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Provider 1336145168

NPI: 1336145168Share
Active Billing Period:2018-09→2024-12(75 months)

Total Paid

$13.9M

$13,870,479

Total Claims

504K

Beneficiaries

469K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2K
+50641%
2019
$835K
+135%
2020
$2.0M
+24%
2021
$2.4M
+19%
2022
$2.9M
+9%
2023
$3.2M
-19%
2024
$2.6M

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 11% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

11K claims · 10.5%

Your Cost: $128.89/claim|Median: $42.48
3.0× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

11K claims · 9.6%

Your Cost: $122.01/claim|Median: $69.51
1.8× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.2M

1,050 claims · 8.3%

Your Cost: $1,097.72/claim|Median: $763.43
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$914K

7,350 claims · 6.6%

Your Cost: $124.29/claim|Median: $37.72
3.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$897K

3,336 claims · 6.5%

Your Cost: $269.03/claim|Median: $65.76
4.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$725K

5,899 claims · 5.2%

Your Cost: $122.97/claim|Median: $85.65
1.4× median
70450Top 5%

CT head/brain without contrast

$612K

2,340 claims · 4.4%

Your Cost: $261.52/claim|Median: $45.53
5.7× median
80053Top 25%

Comprehensive metabolic panel

$526K

32K claims · 3.8%

Your Cost: $16.45/claim|Median: $7.24
2.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$369K

4,856 claims · 2.7%

Your Cost: $76.08/claim|Median: $97.61
0.8× median
45380Top 25%

Colonoscopy with biopsy

$338K

618 claims · 2.4%

Your Cost: $547.02/claim|Median: $200.68
2.7× median
43239Top 25%

Upper GI endoscopy with biopsy

$336K

972 claims · 2.4%

Your Cost: $345.58/claim|Median: $151.68
2.3× median
96365Top 10%

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

$282K

1,953 claims · 2.0%

Your Cost: $144.51/claim|Median: $54.77
2.6× median
97530Normal range

Therapeutic activities, each 15 min

$276K

4,658 claims · 2.0%

Your Cost: $59.34/claim|Median: $33.11
1.8× median
74176Top 10%

CT abdomen and pelvis without contrast

$247K

931 claims · 1.8%

Your Cost: $265.21/claim|Median: $60.19
4.4× median
99281Top 25%

Emergency dept visit, minimal complexity

$209K

1,615 claims · 1.5%

Your Cost: $129.52/claim|Median: $52.03
2.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$204K

5,161 claims · 1.5%

Your Cost: $39.53/claim|Median: $39.70
1.0× median
71275Top 10%

CT angiography, chest, with contrast

$198K

709 claims · 1.4%

Your Cost: $279.52/claim|Median: $92.96
3.0× median
77067Top 25%

Screening mammography, bilateral, including CAD

$186K

2,023 claims · 1.3%

Your Cost: $92.18/claim|Median: $39.33
2.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$166K

7,396 claims · 1.2%

Your Cost: $22.45/claim|Median: $23.39
1.0× median
82306Top 25%

Vitamin D, 25 hydroxy

$161K

5,426 claims · 1.2%

Your Cost: $29.62/claim|Median: $18.18
1.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$157K

7,399 claims · 1.1%

Your Cost: $21.22/claim|Median: $24.95
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$117K

2,344 claims · 0.8%

Your Cost: $50.07/claim|Median: $100.62
0.5× median
36415Top 25%

Collection of venous blood by venipuncture

$104K

26K claims · 0.7%

Your Cost: $3.95/claim|Median: $1.57
2.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$95K

12K claims · 0.7%

Your Cost: $8.26/claim|Median: $9.87
0.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$94K

487 claims · 0.7%

Your Cost: $193.73/claim|Median: $54.68
3.5× median
88142Top 25%

$77K

3,600 claims · 0.6%

Your Cost: $21.39/claim|Median: $14.75
1.5× median
96366Top 25%

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

$76K

594 claims · 0.5%

Your Cost: $128.01/claim|Median: $40.12
3.2× median
80061Normal range

Lipid panel

$76K

12K claims · 0.5%

Your Cost: $6.25/claim|Median: $8.41
0.7× median
12001Top 5%

$74K

186 claims · 0.5%

Your Cost: $398.34/claim|Median: $64.99
6.1× median
76830Normal range

Ultrasound, transvaginal

$69K

1,745 claims · 0.5%

Your Cost: $39.50/claim|Median: $57.47
0.7× median
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