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Provider 1316902414

NPI: 1316902414Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.2M

$14,202,949

Total Claims

725K

Beneficiaries

583K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+13%
2019
$2.0M
-6%
2020
$1.9M
+5%
2021
$2.0M
+15%
2022
$2.3M
+6%
2023
$2.4M
-28%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 11% of total spending.

97110Top 25%

Therapeutic exercises, each 15 min

$1.6M

39K claims · 11.3%

Your Cost: $41.64/claim|Median: $24.49
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$825K

6,335 claims · 5.8%

Your Cost: $130.25/claim|Median: $65.76
2.0× median
70450Top 25%

CT head/brain without contrast

$599K

6,848 claims · 4.2%

Your Cost: $87.52/claim|Median: $45.53
1.9× median
80053Top 25%

Comprehensive metabolic panel

$501K

28K claims · 3.5%

Your Cost: $17.78/claim|Median: $7.24
2.5× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$499K

4,043 claims · 3.5%

Your Cost: $123.42/claim|Median: $36.13
3.4× median
96365Normal range

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

$433K

5,642 claims · 3.0%

Your Cost: $76.74/claim|Median: $54.77
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$399K

3,537 claims · 2.8%

Your Cost: $112.68/claim|Median: $54.68
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$390K

6,566 claims · 2.7%

Your Cost: $59.42/claim|Median: $63.08
0.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$357K

3,306 claims · 2.5%

Your Cost: $107.96/claim|Median: $91.47
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$321K

46K claims · 2.3%

Your Cost: $6.99/claim|Median: $4.71
1.5× median
U0002Normal range

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

$279K

6,109 claims · 2.0%

Your Cost: $45.59/claim|Median: $34.62
1.3× median
80048Top 25%

Basic metabolic panel

$274K

18K claims · 1.9%

Your Cost: $14.97/claim|Median: $5.78
2.6× median
71275Top 25%

CT angiography, chest, with contrast

$263K

1,614 claims · 1.8%

Your Cost: $162.76/claim|Median: $92.96
1.8× median
36415Top 5%

Collection of venous blood by venipuncture

$250K

20K claims · 1.8%

Your Cost: $12.73/claim|Median: $1.57
8.1× median
72148Top 25%

MRI lumbar spine without contrast

$238K

1,076 claims · 1.7%

Your Cost: $220.75/claim|Median: $101.03
2.2× median
70553Top 25%

MRI brain without contrast, then with contrast

$236K

675 claims · 1.7%

Your Cost: $350.07/claim|Median: $133.68
2.6× median
72125Top 25%

CT cervical spine without contrast

$201K

1,978 claims · 1.4%

Your Cost: $101.52/claim|Median: $32.30
3.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$180K

18K claims · 1.3%

Your Cost: $9.73/claim|Median: $7.50
1.3× median
97530Normal range

Therapeutic activities, each 15 min

$174K

8,770 claims · 1.2%

Your Cost: $19.89/claim|Median: $33.11
0.6× median
59025Top 10%

Fetal non-stress test

$174K

1,017 claims · 1.2%

Your Cost: $171.11/claim|Median: $26.45
6.5× median
97161Normal range

Physical therapy evaluation, low complexity

$157K

3,013 claims · 1.1%

Your Cost: $52.06/claim|Median: $47.89
1.1× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$145K

939 claims · 1.0%

Your Cost: $153.96/claim|Median: $106.14
1.5× median
99283Normal range

Emergency dept visit, moderate complexity

$141K

2,634 claims · 1.0%

Your Cost: $53.59/claim|Median: $42.48
1.3× median
93976Normal range

$135K

2,461 claims · 1.0%

Your Cost: $54.89/claim|Median: $42.06
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$128K

3,142 claims · 0.9%

Your Cost: $40.84/claim|Median: $23.39
1.7× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$128K

3,152 claims · 0.9%

Your Cost: $40.52/claim|Median: $24.95
1.6× median
43239Normal range

Upper GI endoscopy with biopsy

$126K

1,111 claims · 0.9%

Your Cost: $113.37/claim|Median: $151.68
0.7× median
74176Normal range

CT abdomen and pelvis without contrast

$122K

1,910 claims · 0.9%

Your Cost: $63.99/claim|Median: $60.19
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$118K

5,003 claims · 0.8%

Your Cost: $23.63/claim|Median: $85.65
0.3× median
71045Top 25%

Chest X-ray, single view

$115K

14K claims · 0.8%

Your Cost: $8.10/claim|Median: $4.93
1.6× median
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