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Provider 1316027709

NPI: 1316027709Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,514,478

Total Claims

1.7M

Beneficiaries

1.4M

1.2 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-8%
2019
$2.0M
-39%
2020
$1.2M
+34%
2021
$1.6M
+19%
2022
$2.0M
+39%
2023
$2.7M
+0%
2024
$2.7M

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 17% of total spending.

0450Normal range

Emergency room visit

$2.5M

131K claims · 17.0%

Your Cost: $18.82/claim|Median: $44.95
0.4× median
J3490Normal range

Unclassified drugs

$1.8M

83K claims · 12.3%

Your Cost: $21.42/claim|Median: $5.70
3.8× median
80048Top 25%

Basic metabolic panel

$1.7M

93K claims · 11.7%

Your Cost: $18.42/claim|Median: $5.78
3.2× median
99199Top 10%

Unlisted special service, procedure, or report

$1.4M

21K claims · 9.5%

Your Cost: $65.50/claim|Median: $5.39
12.2× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$937K

8,439 claims · 6.5%

Your Cost: $111.06/claim|Median: $28.63
3.9× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$510K

1,010 claims · 3.5%

Your Cost: $504.67/claim|Median: $5,391.55
0.1× median
Z7502Normal range

$466K

12K claims · 3.2%

Your Cost: $37.36/claim|Median: $37.17
1.0× median
Z9725Normal range

$393K

9,132 claims · 2.7%

Your Cost: $43.02/claim|Median: $42.99
1.0× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$310K

5,581 claims · 2.1%

Your Cost: $55.59/claim|Median: $260.56
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$309K

27K claims · 2.1%

Your Cost: $11.64/claim|Median: $9.56
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$289K

21K claims · 2.0%

Your Cost: $13.90/claim|Median: $21.76
0.6× median
80047Top 25%

$286K

16K claims · 2.0%

Your Cost: $18.06/claim|Median: $6.12
3.0× median
Q5107Normal range

$206K

1,657 claims · 1.4%

Your Cost: $124.24/claim|Median: $824.41
0.2× median
U0002Normal range

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

$199K

18K claims · 1.4%

Your Cost: $11.37/claim|Median: $34.62
0.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$190K

155K claims · 1.3%

Your Cost: $1.22/claim|Median: $4.71
0.3× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$154K

26K claims · 1.1%

Your Cost: $5.82/claim|Median: $1.53
3.8× median
78815Normal range

PET imaging for limited area

$133K

1,006 claims · 0.9%

Your Cost: $132.29/claim|Median: $325.10
0.4× median
J2505Normal range

$115K

805 claims · 0.8%

Your Cost: $142.85/claim|Median: $1,842.27
0.1× median
80053Normal range

Comprehensive metabolic panel

$112K

44K claims · 0.8%

Your Cost: $2.58/claim|Median: $7.24
0.4× median
74177Normal range

CT abdomen and pelvis with contrast

$106K

13K claims · 0.7%

Your Cost: $8.27/claim|Median: $65.76
0.1× median
71046Normal range

Chest X-ray, 2 views

$99K

29K claims · 0.7%

Your Cost: $3.47/claim|Median: $8.92
0.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$96K

51K claims · 0.7%

Your Cost: $1.89/claim|Median: $5.60
0.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$86K

12K claims · 0.6%

Your Cost: $7.20/claim|Median: $75.28
0.1× median
Q9967Normal range

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

$86K

16K claims · 0.6%

Your Cost: $5.37/claim|Median: $3.42
1.6× median
0360Normal range

$78K

3,959 claims · 0.5%

Your Cost: $19.66/claim|Median: $95.40
0.2× median
70553Normal range

MRI brain without contrast, then with contrast

$76K

1,211 claims · 0.5%

Your Cost: $63.04/claim|Median: $133.68
0.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$73K

39K claims · 0.5%

Your Cost: $1.85/claim|Median: $7.50
0.2× median
96367Normal range

$63K

8,842 claims · 0.4%

Your Cost: $7.12/claim|Median: $29.27
0.2× median
36415Top 5%

Collection of venous blood by venipuncture

$59K

5,469 claims · 0.4%

Your Cost: $10.70/claim|Median: $1.57
6.8× median
70450Normal range

CT head/brain without contrast

$56K

8,370 claims · 0.4%

Your Cost: $6.68/claim|Median: $45.53
0.1× median
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