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Provider 1356428429

NPI: 1356428429Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.5M

$11,510,497

Total Claims

359K

Beneficiaries

268K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$537K
+111%
2019
$1.1M
+14%
2020
$1.3M
+31%
2021
$1.7M
+58%
2022
$2.7M
-12%
2023
$2.3M
-21%
2024
$1.8M

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 27% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.1M

23K claims · 27.2%

Your Cost: $137.51/claim|Median: $69.51
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.0M

24K claims · 26.3%

Your Cost: $127.23/claim|Median: $42.48
3.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.4M

12K claims · 11.8%

Your Cost: $112.06/claim|Median: $85.65
1.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$608K

12K claims · 5.3%

Your Cost: $49.36/claim|Median: $7.50
6.6× median
71045Top 1%

Chest X-ray, single view

$573K

5,468 claims · 5.0%

Your Cost: $104.77/claim|Median: $4.93
21.3× median
59025Top 5%

Fetal non-stress test

$433K

1,750 claims · 3.8%

Your Cost: $247.35/claim|Median: $26.45
9.4× median
96361Normal range

IV infusion, hydration, each additional hour

$189K

6,926 claims · 1.6%

Your Cost: $27.22/claim|Median: $38.92
0.7× median
80053Normal range

Comprehensive metabolic panel

$154K

33K claims · 1.3%

Your Cost: $4.71/claim|Median: $7.24
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$136K

40K claims · 1.2%

Your Cost: $3.45/claim|Median: $4.71
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$135K

73K claims · 1.2%

Your Cost: $1.85/claim|Median: $1.57
1.2× median
70450Normal range

CT head/brain without contrast

$103K

1,511 claims · 0.9%

Your Cost: $67.97/claim|Median: $45.53
1.5× median
71046Top 5%

Chest X-ray, 2 views

$101K

1,522 claims · 0.9%

Your Cost: $66.58/claim|Median: $8.92
7.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$96K

645 claims · 0.8%

Your Cost: $148.37/claim|Median: $60.19
2.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$93K

1,151 claims · 0.8%

Your Cost: $80.79/claim|Median: $63.08
1.3× median
99282Top 25%

Emergency dept visit, low complexity

$91K

910 claims · 0.8%

Your Cost: $99.80/claim|Median: $37.72
2.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$79K

1,541 claims · 0.7%

Your Cost: $51.33/claim|Median: $65.64
0.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$78K

11K claims · 0.7%

Your Cost: $6.88/claim|Median: $21.76
0.3× median
80074Normal range

$74K

2,059 claims · 0.6%

Your Cost: $35.78/claim|Median: $27.54
1.3× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$71K

2,527 claims · 0.6%

Your Cost: $28.04/claim|Median: $34.62
0.8× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$67K

7,592 claims · 0.6%

Your Cost: $8.80/claim|Median: $1.53
5.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$65K

2,324 claims · 0.6%

Your Cost: $27.98/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$63K

2,269 claims · 0.5%

Your Cost: $27.62/claim|Median: $23.39
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$56K

587 claims · 0.5%

Your Cost: $96.19/claim|Median: $91.47
1.1× median
74177Top 10%

CT abdomen and pelvis with contrast

$54K

166 claims · 0.5%

Your Cost: $323.69/claim|Median: $65.76
4.9× median
62323Top 5%

Epidural injection of diagnostic or therapeutic substance, lumbar

$52K

69 claims · 0.5%

Your Cost: $755.97/claim|Median: $111.02
6.8× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$48K

113 claims · 0.4%

Your Cost: $423.47/claim|Median: $36.13
11.7× median
80061Normal range

Lipid panel

$47K

7,777 claims · 0.4%

Your Cost: $6.09/claim|Median: $8.41
0.7× median
80081Normal range

$37K

679 claims · 0.3%

Your Cost: $54.76/claim|Median: $59.44
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$36K

2,081 claims · 0.3%

Your Cost: $17.13/claim|Median: $35.43
0.5× median
C9803Top 10%

$32K

602 claims · 0.3%

Your Cost: $52.57/claim|Median: $13.20
4.0× median
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