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Provider 1386641207

NPI: 1386641207Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,775,989

Total Claims

414K

Beneficiaries

335K

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-1%
2019
$1.4M
-13%
2020
$1.2M
+36%
2021
$1.6M
-11%
2022
$1.5M
+6%
2023
$1.5M
-25%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 14% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

21K claims · 14.3%

Your Cost: $66.99/claim|Median: $42.48
1.6× median
96361Top 25%

IV infusion, hydration, each additional hour

$757K

6,826 claims · 7.7%

Your Cost: $110.92/claim|Median: $38.92
2.8× median
99284Normal range

Emergency dept visit, high complexity

$588K

11K claims · 6.0%

Your Cost: $53.73/claim|Median: $69.51
0.8× median
80053Top 10%

Comprehensive metabolic panel

$550K

16K claims · 5.6%

Your Cost: $33.41/claim|Median: $7.24
4.6× median
99282Normal range

Emergency dept visit, low complexity

$454K

6,473 claims · 4.6%

Your Cost: $70.11/claim|Median: $37.72
1.9× median
99213Top 25%

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

$436K

6,431 claims · 4.5%

Your Cost: $67.76/claim|Median: $37.81
1.8× median
96365Normal range

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

$358K

4,899 claims · 3.7%

Your Cost: $72.97/claim|Median: $54.77
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$292K

11K claims · 3.0%

Your Cost: $25.96/claim|Median: $24.49
1.1× median
80048Top 10%

Basic metabolic panel

$274K

8,601 claims · 2.8%

Your Cost: $31.84/claim|Median: $5.78
5.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$247K

2,940 claims · 2.5%

Your Cost: $83.98/claim|Median: $63.08
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$242K

5,548 claims · 2.5%

Your Cost: $43.68/claim|Median: $85.65
0.5× median
80306Top 25%

$236K

8,335 claims · 2.4%

Your Cost: $28.35/claim|Median: $10.29
2.8× median
99211Top 10%

Office/outpatient visit, minimal complexity

$222K

3,495 claims · 2.3%

Your Cost: $63.45/claim|Median: $12.93
4.9× median
74177Normal range

CT abdomen and pelvis with contrast

$211K

3,272 claims · 2.2%

Your Cost: $64.54/claim|Median: $65.76
1.0× median
70450Normal range

CT head/brain without contrast

$187K

2,973 claims · 1.9%

Your Cost: $63.01/claim|Median: $45.53
1.4× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$145K

1,370 claims · 1.5%

Your Cost: $105.83/claim|Median: $100.62
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$126K

19K claims · 1.3%

Your Cost: $6.53/claim|Median: $4.71
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$124K

3,140 claims · 1.3%

Your Cost: $39.55/claim|Median: $39.70
1.0× median
96360Normal range

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

$124K

2,074 claims · 1.3%

Your Cost: $59.67/claim|Median: $61.57
1.0× median
C9803Top 25%

$112K

2,613 claims · 1.1%

Your Cost: $42.74/claim|Median: $13.20
3.2× median
99212Top 10%

Office/outpatient visit, low complexity

$91K

1,280 claims · 0.9%

Your Cost: $70.84/claim|Median: $25.06
2.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$88K

1,097 claims · 0.9%

Your Cost: $80.57/claim|Median: $97.61
0.8× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$84K

2,406 claims · 0.9%

Your Cost: $34.72/claim|Median: $24.95
1.4× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$83K

3,168 claims · 0.9%

Your Cost: $26.25/claim|Median: $11.48
2.3× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$82K

4,087 claims · 0.8%

Your Cost: $19.97/claim|Median: $9.87
2.0× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$79K

2,419 claims · 0.8%

Your Cost: $32.56/claim|Median: $23.39
1.4× median
84703Top 10%

Human chorionic gonadotropin (hCG) quantitative blood test

$75K

5,116 claims · 0.8%

Your Cost: $14.64/claim|Median: $4.20
3.5× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$71K

1,923 claims · 0.7%

Your Cost: $36.86/claim|Median: $10.88
3.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$70K

1,169 claims · 0.7%

Your Cost: $60.20/claim|Median: $37.56
1.6× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$68K

4,052 claims · 0.7%

Your Cost: $16.89/claim|Median: $5.50
3.1× median
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