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Provider 1356399539

NPI: 1356399539Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.6M

$12,608,430

Total Claims

396K

Beneficiaries

318K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$950K
-11%
2019
$842K
+6%
2020
$889K
+123%
2021
$2.0M
+31%
2022
$2.6M
+21%
2023
$3.2M
-30%
2024
$2.2M

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 24% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.0M

13K claims · 24.1%

Your Cost: $241.59/claim|Median: $69.51
3.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.2M

7,099 claims · 17.1%

Your Cost: $303.72/claim|Median: $85.65
3.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.7M

11K claims · 13.3%

Your Cost: $154.16/claim|Median: $42.48
3.6× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$618K

1,813 claims · 4.9%

Your Cost: $340.89/claim|Median: $144.30
2.4× median
96365Normal range

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

$417K

6,509 claims · 3.3%

Your Cost: $64.09/claim|Median: $54.77
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$352K

7,478 claims · 2.8%

Your Cost: $47.05/claim|Median: $38.92
1.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$330K

7,674 claims · 2.6%

Your Cost: $43.06/claim|Median: $14.92
2.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$280K

7,257 claims · 2.2%

Your Cost: $38.58/claim|Median: $9.56
4.0× median
80050Normal range

General health panel

$270K

7,353 claims · 2.1%

Your Cost: $36.66/claim|Median: $25.59
1.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$245K

3,968 claims · 1.9%

Your Cost: $61.81/claim|Median: $21.76
2.8× median
71045Top 10%

Chest X-ray, single view

$230K

6,882 claims · 1.8%

Your Cost: $33.44/claim|Median: $4.93
6.8× median
80053Normal range

Comprehensive metabolic panel

$203K

28K claims · 1.6%

Your Cost: $7.31/claim|Median: $7.24
1.0× median
99213Normal range

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

$173K

5,331 claims · 1.4%

Your Cost: $32.42/claim|Median: $37.81
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$153K

4,768 claims · 1.2%

Your Cost: $32.04/claim|Median: $39.70
0.8× median
94762Top 25%

$148K

3,434 claims · 1.2%

Your Cost: $43.08/claim|Median: $9.98
4.3× median
36415Normal range

Collection of venous blood by venipuncture

$141K

69K claims · 1.1%

Your Cost: $2.05/claim|Median: $1.57
1.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$139K

8,244 claims · 1.1%

Your Cost: $16.91/claim|Median: $7.50
2.3× median
80061Normal range

Lipid panel

$118K

10K claims · 0.9%

Your Cost: $11.49/claim|Median: $8.41
1.4× median
70450Top 25%

CT head/brain without contrast

$108K

969 claims · 0.9%

Your Cost: $111.70/claim|Median: $45.53
2.5× median
85027Normal range

Complete blood count (CBC), automated

$99K

18K claims · 0.8%

Your Cost: $5.43/claim|Median: $3.72
1.5× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$94K

5,789 claims · 0.7%

Your Cost: $16.27/claim|Median: $9.87
1.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$91K

1,326 claims · 0.7%

Your Cost: $68.67/claim|Median: $65.64
1.0× median
84439Normal range

Free thyroxine level blood test

$89K

12K claims · 0.7%

Your Cost: $7.48/claim|Median: $6.31
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$83K

17K claims · 0.7%

Your Cost: $4.91/claim|Median: $4.71
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$77K

1,037 claims · 0.6%

Your Cost: $74.62/claim|Median: $63.08
1.2× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$73K

1,158 claims · 0.6%

Your Cost: $63.09/claim|Median: $29.03
2.2× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$70K

2,077 claims · 0.6%

Your Cost: $33.57/claim|Median: $23.39
1.4× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$70K

2,074 claims · 0.6%

Your Cost: $33.56/claim|Median: $24.95
1.3× median
73523Top 5%

$69K

505 claims · 0.5%

Your Cost: $135.88/claim|Median: $21.18
6.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$56K

7,756 claims · 0.4%

Your Cost: $7.28/claim|Median: $5.50
1.3× median
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