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Provider 1366440620

NPI: 1366440620Share
Active Billing Period:2018-01→2023-08(67 months)
Billing appears to have stoppedLast active: 2023-08

Total Paid

$15.6M

$15,567,458

Total Claims

265K

Beneficiaries

205K

1.3 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-13%
2019
$2.5M
+20%
2020
$3.0M
+26%
2021
$3.7M
-6%
2022
$3.5M
-96%
2023
$145K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (8888888 (Not classified)) accounts for 75% of total spending.

8888888Normal range

Not classified

$11.6M

46K claims · 74.7%

Your Cost: $251.82/claim|Median: $365.77
0.7× median
36415Top 1%

Collection of venous blood by venipuncture

$1.9M

18K claims · 12.4%

Your Cost: $106.42/claim|Median: $1.57
67.8× median
99283Normal range

Emergency dept visit, moderate complexity

$402K

9,185 claims · 2.6%

Your Cost: $43.81/claim|Median: $42.48
1.0× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$319K

1,724 claims · 2.0%

Your Cost: $184.96/claim|Median: $91.47
2.0× median
99284Normal range

Emergency dept visit, high complexity

$140K

9,938 claims · 0.9%

Your Cost: $14.08/claim|Median: $69.51
0.2× median
99282Normal range

Emergency dept visit, low complexity

$85K

1,301 claims · 0.5%

Your Cost: $65.02/claim|Median: $37.72
1.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$75K

2,329 claims · 0.5%

Your Cost: $32.16/claim|Median: $9.56
3.4× median
70450Normal range

CT head/brain without contrast

$62K

1,997 claims · 0.4%

Your Cost: $31.01/claim|Median: $45.53
0.7× median
71046Top 25%

Chest X-ray, 2 views

$60K

2,340 claims · 0.4%

Your Cost: $25.61/claim|Median: $8.92
2.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$54K

7,255 claims · 0.3%

Your Cost: $7.50/claim|Median: $85.65
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$47K

1,071 claims · 0.3%

Your Cost: $44.35/claim|Median: $39.70
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$46K

8,248 claims · 0.3%

Your Cost: $5.52/claim|Median: $21.76
0.3× median
81003Top 5%

Urinalysis, automated without microscopy

$43K

3,567 claims · 0.3%

Your Cost: $12.17/claim|Median: $1.48
8.2× median
96361Normal range

IV infusion, hydration, each additional hour

$43K

6,001 claims · 0.3%

Your Cost: $7.09/claim|Median: $38.92
0.2× median
74177Normal range

CT abdomen and pelvis with contrast

$40K

2,736 claims · 0.3%

Your Cost: $14.78/claim|Median: $65.76
0.2× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$33K

581 claims · 0.2%

Your Cost: $57.61/claim|Median: $65.45
0.9× median
71045Top 25%

Chest X-ray, single view

$32K

3,144 claims · 0.2%

Your Cost: $10.30/claim|Median: $4.93
2.1× median
81001Top 25%

Urinalysis, automated, with microscopy

$32K

6,317 claims · 0.2%

Your Cost: $5.09/claim|Median: $2.03
2.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$31K

688 claims · 0.2%

Your Cost: $45.34/claim|Median: $65.64
0.7× median
99281Normal range

Emergency dept visit, minimal complexity

$29K

518 claims · 0.2%

Your Cost: $56.00/claim|Median: $52.03
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$29K

3,009 claims · 0.2%

Your Cost: $9.58/claim|Median: $35.43
0.3× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$21K

3,534 claims · 0.1%

Your Cost: $6.03/claim|Median: $4.20
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$21K

1,030 claims · 0.1%

Your Cost: $20.28/claim|Median: $24.95
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$18K

6,594 claims · 0.1%

Your Cost: $2.74/claim|Median: $14.92
0.2× median
80053Normal range

Comprehensive metabolic panel

$17K

12K claims · 0.1%

Your Cost: $1.43/claim|Median: $7.24
0.2× median
81002Top 1%

Urinalysis, non-automated without microscopy

$17K

209 claims · 0.1%

Your Cost: $79.98/claim|Median: $2.00
40.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$16K

13K claims · 0.1%

Your Cost: $1.24/claim|Median: $4.71
0.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$14K

680 claims · 0.1%

Your Cost: $20.83/claim|Median: $28.46
0.7× median
J2405Normal range

Injection, ondansetron HCl, per one milligram

$13K

6,462 claims · 0.1%

Your Cost: $2.02/claim|Median: $0.58
3.5× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$13K

4,407 claims · 0.1%

Your Cost: $2.85/claim|Median: $1.53
1.9× median
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