Your Cost: $109.89/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$957K

6,154 claims · 6.8%

Your Cost: $155.56/claim|Median: $69.51
2.2× median
74177Top 5%

CT abdomen and pelvis with contrast

$781K

1,411 claims · 5.6%

Your Cost: $553.26/claim|Median: $65.76
8.4× median
A0429Top 25%

Ambulance, BLS emergency transport

$719K

3,354 claims · 5.1%

Your Cost: $214.45/claim|Median: $138.19
1.6× median
G0378Normal range

Hospital observation service, per hour

$476K

4,579 claims · 3.4%

Your Cost: $103.96/claim|Median: $99.39
1.0× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$420K

1,650 claims · 3.0%

Your Cost: $254.46/claim|Median: $164.22
1.5× median
70450Top 10%

CT head/brain without contrast

$378K

1,921 claims · 2.7%

Your Cost: $197.03/claim|Median: $45.53
4.3× median
59025Top 25%

Fetal non-stress test

$362K

5,718 claims · 2.6%

Your Cost: $63.32/claim|Median: $26.45
2.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$356K

1,696 claims · 2.5%

Your Cost: $209.87/claim|Median: $85.65
2.5× median
96361Normal range

IV infusion, hydration, each additional hour

$300K

5,115 claims · 2.1%

Your Cost: $58.59/claim|Median: $38.92
1.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$256K

3,431 claims · 1.8%

Your Cost: $74.54/claim|Median: $169.17
0.4× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$205K

4,743 claims · 1.5%

Your Cost: $43.17/claim|Median: $100.62
0.4× median
99213Normal range

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

$188K

4,416 claims · 1.3%

Your Cost: $42.49/claim|Median: $37.81
1.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$187K

5,300 claims · 1.3%

Your Cost: $35.26/claim|Median: $12.93
2.7× median
99212Top 25%

Office/outpatient visit, low complexity

$177K

4,237 claims · 1.3%

Your Cost: $41.74/claim|Median: $25.06
1.7× median
96360Normal range

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

$175K

2,554 claims · 1.2%

Your Cost: $68.34/claim|Median: $61.57
1.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$171K

7,823 claims · 1.2%

Your Cost: $21.85/claim|Median: $7.50
2.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$165K

28K claims · 1.2%

Your Cost: $5.90/claim|Median: $4.71
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$155K

5,574 claims · 1.1%

Your Cost: $27.78/claim|Median: $21.76
1.3× median
Q9967Top 10%

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

$143K

2,379 claims · 1.0%

Your Cost: $60.16/claim|Median: $3.42
17.6× median
96365Normal range

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

$135K

2,124 claims · 1.0%

Your Cost: $63.76/claim|Median: $54.77
1.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$134K

5,645 claims · 1.0%

Your Cost: $23.78/claim|Median: $9.56
2.5× median
71046Top 5%

Chest X-ray, 2 views

$134K

2,671 claims · 1.0%

Your Cost: $50.05/claim|Median: $8.92
5.6× median
A0425Normal range

Ground mileage, per statute mile

$125K

2,945 claims · 0.9%

Your Cost: $42.34/claim|Median: $23.36
1.8× median
71045Top 25%

Chest X-ray, single view

$124K

7,268 claims · 0.9%

Your Cost: $17.00/claim|Median: $4.93
3.4× median
99281Normal range

Emergency dept visit, minimal complexity

$109K

2,063 claims · 0.8%

Your Cost: $52.78/claim|Median: $52.03
1.0× median
80048Normal range

Basic metabolic panel

$103K

18K claims · 0.7%

Your Cost: $5.71/claim|Median: $5.78
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$99K

3,025 claims · 0.7%

Your Cost: $32.61/claim|Median: $39.70
0.8× median
99214Normal range

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

$98K

2,010 claims · 0.7%

Your Cost: $48.79/claim|Median: $53.41
0.9× median
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