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Provider 1316061997

NPI: 1316061997Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.9M

$14,946,410

Total Claims

212K

Beneficiaries

172K

1.2 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-1%
2019
$1.5M
+28%
2020
$1.9M
+31%
2021
$2.5M
-13%
2022
$2.2M
+41%
2023
$3.1M
-34%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99281 (Emergency dept visit, minimal complexity)) accounts for 15% of total spending.

99281Normal range

Emergency dept visit, minimal complexity

$2.3M

32K claims · 15.1%

Your Cost: $70.79/claim|Median: $52.03
1.4× median
99284Top 5%

Emergency dept visit, high complexity

$2.1M

8,648 claims · 13.7%

Your Cost: $237.12/claim|Median: $69.51
3.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.4M

7,737 claims · 9.7%

Your Cost: $187.13/claim|Median: $42.48
4.4× median
A9150Top 1%

Non-prescription drug or biological supply

$1.4M

4,842 claims · 9.6%

Your Cost: $297.80/claim|Median: $7.16
41.6× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$1.0M

29K claims · 6.7%

Your Cost: $34.68/claim|Median: $28.63
1.2× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$782K

960 claims · 5.2%

Your Cost: $814.38/claim|Median: $85.65
9.5× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$563K

4,513 claims · 3.8%

Your Cost: $124.78/claim|Median: $21.76
5.7× median
70450Top 10%

CT head/brain without contrast

$520K

2,813 claims · 3.5%

Your Cost: $184.98/claim|Median: $45.53
4.1× median
0450Top 25%

Emergency room visit

$454K

5,392 claims · 3.0%

Your Cost: $84.18/claim|Median: $44.95
1.9× median
G0481Top 5%

Drug test, definitive, 8-14 drug classes

$334K

2,087 claims · 2.2%

Your Cost: $159.80/claim|Median: $64.72
2.5× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$322K

1,543 claims · 2.2%

Your Cost: $208.77/claim|Median: $91.47
2.3× median
80053Top 10%

Comprehensive metabolic panel

$300K

8,187 claims · 2.0%

Your Cost: $36.64/claim|Median: $7.24
5.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$261K

4,095 claims · 1.7%

Your Cost: $63.85/claim|Median: $9.56
6.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$250K

7,969 claims · 1.7%

Your Cost: $31.32/claim|Median: $7.50
4.2× median
99282Top 10%

Emergency dept visit, low complexity

$243K

1,602 claims · 1.6%

Your Cost: $151.74/claim|Median: $37.72
4.0× median
74177Top 10%

CT abdomen and pelvis with contrast

$213K

586 claims · 1.4%

Your Cost: $363.97/claim|Median: $65.76
5.5× median
96365Top 25%

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

$207K

1,467 claims · 1.4%

Your Cost: $141.05/claim|Median: $54.77
2.6× median
71045Top 10%

Chest X-ray, single view

$204K

4,893 claims · 1.4%

Your Cost: $41.78/claim|Median: $4.93
8.5× median
Z7502Top 10%

$204K

5,311 claims · 1.4%

Your Cost: $38.32/claim|Median: $37.17
1.0× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$191K

2,827 claims · 1.3%

Your Cost: $67.58/claim|Median: $14.92
4.5× median
96361Normal range

IV infusion, hydration, each additional hour

$189K

4,166 claims · 1.3%

Your Cost: $45.35/claim|Median: $38.92
1.2× median
96360Normal range

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

$179K

1,597 claims · 1.2%

Your Cost: $111.93/claim|Median: $61.57
1.8× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$149K

1,068 claims · 1.0%

Your Cost: $139.30/claim|Median: $37.56
3.7× median
U0002Top 5%

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

$103K

1,078 claims · 0.7%

Your Cost: $95.90/claim|Median: $34.62
2.8× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$93K

9,510 claims · 0.6%

Your Cost: $9.75/claim|Median: $4.71
2.1× median
82962Top 1%

Blood glucose test by monitoring device

$81K

2,453 claims · 0.5%

Your Cost: $33.16/claim|Median: $1.40
23.7× median
71046Top 5%

Chest X-ray, 2 views

$72K

1,277 claims · 0.5%

Your Cost: $56.09/claim|Median: $8.92
6.3× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$65K

5,576 claims · 0.4%

Your Cost: $11.63/claim|Median: $1.53
7.6× median
80048Top 5%

Basic metabolic panel

$61K

1,718 claims · 0.4%

Your Cost: $35.36/claim|Median: $5.78
6.1× median
J3490Normal range

Unclassified drugs

$57K

4,917 claims · 0.4%

Your Cost: $11.61/claim|Median: $5.70
2.0× median
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