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Provider 1306912241

NPI: 1306912241Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.0M

$15,982,471

Total Claims

608K

Beneficiaries

556K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-25%
2019
$2.4M
-36%
2020
$1.5M
+26%
2021
$1.9M
+5%
2022
$2.0M
+10%
2023
$2.2M
+15%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 49% of total spending.

0450Top 25%

Emergency room visit

$7.9M

95K claims · 49.4%

Your Cost: $82.71/claim|Median: $44.95
1.8× median
0750Top 5%

$4.2M

6,290 claims · 26.5%

Your Cost: $672.12/claim|Median: $136.43
4.9× median
0360Top 10%

$1.1M

2,519 claims · 6.9%

Your Cost: $437.18/claim|Median: $95.40
4.6× median
99283Normal range

Emergency dept visit, moderate complexity

$900K

64K claims · 5.6%

Your Cost: $14.11/claim|Median: $42.48
0.3× median
Z7502Normal range

$547K

15K claims · 3.4%

Your Cost: $37.18/claim|Median: $37.17
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$215K

4,900 claims · 1.3%

Your Cost: $43.94/claim|Median: $85.65
0.5× median
99284Normal range

Emergency dept visit, high complexity

$194K

8,319 claims · 1.2%

Your Cost: $23.37/claim|Median: $69.51
0.3× median
99282Normal range

Emergency dept visit, low complexity

$165K

23K claims · 1.0%

Your Cost: $7.29/claim|Median: $37.72
0.2× median
80053Normal range

Comprehensive metabolic panel

$137K

44K claims · 0.9%

Your Cost: $3.13/claim|Median: $7.24
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$116K

49K claims · 0.7%

Your Cost: $2.38/claim|Median: $4.71
0.5× median
99281Normal range

Emergency dept visit, minimal complexity

$107K

11K claims · 0.7%

Your Cost: $9.57/claim|Median: $52.03
0.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$71K

17K claims · 0.4%

Your Cost: $4.24/claim|Median: $7.50
0.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$60K

2,458 claims · 0.4%

Your Cost: $24.37/claim|Median: $100.62
0.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$58K

15K claims · 0.4%

Your Cost: $3.86/claim|Median: $5.60
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$30K

2,530 claims · 0.2%

Your Cost: $11.77/claim|Median: $39.70
0.3× median
83690Normal range

$26K

13K claims · 0.2%

Your Cost: $1.95/claim|Median: $3.35
0.6× median
86141Normal range

C-reactive protein, high sensitivity blood test

$18K

7,842 claims · 0.1%

Your Cost: $2.31/claim|Median: $6.50
0.4× median
Z7610Normal range

$14K

2,558 claims · 0.1%

Your Cost: $5.41/claim|Median: $9.46
0.6× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$13K

2,283 claims · 0.1%

Your Cost: $5.48/claim|Median: $30.04
0.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$12K

922 claims · 0.1%

Your Cost: $12.60/claim|Median: $35.43
0.4× median
81001Normal range

Urinalysis, automated, with microscopy

$10K

13K claims · 0.1%

Your Cost: $0.80/claim|Median: $2.03
0.4× median
71046Normal range

Chest X-ray, 2 views

$9K

3,461 claims · 0.1%

Your Cost: $2.72/claim|Median: $8.92
0.3× median
J7120Normal range

Ringer's lactate infusion, up to 1000 cc

$5K

3,111 claims · 0.0%

Your Cost: $1.66/claim|Median: $1.51
1.1× median
81003Normal range

Urinalysis, automated without microscopy

$5K

7,201 claims · 0.0%

Your Cost: $0.65/claim|Median: $1.48
0.4× median
J3490Normal range

Unclassified drugs

$5K

78K claims · 0.0%

Your Cost: $0.06/claim|Median: $5.70
0.0× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$4K

6,031 claims · 0.0%

Your Cost: $0.71/claim|Median: $0.91
0.8× median
84484Normal range

Troponin, quantitative

$4K

1,835 claims · 0.0%

Your Cost: $1.95/claim|Median: $4.84
0.4× median
99199Top 25%

Unlisted special service, procedure, or report

$4K

72 claims · 0.0%

Your Cost: $49.60/claim|Median: $5.39
9.2× median
74177Normal range

CT abdomen and pelvis with contrast

$3K

99 claims · 0.0%

Your Cost: $32.73/claim|Median: $65.76
0.5× median
87086Normal range

Urine culture, colony count, with identification

$3K

1,214 claims · 0.0%

Your Cost: $2.13/claim|Median: $5.31
0.4× median
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