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Provider 1326021197

NPI: 1326021197Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.3M

$14,268,493

Total Claims

507K

Beneficiaries

393K

1.3 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$466K
+426%
2019
$2.5M
-42%
2020
$1.4M
+82%
2021
$2.6M
+33%
2022
$3.4M
-24%
2023
$2.6M
-48%
2024
$1.3M

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 25% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.5M

36K claims · 24.6%

Your Cost: $97.29/claim|Median: $42.48
2.3× median
99284Normal range

Emergency dept visit, high complexity

$2.4M

30K claims · 16.7%

Your Cost: $80.28/claim|Median: $69.51
1.2× median
99282Top 25%

Emergency dept visit, low complexity

$1.5M

17K claims · 10.8%

Your Cost: $92.35/claim|Median: $37.72
2.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$526K

9,913 claims · 3.7%

Your Cost: $53.10/claim|Median: $24.49
2.2× median
92507Top 25%

Speech/hearing/language treatment

$479K

5,691 claims · 3.4%

Your Cost: $84.24/claim|Median: $49.45
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$440K

2,868 claims · 3.1%

Your Cost: $153.51/claim|Median: $65.76
2.3× median
97530Top 25%

Therapeutic activities, each 15 min

$368K

5,097 claims · 2.6%

Your Cost: $72.13/claim|Median: $33.11
2.2× median
96361Normal range

IV infusion, hydration, each additional hour

$348K

5,316 claims · 2.4%

Your Cost: $65.55/claim|Median: $38.92
1.7× median
99281Normal range

Emergency dept visit, minimal complexity

$319K

3,776 claims · 2.2%

Your Cost: $84.50/claim|Median: $52.03
1.6× median
70450Top 25%

CT head/brain without contrast

$304K

3,460 claims · 2.1%

Your Cost: $87.78/claim|Median: $45.53
1.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$213K

1,674 claims · 1.5%

Your Cost: $127.11/claim|Median: $60.19
2.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$213K

3,783 claims · 1.5%

Your Cost: $56.21/claim|Median: $85.65
0.7× median
36415Top 10%

Collection of venous blood by venipuncture

$179K

27K claims · 1.3%

Your Cost: $6.53/claim|Median: $1.57
4.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$170K

4,521 claims · 1.2%

Your Cost: $37.61/claim|Median: $63.08
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$161K

6,590 claims · 1.1%

Your Cost: $24.40/claim|Median: $28.46
0.9× median
80053Top 25%

Comprehensive metabolic panel

$142K

12K claims · 1.0%

Your Cost: $11.55/claim|Median: $7.24
1.6× median
G0378Normal range

Hospital observation service, per hour

$137K

9,400 claims · 1.0%

Your Cost: $14.54/claim|Median: $99.39
0.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$136K

2,991 claims · 1.0%

Your Cost: $45.53/claim|Median: $49.45
0.9× median
76641Normal range

Ultrasound imaging of one breast, complete

$134K

1,886 claims · 0.9%

Your Cost: $70.96/claim|Median: $49.03
1.4× median
96360Normal range

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

$107K

2,127 claims · 0.7%

Your Cost: $50.10/claim|Median: $61.57
0.8× median
80048Normal range

Basic metabolic panel

$99K

18K claims · 0.7%

Your Cost: $5.52/claim|Median: $5.78
1.0× median
87088Top 5%

$97K

6,825 claims · 0.7%

Your Cost: $14.25/claim|Median: $5.45
2.6× median
71046Normal range

Chest X-ray, 2 views

$89K

5,523 claims · 0.6%

Your Cost: $16.03/claim|Median: $8.92
1.8× median
84702Normal range

$85K

13K claims · 0.6%

Your Cost: $6.70/claim|Median: $8.25
0.8× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$83K

3,666 claims · 0.6%

Your Cost: $22.53/claim|Median: $3.42
6.6× median
99211Top 10%

Office/outpatient visit, minimal complexity

$77K

1,459 claims · 0.5%

Your Cost: $52.89/claim|Median: $12.93
4.1× median
85027Top 5%

Complete blood count (CBC), automated

$76K

3,402 claims · 0.5%

Your Cost: $22.34/claim|Median: $3.72
6.0× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$70K

1,037 claims · 0.5%

Your Cost: $67.70/claim|Median: $65.45
1.0× median
86850Top 25%

$67K

3,523 claims · 0.5%

Your Cost: $19.15/claim|Median: $5.44
3.5× median
71275Top 25%

CT angiography, chest, with contrast

$62K

388 claims · 0.4%

Your Cost: $161.00/claim|Median: $92.96
1.7× median
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