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Provider 1356367270

NPI: 1356367270Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.9M

$17,869,937

Total Claims

365K

Beneficiaries

250K

1.5 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-13%
2019
$2.5M
-3%
2020
$2.4M
+11%
2021
$2.7M
-4%
2022
$2.6M
-4%
2023
$2.5M
-8%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 23% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$4.2M

8,796 claims · 23.4%

Your Cost: $476.00/claim|Median: $69.51
6.8× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.5M

2,249 claims · 8.5%

Your Cost: $679.03/claim|Median: $60.19
11.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.5M

2,739 claims · 8.4%

Your Cost: $550.54/claim|Median: $85.65
6.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

13K claims · 7.3%

Your Cost: $102.02/claim|Median: $42.48
2.4× median
80053Top 10%

Comprehensive metabolic panel

$666K

27K claims · 3.7%

Your Cost: $24.52/claim|Median: $7.24
3.4× median
36415Top 10%

Collection of venous blood by venipuncture

$463K

79K claims · 2.6%

Your Cost: $5.89/claim|Median: $1.57
3.8× median
99291Top 5%

Critical care, first 30-74 minutes

$406K

664 claims · 2.3%

Your Cost: $611.92/claim|Median: $101.24
6.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$404K

8,317 claims · 2.3%

Your Cost: $48.60/claim|Median: $7.50
6.5× median
70450Top 5%

CT head/brain without contrast

$363K

1,396 claims · 2.0%

Your Cost: $259.85/claim|Median: $45.53
5.7× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$357K

3,546 claims · 2.0%

Your Cost: $100.57/claim|Median: $65.45
1.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$311K

24K claims · 1.7%

Your Cost: $12.87/claim|Median: $4.71
2.7× median
99282Normal range

Emergency dept visit, low complexity

$296K

4,131 claims · 1.7%

Your Cost: $71.77/claim|Median: $37.72
1.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$291K

6,920 claims · 1.6%

Your Cost: $42.03/claim|Median: $21.76
1.9× median
G0378Normal range

Hospital observation service, per hour

$271K

1,002 claims · 1.5%

Your Cost: $270.50/claim|Median: $99.39
2.7× median
96361Normal range

IV infusion, hydration, each additional hour

$254K

4,185 claims · 1.4%

Your Cost: $60.67/claim|Median: $38.92
1.6× median
96365Normal range

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

$246K

4,500 claims · 1.4%

Your Cost: $54.60/claim|Median: $54.77
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$231K

3,661 claims · 1.3%

Your Cost: $62.97/claim|Median: $91.47
0.7× median
71045Top 5%

Chest X-ray, single view

$205K

4,661 claims · 1.1%

Your Cost: $43.98/claim|Median: $4.93
8.9× median
84484Top 5%

Troponin, quantitative

$202K

4,953 claims · 1.1%

Your Cost: $40.78/claim|Median: $4.84
8.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$198K

3,793 claims · 1.1%

Your Cost: $52.11/claim|Median: $63.08
0.8× median
74177Top 5%

CT abdomen and pelvis with contrast

$189K

227 claims · 1.1%

Your Cost: $833.70/claim|Median: $65.76
12.7× median
71046Top 5%

Chest X-ray, 2 views

$185K

3,544 claims · 1.0%

Your Cost: $52.08/claim|Median: $8.92
5.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$183K

4,541 claims · 1.0%

Your Cost: $40.28/claim|Median: $35.43
1.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$164K

3,189 claims · 0.9%

Your Cost: $51.42/claim|Median: $24.49
2.1× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$159K

8,513 claims · 0.9%

Your Cost: $18.63/claim|Median: $9.87
1.9× median
92507Normal range

Speech/hearing/language treatment

$155K

3,584 claims · 0.9%

Your Cost: $43.33/claim|Median: $49.45
0.9× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$148K

4,965 claims · 0.8%

Your Cost: $29.87/claim|Median: $9.56
3.1× median
87040Top 5%

$145K

2,771 claims · 0.8%

Your Cost: $52.25/claim|Median: $5.54
9.4× median
82607Top 10%

Cyanocobalamin (vitamin B-12)

$129K

5,379 claims · 0.7%

Your Cost: $24.03/claim|Median: $8.72
2.8× median
80061Top 10%

Lipid panel

$127K

6,659 claims · 0.7%

Your Cost: $19.09/claim|Median: $8.41
2.3× median
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