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Provider 1356307656

NPI: 1356307656Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.2M

$15,218,136

Total Claims

310K

Beneficiaries

244K

1.3 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$272K
+271%
2019
$1.0M
+129%
2020
$2.3M
+18%
2021
$2.7M
+28%
2022
$3.5M
+16%
2023
$4.0M
-66%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 15% of total spending.

99213Top 5%

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

$2.3M

16K claims · 15.1%

Your Cost: $147.32/claim|Median: $37.81
3.9× median
99214Top 5%

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

$1.7M

13K claims · 11.0%

Your Cost: $129.96/claim|Median: $53.41
2.4× median
36415Top 5%

Collection of venous blood by venipuncture

$1.5M

63K claims · 9.8%

Your Cost: $23.78/claim|Median: $1.57
15.1× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

9,116 claims · 8.7%

Your Cost: $144.41/claim|Median: $69.51
2.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.0M

6,286 claims · 6.6%

Your Cost: $160.11/claim|Median: $42.48
3.8× median
G0463Top 25%

Hospital outpatient clinic visit

$733K

11K claims · 4.8%

Your Cost: $69.42/claim|Median: $26.41
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$718K

4,551 claims · 4.7%

Your Cost: $157.68/claim|Median: $25.06
6.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$676K

2,763 claims · 4.4%

Your Cost: $244.83/claim|Median: $38.92
6.3× median
90832Top 10%

Psychotherapy, 30 minutes

$413K

3,894 claims · 2.7%

Your Cost: $105.97/claim|Median: $41.28
2.6× median
70450Top 5%

CT head/brain without contrast

$407K

1,519 claims · 2.7%

Your Cost: $268.16/claim|Median: $45.53
5.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$352K

2,892 claims · 2.3%

Your Cost: $121.64/claim|Median: $85.65
1.4× median
76856Top 1%

Ultrasound, pelvic, complete

$333K

678 claims · 2.2%

Your Cost: $491.84/claim|Median: $47.58
10.3× median
80053Top 25%

Comprehensive metabolic panel

$321K

15K claims · 2.1%

Your Cost: $20.98/claim|Median: $7.24
2.9× median
96365Top 25%

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

$261K

1,893 claims · 1.7%

Your Cost: $137.73/claim|Median: $54.77
2.5× median
99282Top 10%

Emergency dept visit, low complexity

$251K

1,442 claims · 1.7%

Your Cost: $174.16/claim|Median: $37.72
4.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$247K

1,014 claims · 1.6%

Your Cost: $243.59/claim|Median: $65.76
3.7× median
76700Top 1%

Ultrasound, abdominal, complete

$197K

405 claims · 1.3%

Your Cost: $485.38/claim|Median: $50.69
9.6× median
81025Top 5%

Urine pregnancy test

$194K

7,284 claims · 1.3%

Your Cost: $26.66/claim|Median: $4.81
5.5× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$167K

1,518 claims · 1.1%

Your Cost: $110.13/claim|Median: $47.08
2.3× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$158K

2,954 claims · 1.0%

Your Cost: $53.37/claim|Median: $26.72
2.0× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$157K

1,571 claims · 1.0%

Your Cost: $99.89/claim|Median: $38.23
2.6× median
97110Normal range

Therapeutic exercises, each 15 min

$155K

3,931 claims · 1.0%

Your Cost: $39.54/claim|Median: $24.49
1.6× median
96360Top 25%

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

$129K

764 claims · 0.8%

Your Cost: $168.64/claim|Median: $61.57
2.7× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$121K

3,104 claims · 0.8%

Your Cost: $38.96/claim|Median: $24.95
1.6× median
99215Top 10%

Office/outpatient visit, high complexity

$114K

733 claims · 0.8%

Your Cost: $155.90/claim|Median: $74.09
2.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$100K

3,249 claims · 0.7%

Your Cost: $30.88/claim|Median: $9.56
3.2× median
82306Normal range

Vitamin D, 25 hydroxy

$67K

2,678 claims · 0.4%

Your Cost: $24.94/claim|Median: $18.18
1.4× median
77067Top 25%

Screening mammography, bilateral, including CAD

$55K

711 claims · 0.4%

Your Cost: $77.18/claim|Median: $39.33
2.0× median
80061Normal range

Lipid panel

$55K

4,793 claims · 0.4%

Your Cost: $11.41/claim|Median: $8.41
1.4× median
97530Normal range

Therapeutic activities, each 15 min

$43K

1,628 claims · 0.3%

Your Cost: $26.46/claim|Median: $33.11
0.8× median
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