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Provider 1306909734

NPI: 1306909734Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,390,860

Total Claims

284K

Beneficiaries

193K

1.5 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+20%
2019
$2.2M
-32%
2020
$1.5M
+35%
2021
$2.0M
-6%
2022
$1.9M
-2%
2023
$1.8M
-32%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 19% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$2.4M

10K claims · 19.2%

Your Cost: $235.41/claim|Median: $85.65
2.7× median
99284Top 10%

Emergency dept visit, high complexity

$1.6M

8,475 claims · 13.2%

Your Cost: $192.91/claim|Median: $69.51
2.8× median
90853Normal range

Group psychotherapy

$1.3M

36K claims · 10.3%

Your Cost: $35.61/claim|Median: $25.02
1.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$1.2M

4,570 claims · 10.0%

Your Cost: $270.30/claim|Median: $169.17
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$741K

7,397 claims · 6.0%

Your Cost: $100.15/claim|Median: $42.48
2.4× median
G0378Top 25%

Hospital observation service, per hour

$631K

1,545 claims · 5.1%

Your Cost: $408.68/claim|Median: $99.39
4.1× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$384K

6,641 claims · 3.1%

Your Cost: $57.86/claim|Median: $10.88
5.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$329K

3,901 claims · 2.7%

Your Cost: $84.23/claim|Median: $21.76
3.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$266K

2,293 claims · 2.1%

Your Cost: $115.85/claim|Median: $38.92
3.0× median
87507Top 25%

$244K

685 claims · 2.0%

Your Cost: $355.85/claim|Median: $157.44
2.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$187K

5,737 claims · 1.5%

Your Cost: $32.53/claim|Median: $9.56
3.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$166K

933 claims · 1.3%

Your Cost: $177.88/claim|Median: $65.76
2.7× median
99282Normal range

Emergency dept visit, low complexity

$159K

3,123 claims · 1.3%

Your Cost: $50.82/claim|Median: $37.72
1.3× median
80053Normal range

Comprehensive metabolic panel

$159K

17K claims · 1.3%

Your Cost: $9.08/claim|Median: $7.24
1.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$156K

21K claims · 1.3%

Your Cost: $7.35/claim|Median: $4.71
1.6× median
70450Normal range

CT head/brain without contrast

$152K

2,543 claims · 1.2%

Your Cost: $59.94/claim|Median: $45.53
1.3× median
87486Normal range

$149K

5,302 claims · 1.2%

Your Cost: $28.13/claim|Median: $19.16
1.5× median
87581Top 25%

$149K

5,300 claims · 1.2%

Your Cost: $28.03/claim|Median: $17.13
1.6× median
71046Top 25%

Chest X-ray, 2 views

$144K

4,730 claims · 1.2%

Your Cost: $30.41/claim|Median: $8.92
3.4× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$142K

6,979 claims · 1.1%

Your Cost: $20.36/claim|Median: $26.72
0.8× median
71045Top 10%

Chest X-ray, single view

$116K

4,439 claims · 0.9%

Your Cost: $26.04/claim|Median: $4.93
5.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$110K

5,287 claims · 0.9%

Your Cost: $20.76/claim|Median: $7.50
2.8× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$103K

3,160 claims · 0.8%

Your Cost: $32.50/claim|Median: $34.62
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$83K

5,952 claims · 0.7%

Your Cost: $14.01/claim|Median: $9.87
1.4× median
96365Normal range

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

$82K

887 claims · 0.7%

Your Cost: $92.26/claim|Median: $54.77
1.7× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$78K

1,111 claims · 0.6%

Your Cost: $69.80/claim|Median: $120.85
0.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$68K

2,581 claims · 0.5%

Your Cost: $26.32/claim|Median: $14.92
1.8× median
80061Normal range

Lipid panel

$64K

5,645 claims · 0.5%

Your Cost: $11.35/claim|Median: $8.41
1.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$55K

3,745 claims · 0.4%

Your Cost: $14.69/claim|Median: $11.48
1.3× median
G0177Normal range

Training and educational services, per session

$51K

5,748 claims · 0.4%

Your Cost: $8.90/claim|Median: $8.90
1.0× median
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