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Provider 1336167550

NPI: 1336167550Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,462,831

Total Claims

2.0M

Beneficiaries

1.8M

1.1 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-10%
2019
$1.8M
-15%
2020
$1.5M
+29%
2021
$2.0M
+39%
2022
$2.7M
+3%
2023
$2.8M
-8%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 24% of total spending.

0450Normal range

Emergency room visit

$3.7M

143K claims · 24.1%

Your Cost: $26.09/claim|Median: $44.95
0.6× median
99199Top 10%

Unlisted special service, procedure, or report

$2.0M

16K claims · 12.9%

Your Cost: $121.53/claim|Median: $5.39
22.5× median
80053Normal range

Comprehensive metabolic panel

$559K

68K claims · 3.6%

Your Cost: $8.19/claim|Median: $7.24
1.1× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$523K

6,224 claims · 3.4%

Your Cost: $84.01/claim|Median: $28.63
2.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$507K

14K claims · 3.3%

Your Cost: $37.45/claim|Median: $63.08
0.6× median
Z7502Normal range

$373K

10K claims · 2.4%

Your Cost: $36.71/claim|Median: $37.17
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$366K

28K claims · 2.4%

Your Cost: $12.95/claim|Median: $9.56
1.4× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$321K

6,468 claims · 2.1%

Your Cost: $49.58/claim|Median: $100.62
0.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$276K

16K claims · 1.8%

Your Cost: $16.79/claim|Median: $65.64
0.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$269K

17K claims · 1.7%

Your Cost: $15.61/claim|Median: $21.76
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$233K

9,626 claims · 1.5%

Your Cost: $24.16/claim|Median: $39.70
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$214K

4,888 claims · 1.4%

Your Cost: $43.83/claim|Median: $65.76
0.7× median
80306Top 25%

$205K

12K claims · 1.3%

Your Cost: $16.87/claim|Median: $10.29
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$187K

7,540 claims · 1.2%

Your Cost: $24.82/claim|Median: $60.19
0.4× median
70450Normal range

CT head/brain without contrast

$187K

6,660 claims · 1.2%

Your Cost: $28.01/claim|Median: $45.53
0.6× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$178K

14K claims · 1.2%

Your Cost: $12.35/claim|Median: $1.53
8.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$174K

13K claims · 1.1%

Your Cost: $13.08/claim|Median: $39.33
0.3× median
96361Normal range

IV infusion, hydration, each additional hour

$150K

13K claims · 1.0%

Your Cost: $11.66/claim|Median: $38.92
0.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$141K

69K claims · 0.9%

Your Cost: $2.03/claim|Median: $4.71
0.4× median
71046Normal range

Chest X-ray, 2 views

$136K

26K claims · 0.9%

Your Cost: $5.30/claim|Median: $8.92
0.6× median
J3490Normal range

Unclassified drugs

$130K

31K claims · 0.8%

Your Cost: $4.24/claim|Median: $5.70
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$123K

2,259 claims · 0.8%

Your Cost: $54.51/claim|Median: $42.48
1.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$119K

12K claims · 0.8%

Your Cost: $9.53/claim|Median: $14.92
0.6× median
76856Normal range

Ultrasound, pelvic, complete

$114K

9,863 claims · 0.7%

Your Cost: $11.55/claim|Median: $47.58
0.2× median
45378Normal range

Colonoscopy, diagnostic

$114K

2,126 claims · 0.7%

Your Cost: $53.52/claim|Median: $225.49
0.2× median
59409Normal range

Vaginal delivery only

$110K

920 claims · 0.7%

Your Cost: $119.15/claim|Median: $619.91
0.2× median
76700Normal range

Ultrasound, abdominal, complete

$106K

7,731 claims · 0.7%

Your Cost: $13.69/claim|Median: $50.69
0.3× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$102K

17K claims · 0.7%

Your Cost: $5.91/claim|Median: $0.91
6.5× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$102K

13K claims · 0.7%

Your Cost: $8.02/claim|Median: $26.72
0.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$96K

3,795 claims · 0.6%

Your Cost: $25.27/claim|Median: $37.56
0.7× median
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