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Provider 1376571323

NPI: 1376571323Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,502,200

Total Claims

534K

Beneficiaries

395K

1.4 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$699K
+90%
2019
$1.3M
-5%
2020
$1.3M
+38%
2021
$1.8M
+47%
2022
$2.6M
-25%
2023
$1.9M
-52%
2024
$935K

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 16% of total spending.

99284Normal range

Emergency dept visit, high complexity

$1.7M

23K claims · 16.5%

Your Cost: $75.90/claim|Median: $69.51
1.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

23K claims · 16.4%

Your Cost: $75.37/claim|Median: $42.48
1.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$780K

13K claims · 7.4%

Your Cost: $61.08/claim|Median: $85.65
0.7× median
96361Normal range

IV infusion, hydration, each additional hour

$639K

8,941 claims · 6.1%

Your Cost: $71.42/claim|Median: $38.92
1.8× median
70450Top 25%

CT head/brain without contrast

$512K

5,884 claims · 4.9%

Your Cost: $87.01/claim|Median: $45.53
1.9× median
74177Normal range

CT abdomen and pelvis with contrast

$417K

2,837 claims · 4.0%

Your Cost: $147.01/claim|Median: $65.76
2.2× median
36415Top 5%

Collection of venous blood by venipuncture

$415K

43K claims · 4.0%

Your Cost: $9.69/claim|Median: $1.57
6.2× median
99282Normal range

Emergency dept visit, low complexity

$329K

5,051 claims · 3.1%

Your Cost: $65.06/claim|Median: $37.72
1.7× median
G0378Normal range

Hospital observation service, per hour

$224K

12K claims · 2.1%

Your Cost: $18.05/claim|Median: $99.39
0.2× median
G0463Normal range

Hospital outpatient clinic visit

$212K

4,486 claims · 2.0%

Your Cost: $47.20/claim|Median: $26.41
1.8× median
80053Normal range

Comprehensive metabolic panel

$209K

33K claims · 2.0%

Your Cost: $6.34/claim|Median: $7.24
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$197K

1,555 claims · 1.9%

Your Cost: $126.67/claim|Median: $60.19
2.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$194K

14K claims · 1.8%

Your Cost: $13.73/claim|Median: $21.76
0.6× median
96365Normal range

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

$185K

3,462 claims · 1.8%

Your Cost: $53.54/claim|Median: $54.77
1.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$164K

3,959 claims · 1.6%

Your Cost: $41.43/claim|Median: $75.28
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$143K

48K claims · 1.4%

Your Cost: $2.96/claim|Median: $4.71
0.6× median
71275Top 25%

CT angiography, chest, with contrast

$134K

786 claims · 1.3%

Your Cost: $170.29/claim|Median: $92.96
1.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$134K

2,088 claims · 1.3%

Your Cost: $64.00/claim|Median: $24.49
2.6× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$126K

3,111 claims · 1.2%

Your Cost: $40.47/claim|Median: $61.57
0.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$125K

5,552 claims · 1.2%

Your Cost: $22.46/claim|Median: $9.56
2.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$118K

10K claims · 1.1%

Your Cost: $11.77/claim|Median: $14.92
0.8× median
G0257Top 25%

$117K

508 claims · 1.1%

Your Cost: $230.76/claim|Median: $70.95
3.3× median
72125Normal range

CT cervical spine without contrast

$89K

2,604 claims · 0.8%

Your Cost: $34.25/claim|Median: $32.30
1.1× median
80048Normal range

Basic metabolic panel

$88K

13K claims · 0.8%

Your Cost: $6.77/claim|Median: $5.78
1.2× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$70K

8,673 claims · 0.7%

Your Cost: $8.05/claim|Median: $0.58
13.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$58K

724 claims · 0.6%

Your Cost: $80.68/claim|Median: $54.68
1.5× median
99213Top 5%

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

$48K

526 claims · 0.5%

Your Cost: $90.92/claim|Median: $37.81
2.4× median
J1100Top 5%

$44K

3,809 claims · 0.4%

Your Cost: $11.66/claim|Median: $0.52
22.4× median
87070Top 25%

Bacterial culture, any source except blood or urine

$43K

2,777 claims · 0.4%

Your Cost: $15.57/claim|Median: $5.89
2.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$43K

1,628 claims · 0.4%

Your Cost: $26.49/claim|Median: $35.80
0.7× median
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