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Provider 1326085424

NPI: 1326085424Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,165,538

Total Claims

1.1M

Beneficiaries

824K

1.3 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+19%
2019
$1.9M
-19%
2020
$1.6M
+155%
2021
$4.0M
+22%
2022
$4.9M
-43%
2023
$2.8M
-51%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 19% of total spending.

99284Normal range

Emergency dept visit, high complexity

$3.4M

49K claims · 18.6%

Your Cost: $68.60/claim|Median: $69.51
1.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.1M

50K claims · 17.2%

Your Cost: $62.87/claim|Median: $42.48
1.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.4M

24K claims · 7.5%

Your Cost: $56.04/claim|Median: $85.65
0.7× median
70450Top 25%

CT head/brain without contrast

$1.2M

12K claims · 6.5%

Your Cost: $101.50/claim|Median: $45.53
2.2× median
74177Normal range

CT abdomen and pelvis with contrast

$801K

5,453 claims · 4.4%

Your Cost: $146.93/claim|Median: $65.76
2.2× median
80048Top 10%

Basic metabolic panel

$788K

40K claims · 4.3%

Your Cost: $19.87/claim|Median: $5.78
3.4× median
80053Top 25%

Comprehensive metabolic panel

$762K

39K claims · 4.2%

Your Cost: $19.66/claim|Median: $7.24
2.7× median
74176Normal range

CT abdomen and pelvis without contrast

$680K

5,739 claims · 3.7%

Your Cost: $118.45/claim|Median: $60.19
2.0× median
99282Normal range

Emergency dept visit, low complexity

$637K

8,141 claims · 3.5%

Your Cost: $78.20/claim|Median: $37.72
2.1× median
G0378Normal range

Hospital observation service, per hour

$436K

25K claims · 2.4%

Your Cost: $17.24/claim|Median: $99.39
0.2× median
96361Normal range

IV infusion, hydration, each additional hour

$390K

3,795 claims · 2.1%

Your Cost: $102.66/claim|Median: $38.92
2.6× median
99281Normal range

Emergency dept visit, minimal complexity

$291K

3,160 claims · 1.6%

Your Cost: $92.22/claim|Median: $52.03
1.8× median
71275Normal range

CT angiography, chest, with contrast

$273K

2,117 claims · 1.5%

Your Cost: $129.04/claim|Median: $92.96
1.4× median
A9270Top 10%

$266K

35K claims · 1.5%

Your Cost: $7.70/claim|Median: $0.20
38.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$194K

4,146 claims · 1.1%

Your Cost: $46.70/claim|Median: $63.08
0.7× median
71046Top 25%

Chest X-ray, 2 views

$143K

5,383 claims · 0.8%

Your Cost: $26.49/claim|Median: $8.92
3.0× median
G0257Top 25%

$138K

683 claims · 0.8%

Your Cost: $202.41/claim|Median: $70.95
2.9× median
96360Normal range

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

$131K

1,572 claims · 0.7%

Your Cost: $83.42/claim|Median: $61.57
1.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$126K

2,801 claims · 0.7%

Your Cost: $44.86/claim|Median: $24.49
1.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$111K

2,492 claims · 0.6%

Your Cost: $44.71/claim|Median: $35.80
1.2× median
87070Top 25%

Bacterial culture, any source except blood or urine

$93K

6,704 claims · 0.5%

Your Cost: $13.88/claim|Median: $5.89
2.4× median
87426Normal range

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

$82K

7,690 claims · 0.5%

Your Cost: $10.64/claim|Median: $30.04
0.4× median
85027Normal range

Complete blood count (CBC), automated

$81K

83K claims · 0.4%

Your Cost: $0.97/claim|Median: $3.72
0.3× median
G0463Normal range

Hospital outpatient clinic visit

$77K

2,870 claims · 0.4%

Your Cost: $26.83/claim|Median: $26.41
1.0× median
99212Top 10%

Office/outpatient visit, low complexity

$77K

1,093 claims · 0.4%

Your Cost: $70.41/claim|Median: $25.06
2.8× median
87275Normal range

$71K

12K claims · 0.4%

Your Cost: $6.19/claim|Median: $10.59
0.6× median
73564Top 25%

$70K

2,188 claims · 0.4%

Your Cost: $32.00/claim|Median: $15.00
2.1× median
71045Normal range

Chest X-ray, single view

$70K

32K claims · 0.4%

Your Cost: $2.20/claim|Median: $4.93
0.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$69K

9,407 claims · 0.4%

Your Cost: $7.30/claim|Median: $35.43
0.2× median
93976Normal range

$67K

2,610 claims · 0.4%

Your Cost: $25.65/claim|Median: $42.06
0.6× median
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