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Provider 1346228541

NPI: 1346228541Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.7M

$17,737,693

Total Claims

912K

Beneficiaries

653K

1.4 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+3%
2019
$2.8M
-25%
2020
$2.1M
+11%
2021
$2.4M
+9%
2022
$2.6M
+8%
2023
$2.8M
-18%
2024
$2.3M

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 10% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$1.7M

32K claims · 9.6%

Your Cost: $53.64/claim|Median: $42.48
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$1.4M

14K claims · 8.2%

Your Cost: $106.94/claim|Median: $38.92
2.7× median
90834Normal range

Psychotherapy, 45 minutes

$1.2M

29K claims · 7.0%

Your Cost: $42.84/claim|Median: $63.65
0.7× median
99284Normal range

Emergency dept visit, high complexity

$896K

20K claims · 5.1%

Your Cost: $44.07/claim|Median: $69.51
0.6× median
99282Normal range

Emergency dept visit, low complexity

$868K

14K claims · 4.9%

Your Cost: $60.80/claim|Median: $37.72
1.6× median
80053Top 10%

Comprehensive metabolic panel

$743K

32K claims · 4.2%

Your Cost: $23.52/claim|Median: $7.24
3.2× median
97110Normal range

Therapeutic exercises, each 15 min

$741K

27K claims · 4.2%

Your Cost: $27.23/claim|Median: $24.49
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$362K

5,707 claims · 2.0%

Your Cost: $63.44/claim|Median: $65.76
1.0× median
70450Normal range

CT head/brain without contrast

$356K

6,732 claims · 2.0%

Your Cost: $52.82/claim|Median: $45.53
1.2× median
99214Normal range

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

$350K

6,939 claims · 2.0%

Your Cost: $50.48/claim|Median: $53.41
0.9× median
96365Normal range

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

$299K

6,100 claims · 1.7%

Your Cost: $49.09/claim|Median: $54.77
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$297K

2,616 claims · 1.7%

Your Cost: $113.44/claim|Median: $100.62
1.1× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$280K

21K claims · 1.6%

Your Cost: $13.46/claim|Median: $2.14
6.3× median
84484Top 10%

Troponin, quantitative

$266K

16K claims · 1.5%

Your Cost: $16.26/claim|Median: $4.84
3.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$266K

14K claims · 1.5%

Your Cost: $18.35/claim|Median: $16.79
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$254K

1,589 claims · 1.4%

Your Cost: $159.55/claim|Median: $151.68
1.1× median
96366Normal range

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

$244K

3,571 claims · 1.4%

Your Cost: $68.21/claim|Median: $40.12
1.7× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$240K

8,991 claims · 1.4%

Your Cost: $26.70/claim|Median: $20.04
1.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$239K

8,531 claims · 1.3%

Your Cost: $28.04/claim|Median: $12.93
2.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$237K

6,895 claims · 1.3%

Your Cost: $34.36/claim|Median: $39.70
0.9× median
96360Normal range

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

$237K

3,413 claims · 1.3%

Your Cost: $69.37/claim|Median: $61.57
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$226K

41K claims · 1.3%

Your Cost: $5.54/claim|Median: $4.71
1.2× median
80048Top 25%

Basic metabolic panel

$202K

11K claims · 1.1%

Your Cost: $17.67/claim|Median: $5.78
3.1× median
97530Normal range

Therapeutic activities, each 15 min

$201K

7,944 claims · 1.1%

Your Cost: $25.28/claim|Median: $33.11
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$193K

4,749 claims · 1.1%

Your Cost: $40.64/claim|Median: $85.65
0.5× median
92507Normal range

Speech/hearing/language treatment

$178K

5,301 claims · 1.0%

Your Cost: $33.63/claim|Median: $49.45
0.7× median
59025Top 25%

Fetal non-stress test

$175K

2,202 claims · 1.0%

Your Cost: $79.47/claim|Median: $26.45
3.0× median
80306Top 25%

$169K

7,111 claims · 1.0%

Your Cost: $23.80/claim|Median: $10.29
2.3× median
99213Normal range

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

$154K

5,559 claims · 0.9%

Your Cost: $27.68/claim|Median: $37.81
0.7× median
71275Normal range

CT angiography, chest, with contrast

$147K

2,242 claims · 0.8%

Your Cost: $65.68/claim|Median: $92.96
0.7× median