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Provider 1336222397

NPI: 1336222397Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,133,840

Total Claims

3.2M

Beneficiaries

3.0M

1.1 claims/patient

Avg Cost/Claim

$5

Monthly Spending Trend

Yearly Spending

2018
$662K
+38%
2019
$916K
-20%
2020
$733K
+124%
2021
$1.6M
-1%
2022
$1.6M
-13%
2023
$1.4M
+547%
2024
$9.1M

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 15% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.4M

68K claims · 14.8%

Your Cost: $35.10/claim|Median: $69.51
0.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.7M

21K claims · 10.5%

Your Cost: $80.87/claim|Median: $85.65
0.9× median
99213Normal range

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

$1.4M

170K claims · 9.0%

Your Cost: $8.49/claim|Median: $37.81
0.2× median
99283Normal range

Emergency dept visit, moderate complexity

$977K

42K claims · 6.1%

Your Cost: $23.47/claim|Median: $42.48
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$647K

12K claims · 4.0%

Your Cost: $55.18/claim|Median: $65.76
0.8× median
91320Top 5%

$619K

3,801 claims · 3.8%

Your Cost: $162.73/claim|Median: $72.65
2.2× median
99214Normal range

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

$478K

68K claims · 3.0%

Your Cost: $7.03/claim|Median: $53.41
0.1× median
99281Normal range

Emergency dept visit, minimal complexity

$472K

21K claims · 2.9%

Your Cost: $22.63/claim|Median: $52.03
0.4× median
70450Normal range

CT head/brain without contrast

$392K

13K claims · 2.4%

Your Cost: $30.56/claim|Median: $45.53
0.7× median
90480Top 5%

$329K

6,803 claims · 2.0%

Your Cost: $48.35/claim|Median: $25.29
1.9× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$282K

27K claims · 1.7%

Your Cost: $10.64/claim|Median: $38.23
0.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$272K

58K claims · 1.7%

Your Cost: $4.70/claim|Median: $5.60
0.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$264K

28K claims · 1.6%

Your Cost: $9.51/claim|Median: $35.80
0.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$261K

18K claims · 1.6%

Your Cost: $14.13/claim|Median: $39.33
0.4× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$229K

5,891 claims · 1.4%

Your Cost: $38.83/claim|Median: $36.70
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$228K

6,219 claims · 1.4%

Your Cost: $36.69/claim|Median: $33.72
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$191K

65K claims · 1.2%

Your Cost: $2.92/claim|Median: $25.06
0.1× median
71045Normal range

Chest X-ray, single view

$178K

43K claims · 1.1%

Your Cost: $4.18/claim|Median: $4.93
0.8× median
90962Top 25%

$165K

2,168 claims · 1.0%

Your Cost: $76.25/claim|Median: $40.91
1.9× median
G0008Top 10%

$164K

8,410 claims · 1.0%

Your Cost: $19.48/claim|Median: $2.54
7.7× median
99282Normal range

Emergency dept visit, low complexity

$152K

18K claims · 0.9%

Your Cost: $8.49/claim|Median: $37.72
0.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$142K

61K claims · 0.9%

Your Cost: $2.34/claim|Median: $63.08
0.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$116K

417 claims · 0.7%

Your Cost: $278.79/claim|Median: $470.36
0.6× median
70551Normal range

MRI brain without contrast

$112K

2,993 claims · 0.7%

Your Cost: $37.49/claim|Median: $85.39
0.4× median
0004ANormal range

$106K

2,676 claims · 0.7%

Your Cost: $39.54/claim|Median: $35.62
1.1× median
74176Normal range

CT abdomen and pelvis without contrast

$100K

2,261 claims · 0.6%

Your Cost: $44.26/claim|Median: $60.19
0.7× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$98K

710 claims · 0.6%

Your Cost: $138.51/claim|Median: $100.62
1.4× median
92015Normal range

Determination of refractive state

$90K

45K claims · 0.6%

Your Cost: $2.02/claim|Median: $10.36
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$88K

3,828 claims · 0.5%

Your Cost: $22.97/claim|Median: $74.09
0.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$84K

2,928 claims · 0.5%

Your Cost: $28.59/claim|Median: $54.68
0.5× median
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