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Provider 1396129201

NPI: 1396129201Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,728,233

Total Claims

295K

Beneficiaries

260K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+3%
2019
$1.2M
-18%
2020
$1.0M
+29%
2021
$1.3M
+26%
2022
$1.6M
+30%
2023
$2.1M
+1%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80053 (Comprehensive metabolic panel)) accounts for 17% of total spending.

80053Top 5%

Comprehensive metabolic panel

$1.9M

20K claims · 17.4%

Your Cost: $95.15/claim|Median: $7.24
13.1× median
99283Normal range

Emergency dept visit, moderate complexity

$1.5M

28K claims · 14.1%

Your Cost: $54.84/claim|Median: $42.48
1.3× median
J7030Top 1%

Normal saline solution infusion, 1000 cc

$1.2M

7,871 claims · 11.4%

Your Cost: $154.84/claim|Median: $1.53
101.2× median
Q9967Top 1%

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

$991K

3,548 claims · 9.2%

Your Cost: $279.29/claim|Median: $3.42
81.7× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$960K

6,116 claims · 9.0%

Your Cost: $157.03/claim|Median: $97.61
1.6× median
81001Top 5%

Urinalysis, automated, with microscopy

$656K

14K claims · 6.1%

Your Cost: $46.11/claim|Median: $2.03
22.7× median
99282Top 25%

Emergency dept visit, low complexity

$497K

3,380 claims · 4.6%

Your Cost: $147.18/claim|Median: $37.72
3.9× median
80048Top 5%

Basic metabolic panel

$276K

4,019 claims · 2.6%

Your Cost: $68.74/claim|Median: $5.78
11.9× median
87804Top 1%

Influenza virus detection, rapid test

$254K

2,385 claims · 2.4%

Your Cost: $106.35/claim|Median: $12.59
8.4× median
87081Top 1%

Culture screening for pathogenic organisms

$194K

1,718 claims · 1.8%

Your Cost: $113.16/claim|Median: $5.09
22.2× median
71046Top 10%

Chest X-ray, 2 views

$166K

4,577 claims · 1.5%

Your Cost: $36.27/claim|Median: $8.92
4.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$135K

3,452 claims · 1.3%

Your Cost: $39.07/claim|Median: $9.56
4.1× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$134K

3,263 claims · 1.2%

Your Cost: $41.09/claim|Median: $24.95
1.6× median
87075Top 1%

$130K

1,103 claims · 1.2%

Your Cost: $117.65/claim|Median: $4.65
25.3× median
36415Top 1%

Collection of venous blood by venipuncture

$129K

1,680 claims · 1.2%

Your Cost: $76.82/claim|Median: $1.57
48.9× median
U0003Top 25%

Infectious disease detection (COVID-19)

$125K

1,359 claims · 1.2%

Your Cost: $91.90/claim|Median: $63.08
1.5× median
73630Top 1%

X-ray, foot, complete, minimum 3 views

$107K

1,076 claims · 1.0%

Your Cost: $99.66/claim|Median: $12.06
8.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$105K

3,219 claims · 1.0%

Your Cost: $32.74/claim|Median: $35.43
0.9× median
73610Top 1%

X-ray of ankle, complete, minimum three views

$92K

712 claims · 0.9%

Your Cost: $129.07/claim|Median: $13.55
9.5× median
81025Top 5%

Urine pregnancy test

$87K

6,656 claims · 0.8%

Your Cost: $13.09/claim|Median: $4.81
2.7× median
71045Top 25%

Chest X-ray, single view

$81K

6,645 claims · 0.8%

Your Cost: $12.21/claim|Median: $4.93
2.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$80K

22K claims · 0.7%

Your Cost: $3.64/claim|Median: $4.71
0.8× median
70450Normal range

CT head/brain without contrast

$71K

2,909 claims · 0.7%

Your Cost: $24.40/claim|Median: $45.53
0.5× median
J7040Top 5%

Normal saline solution infusion, 500 cc

$66K

927 claims · 0.6%

Your Cost: $70.71/claim|Median: $1.11
63.7× median
73130Top 1%

$65K

458 claims · 0.6%

Your Cost: $142.08/claim|Median: $10.69
13.3× median
73562Top 5%

$62K

808 claims · 0.6%

Your Cost: $76.25/claim|Median: $12.28
6.2× median
99284Normal range

Emergency dept visit, high complexity

$52K

9,106 claims · 0.5%

Your Cost: $5.71/claim|Median: $69.51
0.1× median
81003Top 1%

Urinalysis, automated without microscopy

$51K

984 claims · 0.5%

Your Cost: $51.90/claim|Median: $1.48
35.1× median
86780Top 1%

$50K

923 claims · 0.5%

Your Cost: $53.87/claim|Median: $9.83
5.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$35K

2,675 claims · 0.3%

Your Cost: $13.08/claim|Median: $11.48
1.1× median
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