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Provider 1346354677

NPI: 1346354677Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.0M

$9,953,394

Total Claims

468K

Beneficiaries

357K

1.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$393K
+389%
2019
$1.9M
-14%
2020
$1.7M
+26%
2021
$2.1M
-18%
2022
$1.7M
-17%
2023
$1.4M
-43%
2024
$804K

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 17% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

26K claims · 16.8%

Your Cost: $65.43/claim|Median: $42.48
1.5× median
99284Normal range

Emergency dept visit, high complexity

$1.3M

21K claims · 13.4%

Your Cost: $62.46/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$698K

12K claims · 7.0%

Your Cost: $58.45/claim|Median: $85.65
0.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$603K

12K claims · 6.1%

Your Cost: $50.00/claim|Median: $21.76
2.3× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$470K

5,388 claims · 4.7%

Your Cost: $87.21/claim|Median: $3.42
25.5× median
96360Top 25%

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

$465K

2,955 claims · 4.7%

Your Cost: $157.38/claim|Median: $61.57
2.6× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$370K

4,549 claims · 3.7%

Your Cost: $81.44/claim|Median: $35.43
2.3× median
74177Normal range

CT abdomen and pelvis with contrast

$350K

3,016 claims · 3.5%

Your Cost: $116.08/claim|Median: $65.76
1.8× median
99282Normal range

Emergency dept visit, low complexity

$315K

4,653 claims · 3.2%

Your Cost: $67.66/claim|Median: $37.72
1.8× median
70450Normal range

CT head/brain without contrast

$298K

4,326 claims · 3.0%

Your Cost: $68.83/claim|Median: $45.53
1.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$239K

7,960 claims · 2.4%

Your Cost: $29.97/claim|Median: $100.62
0.3× median
96361Normal range

IV infusion, hydration, each additional hour

$237K

7,389 claims · 2.4%

Your Cost: $32.07/claim|Median: $38.92
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$215K

3,262 claims · 2.2%

Your Cost: $66.06/claim|Median: $65.64
1.0× median
96365Normal range

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

$212K

2,982 claims · 2.1%

Your Cost: $71.03/claim|Median: $54.77
1.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$184K

5,114 claims · 1.8%

Your Cost: $35.93/claim|Median: $9.56
3.8× median
80053Normal range

Comprehensive metabolic panel

$183K

27K claims · 1.8%

Your Cost: $6.88/claim|Median: $7.24
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$153K

1,570 claims · 1.5%

Your Cost: $97.67/claim|Median: $60.19
1.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$149K

8,391 claims · 1.5%

Your Cost: $17.81/claim|Median: $14.92
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$115K

3,304 claims · 1.2%

Your Cost: $34.83/claim|Median: $63.08
0.6× median
59025Normal range

Fetal non-stress test

$108K

2,575 claims · 1.1%

Your Cost: $42.13/claim|Median: $26.45
1.6× median
99281Normal range

Emergency dept visit, minimal complexity

$97K

1,536 claims · 1.0%

Your Cost: $63.38/claim|Median: $52.03
1.2× median
G0463Normal range

Hospital outpatient clinic visit

$83K

5,790 claims · 0.8%

Your Cost: $14.34/claim|Median: $26.41
0.5× median
81001Top 25%

Urinalysis, automated, with microscopy

$61K

18K claims · 0.6%

Your Cost: $3.46/claim|Median: $2.03
1.7× median
80048Top 25%

Basic metabolic panel

$59K

6,828 claims · 0.6%

Your Cost: $8.68/claim|Median: $5.78
1.5× median
81025Top 10%

Urine pregnancy test

$58K

6,262 claims · 0.6%

Your Cost: $9.33/claim|Median: $4.81
1.9× median
71045Normal range

Chest X-ray, single view

$58K

14K claims · 0.6%

Your Cost: $4.09/claim|Median: $4.93
0.8× median
G0378Normal range

Hospital observation service, per hour

$55K

6,625 claims · 0.6%

Your Cost: $8.27/claim|Median: $99.39
0.1× median
76819Top 10%

Fetal biophysical profile with non-stress test

$54K

555 claims · 0.5%

Your Cost: $96.89/claim|Median: $49.45
2.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$52K

6,564 claims · 0.5%

Your Cost: $7.85/claim|Median: $28.46
0.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$51K

1,449 claims · 0.5%

Your Cost: $35.15/claim|Median: $54.68
0.6× median