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Provider 1366441370

NPI: 1366441370Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,937,052

Total Claims

694K

Beneficiaries

567K

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+2%
2019
$2.3M
-32%
2020
$1.5M
+3%
2021
$1.6M
+6%
2022
$1.7M
+33%
2023
$2.2M
-34%
2024
$1.5M

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 29% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$3.8M

21K claims · 29.1%

Your Cost: $181.44/claim|Median: $69.51
2.6× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.2M

21K claims · 24.7%

Your Cost: $153.82/claim|Median: $42.48
3.6× median
99282Top 25%

Emergency dept visit, low complexity

$1.4M

13K claims · 11.2%

Your Cost: $113.99/claim|Median: $37.72
3.0× median
G0463Normal range

Hospital outpatient clinic visit

$1.1M

44K claims · 8.5%

Your Cost: $24.93/claim|Median: $26.41
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$451K

1,711 claims · 3.5%

Your Cost: $263.76/claim|Median: $151.68
1.7× median
76376Top 25%

$298K

14K claims · 2.3%

Your Cost: $21.17/claim|Median: $5.53
3.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$233K

27K claims · 1.8%

Your Cost: $8.65/claim|Median: $9.56
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$212K

55K claims · 1.6%

Your Cost: $3.89/claim|Median: $4.71
0.8× median
99281Normal range

Emergency dept visit, minimal complexity

$186K

2,812 claims · 1.4%

Your Cost: $66.04/claim|Median: $52.03
1.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$176K

1,106 claims · 1.4%

Your Cost: $159.10/claim|Median: $85.65
1.9× median
70450Normal range

CT head/brain without contrast

$111K

4,318 claims · 0.9%

Your Cost: $25.65/claim|Median: $45.53
0.6× median
84484Normal range

Troponin, quantitative

$100K

13K claims · 0.8%

Your Cost: $7.88/claim|Median: $4.84
1.6× median
80053Normal range

Comprehensive metabolic panel

$96K

49K claims · 0.7%

Your Cost: $1.96/claim|Median: $7.24
0.3× median
C9803Normal range

$93K

8,413 claims · 0.7%

Your Cost: $11.06/claim|Median: $13.20
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$87K

72K claims · 0.7%

Your Cost: $1.21/claim|Median: $1.57
0.8× median
87804Normal range

Influenza virus detection, rapid test

$78K

18K claims · 0.6%

Your Cost: $4.48/claim|Median: $12.59
0.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$73K

6,929 claims · 0.6%

Your Cost: $10.51/claim|Median: $21.76
0.5× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$65K

32K claims · 0.5%

Your Cost: $2.03/claim|Median: $0.79
2.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$61K

3,369 claims · 0.5%

Your Cost: $18.09/claim|Median: $35.43
0.5× median
80306Normal range

$51K

10K claims · 0.4%

Your Cost: $4.98/claim|Median: $10.29
0.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$47K

12K claims · 0.4%

Your Cost: $4.08/claim|Median: $9.87
0.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$46K

5,982 claims · 0.4%

Your Cost: $7.64/claim|Median: $14.92
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$40K

4,928 claims · 0.3%

Your Cost: $8.15/claim|Median: $11.48
0.7× median
80061Normal range

Lipid panel

$39K

12K claims · 0.3%

Your Cost: $3.39/claim|Median: $8.41
0.4× median
99213Normal range

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

$38K

1,097 claims · 0.3%

Your Cost: $34.35/claim|Median: $37.81
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$37K

13K claims · 0.3%

Your Cost: $2.78/claim|Median: $7.50
0.4× median
71046Normal range

Chest X-ray, 2 views

$36K

4,274 claims · 0.3%

Your Cost: $8.35/claim|Median: $8.92
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$35K

1,083 claims · 0.3%

Your Cost: $32.34/claim|Median: $39.70
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$34K

587 claims · 0.3%

Your Cost: $58.22/claim|Median: $65.76
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$32K

3,264 claims · 0.2%

Your Cost: $9.88/claim|Median: $38.92
0.3× median
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