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Provider 1316994734

NPI: 1316994734Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,985,214

Total Claims

357K

Beneficiaries

259K

1.4 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$747K
+6%
2019
$795K
+38%
2020
$1.1M
+26%
2021
$1.4M
-11%
2022
$1.2M
+284%
2023
$4.7M
-34%
2024
$3.1M

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 18% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.3M

20K claims · 18.0%

Your Cost: $118.35/claim|Median: $42.48
2.8× median
99284Top 25%

Emergency dept visit, high complexity

$1.7M

14K claims · 13.4%

Your Cost: $124.51/claim|Median: $69.51
1.8× median
92507Top 25%

Speech/hearing/language treatment

$1.0M

15K claims · 8.0%

Your Cost: $67.78/claim|Median: $49.45
1.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.0M

7,697 claims · 8.0%

Your Cost: $134.42/claim|Median: $85.65
1.6× median
97110Top 10%

Therapeutic exercises, each 15 min

$635K

7,927 claims · 4.9%

Your Cost: $80.17/claim|Median: $24.49
3.3× median
99282Top 25%

Emergency dept visit, low complexity

$524K

4,819 claims · 4.0%

Your Cost: $108.69/claim|Median: $37.72
2.9× median
96361Top 10%

IV infusion, hydration, each additional hour

$520K

1,540 claims · 4.0%

Your Cost: $337.46/claim|Median: $38.92
8.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$493K

1,781 claims · 3.8%

Your Cost: $276.69/claim|Median: $65.76
4.2× median
97530Top 25%

Therapeutic activities, each 15 min

$453K

6,259 claims · 3.5%

Your Cost: $72.45/claim|Median: $33.11
2.2× median
70450Top 5%

CT head/brain without contrast

$345K

1,359 claims · 2.7%

Your Cost: $254.05/claim|Median: $45.53
5.6× median
96365Top 10%

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

$271K

1,752 claims · 2.1%

Your Cost: $154.69/claim|Median: $54.77
2.8× median
U0003Top 5%

Infectious disease detection (COVID-19)

$209K

1,211 claims · 1.6%

Your Cost: $172.31/claim|Median: $63.08
2.7× median
80053Normal range

Comprehensive metabolic panel

$168K

17K claims · 1.3%

Your Cost: $9.70/claim|Median: $7.24
1.3× median
96366Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$167K

546 claims · 1.3%

Your Cost: $305.23/claim|Median: $40.12
7.6× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$166K

3,593 claims · 1.3%

Your Cost: $46.08/claim|Median: $24.95
1.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$158K

619 claims · 1.2%

Your Cost: $255.94/claim|Median: $60.19
4.3× median
G0463Normal range

Hospital outpatient clinic visit

$157K

2,831 claims · 1.2%

Your Cost: $55.33/claim|Median: $26.41
2.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$150K

819 claims · 1.2%

Your Cost: $182.63/claim|Median: $54.68
3.3× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$132K

115 claims · 1.0%

Your Cost: $1,145.98/claim|Median: $763.43
1.5× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$119K

700 claims · 0.9%

Your Cost: $169.99/claim|Median: $144.30
1.2× median
C9803Top 25%

$118K

3,129 claims · 0.9%

Your Cost: $37.86/claim|Median: $13.20
2.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$95K

3,587 claims · 0.7%

Your Cost: $26.35/claim|Median: $23.39
1.1× median
71260Top 25%

CT chest with contrast

$88K

511 claims · 0.7%

Your Cost: $173.12/claim|Median: $48.36
3.6× median
G0378Normal range

Hospital observation service, per hour

$85K

1,096 claims · 0.7%

Your Cost: $77.34/claim|Median: $99.39
0.8× median
59025Top 10%

Fetal non-stress test

$82K

515 claims · 0.6%

Your Cost: $159.58/claim|Median: $26.45
6.0× median
87086Top 10%

Urine culture, colony count, with identification

$68K

4,880 claims · 0.5%

Your Cost: $14.03/claim|Median: $5.31
2.6× median
80048Normal range

Basic metabolic panel

$67K

8,188 claims · 0.5%

Your Cost: $8.20/claim|Median: $5.78
1.4× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$64K

2,839 claims · 0.5%

Your Cost: $22.44/claim|Median: $9.87
2.3× median
80061Top 10%

Lipid panel

$62K

2,538 claims · 0.5%

Your Cost: $24.50/claim|Median: $8.41
2.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$61K

24K claims · 0.5%

Your Cost: $2.55/claim|Median: $4.71
0.5× median
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