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Provider 1356410351

NPI: 1356410351Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.6M

$12,562,878

Total Claims

487K

Beneficiaries

402K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-20%
2019
$2.3M
-41%
2020
$1.4M
+13%
2021
$1.6M
+6%
2022
$1.7M
-7%
2023
$1.5M
-24%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 12% of total spending.

0450Normal range

Emergency room visit

$1.5M

28K claims · 11.6%

Your Cost: $51.37/claim|Median: $44.95
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$1.3M

22K claims · 10.0%

Your Cost: $56.75/claim|Median: $42.48
1.3× median
0915Top 25%

$1.0M

1,511 claims · 8.3%

Your Cost: $689.72/claim|Median: $358.19
1.9× median
99499Top 10%

Unlisted evaluation and management service

$705K

7,946 claims · 5.6%

Your Cost: $88.76/claim|Median: $30.88
2.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$487K

8,024 claims · 3.9%

Your Cost: $60.69/claim|Median: $21.76
2.8× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$442K

7,086 claims · 3.5%

Your Cost: $62.40/claim|Median: $35.43
1.8× median
70450Top 25%

CT head/brain without contrast

$392K

3,703 claims · 3.1%

Your Cost: $105.83/claim|Median: $45.53
2.3× median
Z7502Normal range

$368K

9,954 claims · 2.9%

Your Cost: $36.98/claim|Median: $37.17
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$356K

5,948 claims · 2.8%

Your Cost: $59.79/claim|Median: $37.56
1.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$351K

3,450 claims · 2.8%

Your Cost: $101.63/claim|Median: $85.65
1.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$339K

1,480 claims · 2.7%

Your Cost: $229.16/claim|Median: $65.76
3.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$303K

13K claims · 2.4%

Your Cost: $23.11/claim|Median: $7.50
3.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$278K

8,306 claims · 2.2%

Your Cost: $33.42/claim|Median: $30.04
1.1× median
80053Normal range

Comprehensive metabolic panel

$272K

28K claims · 2.2%

Your Cost: $9.80/claim|Median: $7.24
1.4× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$237K

5,532 claims · 1.9%

Your Cost: $42.80/claim|Median: $14.92
2.9× median
99284Normal range

Emergency dept visit, high complexity

$225K

3,343 claims · 1.8%

Your Cost: $67.19/claim|Median: $69.51
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$215K

33K claims · 1.7%

Your Cost: $6.60/claim|Median: $4.71
1.4× median
90853Normal range

Group psychotherapy

$207K

13K claims · 1.7%

Your Cost: $16.04/claim|Median: $25.02
0.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$198K

7,060 claims · 1.6%

Your Cost: $28.05/claim|Median: $9.56
2.9× median
74176Normal range

CT abdomen and pelvis without contrast

$195K

1,708 claims · 1.6%

Your Cost: $114.43/claim|Median: $60.19
1.9× median
96365Normal range

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

$162K

2,048 claims · 1.3%

Your Cost: $78.94/claim|Median: $54.77
1.4× median
96361Normal range

IV infusion, hydration, each additional hour

$143K

5,566 claims · 1.1%

Your Cost: $25.71/claim|Median: $38.92
0.7× median
U0003Top 25%

Infectious disease detection (COVID-19)

$126K

1,549 claims · 1.0%

Your Cost: $81.34/claim|Median: $63.08
1.3× median
71045Top 25%

Chest X-ray, single view

$114K

11K claims · 0.9%

Your Cost: $10.88/claim|Median: $4.93
2.2× median
72125Top 10%

CT cervical spine without contrast

$109K

735 claims · 0.9%

Your Cost: $148.82/claim|Median: $32.30
4.6× median
G0481Top 10%

Drug test, definitive, 8-14 drug classes

$106K

880 claims · 0.8%

Your Cost: $120.91/claim|Median: $64.72
1.9× median
0914Top 1%

$88K

161 claims · 0.7%

Your Cost: $547.70/claim|Median: $110.68
4.9× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$88K

8,744 claims · 0.7%

Your Cost: $10.08/claim|Median: $1.53
6.6× median
83880Normal range

$87K

4,539 claims · 0.7%

Your Cost: $19.27/claim|Median: $11.81
1.6× median
97110Normal range

Therapeutic exercises, each 15 min

$87K

5,149 claims · 0.7%

Your Cost: $16.83/claim|Median: $24.49
0.7× median
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