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Provider 1326041716

NPI: 1326041716Share
Active Billing Period:2018-01→2021-02(38 months)
Billing appears to have stoppedLast active: 2021-02

Total Paid

$8.2M

$8,222,263

Total Claims

359K

Beneficiaries

282K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+46%
2019
$2.7M
+21%
2020
$3.2M
-83%
2021
$535K

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 14% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

11K claims · 13.9%

Your Cost: $108.44/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$1.0M

8,366 claims · 12.5%

Your Cost: $123.05/claim|Median: $69.51
1.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.0M

10K claims · 12.3%

Your Cost: $97.43/claim|Median: $85.65
1.1× median
96361Top 25%

IV infusion, hydration, each additional hour

$645K

3,562 claims · 7.8%

Your Cost: $180.96/claim|Median: $38.92
4.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$569K

2,615 claims · 6.9%

Your Cost: $217.78/claim|Median: $65.76
3.3× median
70450Top 25%

CT head/brain without contrast

$355K

2,351 claims · 4.3%

Your Cost: $151.12/claim|Median: $45.53
3.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$340K

1,882 claims · 4.1%

Your Cost: $180.81/claim|Median: $60.19
3.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$241K

1,143 claims · 2.9%

Your Cost: $211.20/claim|Median: $54.68
3.9× median
36415Top 10%

Collection of venous blood by venipuncture

$208K

26K claims · 2.5%

Your Cost: $8.11/claim|Median: $1.57
5.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$199K

3,991 claims · 2.4%

Your Cost: $49.91/claim|Median: $24.49
2.0× median
99282Top 25%

Emergency dept visit, low complexity

$184K

1,629 claims · 2.2%

Your Cost: $112.97/claim|Median: $37.72
3.0× median
96360Top 25%

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

$146K

1,201 claims · 1.8%

Your Cost: $121.52/claim|Median: $61.57
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$126K

4,539 claims · 1.5%

Your Cost: $27.81/claim|Median: $35.43
0.8× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$126K

271 claims · 1.5%

Your Cost: $464.08/claim|Median: $106.14
4.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$119K

2,258 claims · 1.5%

Your Cost: $52.83/claim|Median: $10.88
4.9× median
80053Normal range

Comprehensive metabolic panel

$115K

21K claims · 1.4%

Your Cost: $5.59/claim|Median: $7.24
0.8× median
S0028Top 1%

$109K

239 claims · 1.3%

Your Cost: $456.63/claim|Median: $0.83
550.2× median
96365Normal range

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

$92K

1,281 claims · 1.1%

Your Cost: $71.45/claim|Median: $54.77
1.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$75K

220 claims · 0.9%

Your Cost: $342.28/claim|Median: $151.68
2.3× median
71275Top 25%

CT angiography, chest, with contrast

$65K

368 claims · 0.8%

Your Cost: $177.13/claim|Median: $92.96
1.9× median
72148Normal range

MRI lumbar spine without contrast

$50K

307 claims · 0.6%

Your Cost: $163.09/claim|Median: $101.03
1.6× median
76705Top 10%

Ultrasound, abdominal, limited

$48K

507 claims · 0.6%

Your Cost: $95.62/claim|Median: $23.81
4.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$48K

1,062 claims · 0.6%

Your Cost: $45.36/claim|Median: $39.33
1.2× median
71046Normal range

Chest X-ray, 2 views

$43K

4,506 claims · 0.5%

Your Cost: $9.49/claim|Median: $8.92
1.1× median
G0378Normal range

Hospital observation service, per hour

$42K

1,516 claims · 0.5%

Your Cost: $27.98/claim|Median: $99.39
0.3× median
87040Normal range

$39K

4,117 claims · 0.5%

Your Cost: $9.54/claim|Median: $5.54
1.7× median
72125Normal range

CT cervical spine without contrast

$39K

842 claims · 0.5%

Your Cost: $46.28/claim|Median: $32.30
1.4× median
99213Top 5%

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

$35K

280 claims · 0.4%

Your Cost: $124.04/claim|Median: $37.81
3.3× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$33K

357 claims · 0.4%

Your Cost: $92.44/claim|Median: $25.43
3.6× median
93017Top 25%

$32K

305 claims · 0.4%

Your Cost: $106.18/claim|Median: $56.03
1.9× median
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