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Provider 1326061730

NPI: 1326061730Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,314,694

Total Claims

224K

Beneficiaries

199K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$919K
+1%
2019
$925K
+17%
2020
$1.1M
+69%
2021
$1.8M
+53%
2022
$2.8M
-6%
2023
$2.6M
+18%
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 33% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$4.3M

24K claims · 32.6%

Your Cost: $181.27/claim|Median: $42.48
4.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$3.4M

13K claims · 25.7%

Your Cost: $254.42/claim|Median: $85.65
3.0× median
99284Top 10%

Emergency dept visit, high complexity

$1.8M

9,169 claims · 13.2%

Your Cost: $192.27/claim|Median: $69.51
2.8× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$458K

2,799 claims · 3.4%

Your Cost: $163.75/claim|Median: $91.47
1.8× median
G0463Normal range

Hospital outpatient clinic visit

$204K

7,400 claims · 1.5%

Your Cost: $27.54/claim|Median: $26.41
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$202K

4,685 claims · 1.5%

Your Cost: $43.05/claim|Median: $21.76
2.0× median
87428Top 10%

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

$200K

2,991 claims · 1.5%

Your Cost: $66.74/claim|Median: $39.63
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$195K

7,857 claims · 1.5%

Your Cost: $24.86/claim|Median: $7.50
3.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$177K

2,214 claims · 1.3%

Your Cost: $80.15/claim|Median: $63.08
1.3× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$173K

2,023 claims · 1.3%

Your Cost: $85.52/claim|Median: $14.92
5.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$162K

22K claims · 1.2%

Your Cost: $7.26/claim|Median: $4.71
1.5× median
80053Normal range

Comprehensive metabolic panel

$159K

20K claims · 1.2%

Your Cost: $8.10/claim|Median: $7.24
1.1× median
99281Normal range

Emergency dept visit, minimal complexity

$145K

1,756 claims · 1.1%

Your Cost: $82.38/claim|Median: $52.03
1.6× median
43239Top 25%

Upper GI endoscopy with biopsy

$136K

323 claims · 1.0%

Your Cost: $422.50/claim|Median: $151.68
2.8× median
99282Top 25%

Emergency dept visit, low complexity

$124K

970 claims · 0.9%

Your Cost: $127.73/claim|Median: $37.72
3.4× median
71046Top 5%

Chest X-ray, 2 views

$123K

2,359 claims · 0.9%

Your Cost: $52.16/claim|Median: $8.92
5.8× median
0240UTop 10%

$106K

739 claims · 0.8%

Your Cost: $143.56/claim|Median: $89.76
1.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$96K

1,692 claims · 0.7%

Your Cost: $56.72/claim|Median: $65.64
0.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$84K

1,893 claims · 0.6%

Your Cost: $44.14/claim|Median: $9.56
4.6× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$74K

2,091 claims · 0.6%

Your Cost: $35.40/claim|Median: $56.18
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$66K

31K claims · 0.5%

Your Cost: $2.17/claim|Median: $1.57
1.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$61K

292 claims · 0.5%

Your Cost: $207.59/claim|Median: $54.68
3.8× median
71045Top 5%

Chest X-ray, single view

$59K

962 claims · 0.4%

Your Cost: $61.42/claim|Median: $4.93
12.5× median
74177Top 1%

CT abdomen and pelvis with contrast

$55K

55 claims · 0.4%

Your Cost: $1,005.26/claim|Median: $65.76
15.3× median
70450Top 5%

CT head/brain without contrast

$55K

138 claims · 0.4%

Your Cost: $395.12/claim|Median: $45.53
8.7× median
90837Normal range

Psychotherapy, 60 minutes

$50K

969 claims · 0.4%

Your Cost: $51.94/claim|Median: $85.66
0.6× median
83690Top 25%

$42K

6,020 claims · 0.3%

Your Cost: $6.96/claim|Median: $3.35
2.1× median
U0005Top 10%

Infectious disease detection, COVID-19, antigen

$41K

1,590 claims · 0.3%

Your Cost: $25.86/claim|Median: $15.76
1.6× median
81005Top 25%

$41K

19K claims · 0.3%

Your Cost: $2.21/claim|Median: $1.10
2.0× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$39K

305 claims · 0.3%

Your Cost: $126.83/claim|Median: $35.80
3.5× median
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