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Provider 1346607017

NPI: 1346607017Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.7M

$11,716,856

Total Claims

345K

Beneficiaries

270K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$387K
-16%
2019
$324K
+46%
2020
$474K
+93%
2021
$913K
+19%
2022
$1.1M
+387%
2023
$5.3M
-39%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 19% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$2.3M

20K claims · 19.4%

Your Cost: $112.25/claim|Median: $85.65
1.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.9M

6,943 claims · 16.5%

Your Cost: $278.61/claim|Median: $38.92
7.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.2M

13K claims · 10.4%

Your Cost: $96.87/claim|Median: $42.48
2.3× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

11K claims · 9.2%

Your Cost: $103.03/claim|Median: $69.51
1.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$687K

6,489 claims · 5.9%

Your Cost: $105.90/claim|Median: $91.47
1.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$486K

2,379 claims · 4.2%

Your Cost: $204.47/claim|Median: $65.76
3.1× median
70450Top 10%

CT head/brain without contrast

$445K

2,146 claims · 3.8%

Your Cost: $207.59/claim|Median: $45.53
4.6× median
G0378Normal range

Hospital observation service, per hour

$330K

4,364 claims · 2.8%

Your Cost: $75.59/claim|Median: $99.39
0.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$225K

999 claims · 1.9%

Your Cost: $225.20/claim|Median: $60.19
3.7× median
96365Top 25%

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

$222K

2,206 claims · 1.9%

Your Cost: $100.42/claim|Median: $54.77
1.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$183K

565 claims · 1.6%

Your Cost: $323.29/claim|Median: $151.68
2.1× median
96360Top 10%

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

$183K

1,042 claims · 1.6%

Your Cost: $175.23/claim|Median: $61.57
2.8× median
96366Top 25%

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

$181K

1,414 claims · 1.5%

Your Cost: $128.01/claim|Median: $40.12
3.2× median
45380Top 25%

Colonoscopy with biopsy

$161K

420 claims · 1.4%

Your Cost: $383.16/claim|Median: $200.68
1.9× median
71260Top 25%

CT chest with contrast

$155K

876 claims · 1.3%

Your Cost: $177.30/claim|Median: $48.36
3.7× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$133K

933 claims · 1.1%

Your Cost: $142.98/claim|Median: $37.35
3.8× median
76705Top 25%

Ultrasound, abdominal, limited

$130K

1,700 claims · 1.1%

Your Cost: $76.34/claim|Median: $23.81
3.2× median
80053Normal range

Comprehensive metabolic panel

$125K

24K claims · 1.1%

Your Cost: $5.14/claim|Median: $7.24
0.7× median
U0003Top 5%

Infectious disease detection (COVID-19)

$119K

966 claims · 1.0%

Your Cost: $123.07/claim|Median: $63.08
2.0× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$98K

1,091 claims · 0.8%

Your Cost: $90.09/claim|Median: $10.88
8.3× median
99282Top 25%

Emergency dept visit, low complexity

$76K

815 claims · 0.6%

Your Cost: $92.78/claim|Median: $37.72
2.5× median
C9803Top 25%

$73K

2,211 claims · 0.6%

Your Cost: $33.04/claim|Median: $13.20
2.5× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$50K

507 claims · 0.4%

Your Cost: $97.93/claim|Median: $79.28
1.2× median
71046Normal range

Chest X-ray, 2 views

$46K

3,336 claims · 0.4%

Your Cost: $13.71/claim|Median: $8.92
1.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$40K

194 claims · 0.3%

Your Cost: $204.21/claim|Median: $54.68
3.7× median
76642Top 10%

$38K

367 claims · 0.3%

Your Cost: $103.16/claim|Median: $32.06
3.2× median
76536Top 25%

$37K

388 claims · 0.3%

Your Cost: $95.55/claim|Median: $44.06
2.2× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$36K

695 claims · 0.3%

Your Cost: $52.12/claim|Median: $25.43
2.0× median
70498Top 25%

$36K

208 claims · 0.3%

Your Cost: $170.73/claim|Median: $58.88
2.9× median
70551Normal range

MRI brain without contrast

$33K

289 claims · 0.3%

Your Cost: $115.57/claim|Median: $85.39
1.4× median