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Provider 1316907322

NPI: 1316907322Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,560,771

Total Claims

226K

Beneficiaries

153K

1.5 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-36%
2019
$2.1M
+31%
2020
$2.8M
-14%
2021
$2.4M
-46%
2022
$1.3M
+15%
2023
$1.5M
-18%
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 15% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$2.1M

7,593 claims · 14.5%

Your Cost: $278.51/claim|Median: $85.65
3.3× median
99284Top 10%

Emergency dept visit, high complexity

$1.5M

6,604 claims · 10.1%

Your Cost: $221.74/claim|Median: $69.51
3.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$840K

5,147 claims · 5.8%

Your Cost: $163.30/claim|Median: $42.48
3.8× median
80053Top 5%

Comprehensive metabolic panel

$607K

12K claims · 4.2%

Your Cost: $51.01/claim|Median: $7.24
7.0× median
74176Top 5%

CT abdomen and pelvis without contrast

$576K

1,407 claims · 4.0%

Your Cost: $409.46/claim|Median: $60.19
6.8× median
70450Top 5%

CT head/brain without contrast

$402K

1,381 claims · 2.8%

Your Cost: $290.86/claim|Median: $45.53
6.4× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$392K

2,751 claims · 2.7%

Your Cost: $142.48/claim|Median: $100.62
1.4× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$373K

5,119 claims · 2.6%

Your Cost: $72.91/claim|Median: $65.45
1.1× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$358K

13K claims · 2.5%

Your Cost: $28.26/claim|Median: $4.71
6.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$325K

6,420 claims · 2.2%

Your Cost: $50.69/claim|Median: $24.49
2.1× median
36415Top 5%

Collection of venous blood by venipuncture

$311K

21K claims · 2.1%

Your Cost: $14.69/claim|Median: $1.57
9.4× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$289K

2,394 claims · 2.0%

Your Cost: $120.54/claim|Median: $21.76
5.5× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$283K

1,337 claims · 1.9%

Your Cost: $212.00/claim|Median: $144.30
1.5× median
71045Top 5%

Chest X-ray, single view

$272K

4,335 claims · 1.9%

Your Cost: $62.64/claim|Median: $4.93
12.7× median
J3490Top 25%

Unclassified drugs

$258K

6,011 claims · 1.8%

Your Cost: $42.92/claim|Median: $5.70
7.5× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$257K

630 claims · 1.8%

Your Cost: $407.28/claim|Median: $54.68
7.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$248K

6,443 claims · 1.7%

Your Cost: $38.43/claim|Median: $7.50
5.1× median
83605Top 5%

$207K

4,976 claims · 1.4%

Your Cost: $41.59/claim|Median: $4.66
8.9× median
96365Top 25%

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

$196K

1,657 claims · 1.3%

Your Cost: $118.42/claim|Median: $54.77
2.2× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$188K

907 claims · 1.3%

Your Cost: $207.62/claim|Median: $169.17
1.2× median
84484Top 5%

Troponin, quantitative

$186K

5,120 claims · 1.3%

Your Cost: $36.37/claim|Median: $4.84
7.5× median
80048Top 5%

Basic metabolic panel

$185K

5,167 claims · 1.3%

Your Cost: $35.81/claim|Median: $5.78
6.2× median
71046Top 5%

Chest X-ray, 2 views

$177K

2,040 claims · 1.2%

Your Cost: $86.95/claim|Median: $8.92
9.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$161K

2,346 claims · 1.1%

Your Cost: $68.58/claim|Median: $9.56
7.2× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$138K

3,236 claims · 0.9%

Your Cost: $42.53/claim|Median: $9.87
4.3× median
96361Normal range

IV infusion, hydration, each additional hour

$137K

1,802 claims · 0.9%

Your Cost: $76.14/claim|Median: $38.92
2.0× median
81001Top 5%

Urinalysis, automated, with microscopy

$137K

5,441 claims · 0.9%

Your Cost: $25.13/claim|Median: $2.03
12.4× median
U0002Top 5%

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

$127K

1,423 claims · 0.9%

Your Cost: $89.51/claim|Median: $34.62
2.6× median
85027Top 5%

Complete blood count (CBC), automated

$126K

3,560 claims · 0.9%

Your Cost: $35.41/claim|Median: $3.72
9.5× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$125K

2,763 claims · 0.9%

Your Cost: $45.37/claim|Median: $14.92
3.0× median
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