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Provider 1386680593

NPI: 1386680593Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,283,351

Total Claims

186K

Beneficiaries

120K

1.6 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$674K
+40%
2019
$943K
+67%
2020
$1.6M
+28%
2021
$2.0M
+3%
2022
$2.1M
-70%
2023
$619K
-38%
2024
$387K

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 19% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

17K claims · 19.1%

Your Cost: $93.12/claim|Median: $42.48
2.2× median
99282Top 25%

Emergency dept visit, low complexity

$1.4M

13K claims · 17.2%

Your Cost: $109.18/claim|Median: $37.72
2.9× median
74177Top 1%

CT abdomen and pelvis with contrast

$713K

563 claims · 8.6%

Your Cost: $1,265.83/claim|Median: $65.76
19.2× median
99284Normal range

Emergency dept visit, high complexity

$649K

7,436 claims · 7.8%

Your Cost: $87.24/claim|Median: $69.51
1.3× median
97110Top 10%

Therapeutic exercises, each 15 min

$423K

5,359 claims · 5.1%

Your Cost: $78.99/claim|Median: $24.49
3.2× median
G0378Top 10%

Hospital observation service, per hour

$308K

414 claims · 3.7%

Your Cost: $743.54/claim|Median: $99.39
7.5× median
70450Top 5%

CT head/brain without contrast

$282K

1,035 claims · 3.4%

Your Cost: $272.38/claim|Median: $45.53
6.0× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$210K

2,426 claims · 2.5%

Your Cost: $86.48/claim|Median: $3.42
25.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$202K

2,582 claims · 2.4%

Your Cost: $78.29/claim|Median: $63.08
1.2× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$178K

2,492 claims · 2.1%

Your Cost: $71.42/claim|Median: $64.72
1.1× median
99281Normal range

Emergency dept visit, minimal complexity

$173K

2,069 claims · 2.1%

Your Cost: $83.76/claim|Median: $52.03
1.6× median
71046Top 5%

Chest X-ray, 2 views

$155K

2,537 claims · 1.9%

Your Cost: $61.02/claim|Median: $8.92
6.8× median
96365Top 25%

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

$143K

1,406 claims · 1.7%

Your Cost: $101.76/claim|Median: $54.77
1.9× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$134K

2,069 claims · 1.6%

Your Cost: $64.72/claim|Median: $16.79
3.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$103K

1,959 claims · 1.2%

Your Cost: $52.41/claim|Median: $14.92
3.5× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$95K

2,400 claims · 1.2%

Your Cost: $39.75/claim|Median: $37.56
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$86K

2,302 claims · 1.0%

Your Cost: $37.21/claim|Median: $21.76
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$84K

2,262 claims · 1.0%

Your Cost: $37.19/claim|Median: $7.50
5.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$82K

2,738 claims · 1.0%

Your Cost: $30.08/claim|Median: $35.43
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$79K

740 claims · 1.0%

Your Cost: $106.58/claim|Median: $85.65
1.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$70K

420 claims · 0.8%

Your Cost: $167.39/claim|Median: $38.92
4.3× median
73562Top 5%

$67K

660 claims · 0.8%

Your Cost: $101.93/claim|Median: $12.28
8.3× median
71045Top 10%

Chest X-ray, single view

$62K

1,438 claims · 0.8%

Your Cost: $43.43/claim|Median: $4.93
8.8× median
80053Normal range

Comprehensive metabolic panel

$50K

11K claims · 0.6%

Your Cost: $4.61/claim|Median: $7.24
0.6× median
G2023Normal range

Specimen collection for COVID-19 testing

$50K

2,249 claims · 0.6%

Your Cost: $22.02/claim|Median: $17.15
1.3× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$48K

988 claims · 0.6%

Your Cost: $48.68/claim|Median: $90.89
0.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$44K

1,636 claims · 0.5%

Your Cost: $26.97/claim|Median: $9.56
2.8× median
73610Top 1%

X-ray of ankle, complete, minimum three views

$40K

309 claims · 0.5%

Your Cost: $129.46/claim|Median: $13.55
9.6× median
77067Top 1%

Screening mammography, bilateral, including CAD

$40K

83 claims · 0.5%

Your Cost: $480.58/claim|Median: $39.33
12.2× median
73030Top 5%

$39K

455 claims · 0.5%

Your Cost: $84.84/claim|Median: $10.94
7.8× median
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