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Provider 1356391247

NPI: 1356391247Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,226,542

Total Claims

550K

Beneficiaries

444K

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+4%
2019
$1.6M
-18%
2020
$1.3M
+7%
2021
$1.4M
+9%
2022
$1.5M
+2%
2023
$1.6M
-15%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 9% of total spending.

99214Normal range

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

$933K

26K claims · 9.1%

Your Cost: $35.52/claim|Median: $53.41
0.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$833K

7,528 claims · 8.1%

Your Cost: $110.65/claim|Median: $38.92
2.8× median
99284Normal range

Emergency dept visit, high complexity

$640K

16K claims · 6.3%

Your Cost: $40.63/claim|Median: $69.51
0.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$530K

14K claims · 5.2%

Your Cost: $38.95/claim|Median: $85.65
0.5× median
99213Normal range

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

$510K

15K claims · 5.0%

Your Cost: $34.69/claim|Median: $37.81
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$500K

9,548 claims · 4.9%

Your Cost: $52.41/claim|Median: $42.48
1.2× median
80053Top 25%

Comprehensive metabolic panel

$463K

27K claims · 4.5%

Your Cost: $17.19/claim|Median: $7.24
2.4× median
99001Top 5%

$412K

13K claims · 4.0%

Your Cost: $31.04/claim|Median: $2.31
13.4× median
74177Normal range

CT abdomen and pelvis with contrast

$289K

5,191 claims · 2.8%

Your Cost: $55.64/claim|Median: $65.76
0.8× median
70450Normal range

CT head/brain without contrast

$246K

4,791 claims · 2.4%

Your Cost: $51.39/claim|Median: $45.53
1.1× median
96365Normal range

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

$244K

4,334 claims · 2.4%

Your Cost: $56.38/claim|Median: $54.77
1.0× median
99282Normal range

Emergency dept visit, low complexity

$244K

3,806 claims · 2.4%

Your Cost: $64.00/claim|Median: $37.72
1.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$232K

30K claims · 2.3%

Your Cost: $7.78/claim|Median: $4.71
1.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$216K

2,004 claims · 2.1%

Your Cost: $107.82/claim|Median: $100.62
1.1× median
96360Normal range

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

$202K

2,666 claims · 2.0%

Your Cost: $75.77/claim|Median: $61.57
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$162K

3,605 claims · 1.6%

Your Cost: $44.84/claim|Median: $25.06
1.8× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$160K

1,597 claims · 1.6%

Your Cost: $100.38/claim|Median: $65.64
1.5× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$158K

10K claims · 1.5%

Your Cost: $15.74/claim|Median: $9.87
1.6× median
G0463Normal range

Hospital outpatient clinic visit

$154K

24K claims · 1.5%

Your Cost: $6.41/claim|Median: $26.41
0.2× median
80048Top 10%

Basic metabolic panel

$153K

7,452 claims · 1.5%

Your Cost: $20.50/claim|Median: $5.78
3.5× median
99211Top 10%

Office/outpatient visit, minimal complexity

$149K

2,413 claims · 1.5%

Your Cost: $61.90/claim|Median: $12.93
4.8× median
80061Top 25%

Lipid panel

$100K

6,996 claims · 1.0%

Your Cost: $14.32/claim|Median: $8.41
1.7× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$96K

7,247 claims · 0.9%

Your Cost: $13.30/claim|Median: $2.14
6.2× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$92K

3,225 claims · 0.9%

Your Cost: $28.46/claim|Median: $11.48
2.5× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$92K

2,560 claims · 0.9%

Your Cost: $35.83/claim|Median: $37.56
1.0× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$90K

6,474 claims · 0.9%

Your Cost: $13.96/claim|Median: $5.50
2.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$90K

996 claims · 0.9%

Your Cost: $90.00/claim|Median: $97.61
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$80K

1,398 claims · 0.8%

Your Cost: $57.35/claim|Median: $75.18
0.8× median
81025Top 5%

Urine pregnancy test

$73K

4,860 claims · 0.7%

Your Cost: $15.09/claim|Median: $4.81
3.1× median
71275Normal range

CT angiography, chest, with contrast

$66K

1,112 claims · 0.6%

Your Cost: $59.00/claim|Median: $92.96
0.6× median
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