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Provider 1316924913

NPI: 1316924913Share
Active Billing Period:2018-01→2024-12(74 months)

Total Paid

$7.5M

$7,521,679

Total Claims

158K

Beneficiaries

144K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$142
+226717%
2019
$321K
+241%
2020
$1.1M
+18%
2021
$1.3M
+73%
2022
$2.2M
-26%
2023
$1.7M
-45%
2024
$908K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 20% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$1.5M

7,963 claims · 20.0%

Your Cost: $188.78/claim|Median: $42.48
4.4× median
99284Top 10%

Emergency dept visit, high complexity

$655K

3,741 claims · 8.7%

Your Cost: $175.12/claim|Median: $69.51
2.5× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$612K

4,887 claims · 8.1%

Your Cost: $125.32/claim|Median: $37.81
3.3× median
99282Top 5%

Emergency dept visit, low complexity

$506K

2,529 claims · 6.7%

Your Cost: $199.98/claim|Median: $37.72
5.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$467K

1,948 claims · 6.2%

Your Cost: $239.75/claim|Median: $38.92
6.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$427K

2,092 claims · 5.7%

Your Cost: $204.20/claim|Median: $85.65
2.4× median
80053Top 10%

Comprehensive metabolic panel

$398K

13K claims · 5.3%

Your Cost: $31.26/claim|Median: $7.24
4.3× median
97530Top 10%

Therapeutic activities, each 15 min

$282K

2,975 claims · 3.7%

Your Cost: $94.63/claim|Median: $33.11
2.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$207K

746 claims · 2.8%

Your Cost: $278.04/claim|Median: $65.76
4.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$203K

6,878 claims · 2.7%

Your Cost: $29.47/claim|Median: $39.70
0.7× median
36415Top 5%

Collection of venous blood by venipuncture

$179K

5,665 claims · 2.4%

Your Cost: $31.66/claim|Median: $1.57
20.2× median
96365Top 5%

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

$178K

822 claims · 2.4%

Your Cost: $216.90/claim|Median: $54.77
4.0× median
70450Top 5%

CT head/brain without contrast

$142K

473 claims · 1.9%

Your Cost: $300.07/claim|Median: $45.53
6.6× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$121K

1,280 claims · 1.6%

Your Cost: $94.81/claim|Median: $65.64
1.4× median
81025Top 1%

Urine pregnancy test

$116K

686 claims · 1.5%

Your Cost: $169.25/claim|Median: $4.81
35.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$82K

1,006 claims · 1.1%

Your Cost: $81.38/claim|Median: $24.49
3.3× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$79K

542 claims · 1.0%

Your Cost: $145.46/claim|Median: $74.82
1.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$69K

1,101 claims · 0.9%

Your Cost: $63.05/claim|Median: $9.56
6.6× median
82306Top 25%

Vitamin D, 25 hydroxy

$65K

2,082 claims · 0.9%

Your Cost: $31.45/claim|Median: $18.18
1.7× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$59K

411 claims · 0.8%

Your Cost: $144.16/claim|Median: $75.18
1.9× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$49K

114 claims · 0.6%

Your Cost: $427.89/claim|Median: $54.68
7.8× median
74176Top 10%

CT abdomen and pelvis without contrast

$46K

171 claims · 0.6%

Your Cost: $270.36/claim|Median: $60.19
4.5× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$46K

370 claims · 0.6%

Your Cost: $123.64/claim|Median: $69.35
1.8× median
87428Top 10%

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

$42K

622 claims · 0.6%

Your Cost: $68.22/claim|Median: $39.63
1.7× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$42K

317 claims · 0.6%

Your Cost: $132.70/claim|Median: $65.45
2.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$41K

4,337 claims · 0.6%

Your Cost: $9.56/claim|Median: $9.87
1.0× median
99281Top 5%

Emergency dept visit, minimal complexity

$36K

134 claims · 0.5%

Your Cost: $267.11/claim|Median: $52.03
5.1× median
G0378Normal range

Hospital observation service, per hour

$35K

212 claims · 0.5%

Your Cost: $166.32/claim|Median: $99.39
1.7× median
86850Top 5%

$33K

445 claims · 0.4%

Your Cost: $73.32/claim|Median: $5.44
13.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$32K

1,063 claims · 0.4%

Your Cost: $30.22/claim|Median: $12.93
2.3× median
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