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Provider 1376579557

NPI: 1376579557Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,299,182

Total Claims

697K

Beneficiaries

593K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+18%
2019
$2.2M
-6%
2020
$2.1M
+43%
2021
$2.9M
-2%
2022
$2.9M
+8%
2023
$3.1M
+5%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 30% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$5.6M

95K claims · 30.5%

Your Cost: $58.95/claim|Median: $26.41
2.2× median
99284Top 25%

Emergency dept visit, high complexity

$1.6M

9,545 claims · 8.7%

Your Cost: $165.89/claim|Median: $69.51
2.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

13K claims · 8.2%

Your Cost: $115.30/claim|Median: $42.48
2.7× median
99214Normal range

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

$1.2M

32K claims · 6.4%

Your Cost: $36.75/claim|Median: $53.41
0.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.1M

4,657 claims · 5.8%

Your Cost: $227.33/claim|Median: $85.65
2.7× median
99213Normal range

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

$722K

29K claims · 3.9%

Your Cost: $24.98/claim|Median: $37.81
0.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$456K

4,891 claims · 2.5%

Your Cost: $93.29/claim|Median: $21.76
4.3× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$387K

6,772 claims · 2.1%

Your Cost: $57.12/claim|Median: $60.05
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$373K

6,905 claims · 2.0%

Your Cost: $53.96/claim|Median: $49.45
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$372K

21K claims · 2.0%

Your Cost: $17.85/claim|Median: $24.49
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$353K

3,381 claims · 1.9%

Your Cost: $104.39/claim|Median: $54.68
1.9× median
74177Normal range

CT abdomen and pelvis with contrast

$300K

2,017 claims · 1.6%

Your Cost: $148.97/claim|Median: $65.76
2.3× median
96365Normal range

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

$259K

3,576 claims · 1.4%

Your Cost: $72.49/claim|Median: $54.77
1.3× median
99282Normal range

Emergency dept visit, low complexity

$230K

3,281 claims · 1.3%

Your Cost: $70.13/claim|Median: $37.72
1.9× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$169K

7,183 claims · 0.9%

Your Cost: $23.59/claim|Median: $9.80
2.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$162K

3,215 claims · 0.9%

Your Cost: $50.29/claim|Median: $97.61
0.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$137K

9,827 claims · 0.7%

Your Cost: $13.92/claim|Median: $16.79
0.8× median
71046Top 10%

Chest X-ray, 2 views

$133K

3,804 claims · 0.7%

Your Cost: $35.03/claim|Median: $8.92
3.9× median
96361Normal range

IV infusion, hydration, each additional hour

$131K

3,650 claims · 0.7%

Your Cost: $35.86/claim|Median: $38.92
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$130K

4,182 claims · 0.7%

Your Cost: $30.97/claim|Median: $14.92
2.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$122K

5,255 claims · 0.7%

Your Cost: $23.23/claim|Median: $58.55
0.4× median
70450Normal range

CT head/brain without contrast

$105K

1,822 claims · 0.6%

Your Cost: $57.77/claim|Median: $45.53
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$102K

2,008 claims · 0.6%

Your Cost: $50.80/claim|Median: $39.33
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$85K

1,964 claims · 0.5%

Your Cost: $43.17/claim|Median: $74.09
0.6× median
80061Normal range

Lipid panel

$83K

12K claims · 0.5%

Your Cost: $7.00/claim|Median: $8.41
0.8× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$79K

811 claims · 0.4%

Your Cost: $96.93/claim|Median: $36.13
2.7× median
97597Normal range

$78K

2,422 claims · 0.4%

Your Cost: $32.30/claim|Median: $21.22
1.5× median
90837Top 25%

Psychotherapy, 60 minutes

$77K

749 claims · 0.4%

Your Cost: $103.25/claim|Median: $85.66
1.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$74K

5,097 claims · 0.4%

Your Cost: $14.51/claim|Median: $15.76
0.9× median
98928Normal range

$73K

6,519 claims · 0.4%

Your Cost: $11.26/claim|Median: $31.88
0.4× median
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