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Provider 1336279959

NPI: 1336279959Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$8.8M

$8,794,334

Total Claims

280K

Beneficiaries

241K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-25%
2019
$2.0M
-93%
2020
$131K
+1305%
2021
$1.8M
-10%
2022
$1.7M
-71%
2023
$486K
-97%
2024
$15K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0111) accounts for 39% of total spending.

0111Top 25%

$3.4M

307 claims · 38.7%

Your Cost: $11,080.58/claim|Median: $862.89
12.8× median
0450Normal range

Emergency room visit

$1.3M

33K claims · 15.0%

Your Cost: $40.04/claim|Median: $44.95
0.9× median
G0463Normal range

Hospital outpatient clinic visit

$390K

13K claims · 4.4%

Your Cost: $30.63/claim|Median: $26.41
1.2× median
74174Top 25%

$356K

1,641 claims · 4.0%

Your Cost: $216.78/claim|Median: $89.41
2.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$303K

2,289 claims · 3.4%

Your Cost: $132.39/claim|Median: $111.09
1.2× median
70450Top 25%

CT head/brain without contrast

$260K

2,916 claims · 3.0%

Your Cost: $89.09/claim|Median: $45.53
2.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$188K

10K claims · 2.1%

Your Cost: $18.27/claim|Median: $7.50
2.4× median
0200Top 1%

$187K

15 claims · 2.1%

Your Cost: $12,473.66/claim|Median: $3,200.11
3.9× median
99281Normal range

Emergency dept visit, minimal complexity

$185K

10K claims · 2.1%

Your Cost: $18.47/claim|Median: $52.03
0.4× median
G0378Normal range

Hospital observation service, per hour

$164K

809 claims · 1.9%

Your Cost: $202.42/claim|Median: $99.39
2.0× median
99215Top 25%

Office/outpatient visit, high complexity

$161K

1,185 claims · 1.8%

Your Cost: $135.54/claim|Median: $74.09
1.8× median
72125Top 25%

CT cervical spine without contrast

$125K

965 claims · 1.4%

Your Cost: $129.98/claim|Median: $32.30
4.0× median
99282Normal range

Emergency dept visit, low complexity

$110K

6,495 claims · 1.2%

Your Cost: $16.90/claim|Median: $37.72
0.4× median
0510Normal range

Revenue code, clinic services

$101K

4,486 claims · 1.2%

Your Cost: $22.58/claim|Median: $28.38
0.8× median
71260Top 25%

CT chest with contrast

$93K

589 claims · 1.1%

Your Cost: $158.06/claim|Median: $48.36
3.3× median
99283Normal range

Emergency dept visit, moderate complexity

$75K

2,051 claims · 0.9%

Your Cost: $36.58/claim|Median: $42.48
0.9× median
0250Normal range

$69K

23K claims · 0.8%

Your Cost: $2.98/claim|Median: $3.70
0.8× median
80048Normal range

Basic metabolic panel

$66K

12K claims · 0.8%

Your Cost: $5.56/claim|Median: $5.78
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$65K

13K claims · 0.7%

Your Cost: $4.92/claim|Median: $4.71
1.0× median
99199Top 10%

Unlisted special service, procedure, or report

$60K

877 claims · 0.7%

Your Cost: $68.00/claim|Median: $5.39
12.6× median
71046Normal range

Chest X-ray, 2 views

$48K

3,534 claims · 0.5%

Your Cost: $13.61/claim|Median: $8.92
1.5× median
70486Top 25%

$42K

377 claims · 0.5%

Your Cost: $111.06/claim|Median: $44.28
2.5× median
71045Normal range

Chest X-ray, single view

$42K

5,926 claims · 0.5%

Your Cost: $7.03/claim|Median: $4.93
1.4× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$39K

6,419 claims · 0.4%

Your Cost: $6.09/claim|Median: $1.53
4.0× median
80076Normal range

Hepatic function panel

$38K

7,581 claims · 0.4%

Your Cost: $4.95/claim|Median: $4.59
1.1× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$36K

3,386 claims · 0.4%

Your Cost: $10.56/claim|Median: $0.58
18.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$34K

1,585 claims · 0.4%

Your Cost: $21.55/claim|Median: $24.95
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$33K

1,513 claims · 0.4%

Your Cost: $21.67/claim|Median: $23.39
0.9× median
84484Normal range

Troponin, quantitative

$30K

4,177 claims · 0.3%

Your Cost: $7.22/claim|Median: $4.84
1.5× median
99221Normal range

Initial hospital care, straightforward/low

$28K

3,299 claims · 0.3%

Your Cost: $8.44/claim|Median: $39.96
0.2× median
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