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Provider 1396194197

NPI: 1396194197Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$11.9M

$11,883,038

Total Claims

273K

Beneficiaries

246K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$56K
+415%
2019
$288K
+309%
2020
$1.2M
+211%
2021
$3.7M
-42%
2022
$2.1M
+24%
2023
$2.7M
-28%
2024
$1.9M

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 20% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.4M

26K claims · 20.4%

Your Cost: $94.10/claim|Median: $42.48
2.2× median
99284Top 25%

Emergency dept visit, high complexity

$2.3M

19K claims · 19.4%

Your Cost: $121.39/claim|Median: $69.51
1.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.2M

7,255 claims · 10.1%

Your Cost: $165.29/claim|Median: $85.65
1.9× median
99213Top 10%

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

$951K

12K claims · 8.0%

Your Cost: $80.65/claim|Median: $37.81
2.1× median
G0378Top 10%

Hospital observation service, per hour

$695K

763 claims · 5.8%

Your Cost: $911.02/claim|Median: $99.39
9.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$574K

15K claims · 4.8%

Your Cost: $37.70/claim|Median: $121.16
0.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$536K

2,969 claims · 4.5%

Your Cost: $180.62/claim|Median: $65.76
2.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$506K

4,704 claims · 4.3%

Your Cost: $107.47/claim|Median: $97.61
1.1× median
80053Top 25%

Comprehensive metabolic panel

$193K

19K claims · 1.6%

Your Cost: $10.39/claim|Median: $7.24
1.4× median
99282Normal range

Emergency dept visit, low complexity

$171K

3,158 claims · 1.4%

Your Cost: $54.28/claim|Median: $37.72
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$155K

932 claims · 1.3%

Your Cost: $166.58/claim|Median: $151.68
1.1× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$153K

1,380 claims · 1.3%

Your Cost: $110.80/claim|Median: $57.85
1.9× median
U0003Top 25%

Infectious disease detection (COVID-19)

$137K

1,768 claims · 1.2%

Your Cost: $77.53/claim|Median: $63.08
1.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$135K

13K claims · 1.1%

Your Cost: $10.65/claim|Median: $7.50
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$125K

3,607 claims · 1.1%

Your Cost: $34.72/claim|Median: $39.70
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$124K

25K claims · 1.0%

Your Cost: $4.95/claim|Median: $4.71
1.1× median
X0616Normal range

$120K

624 claims · 1.0%

Your Cost: $192.42/claim|Median: $182.02
1.1× median
70450Normal range

CT head/brain without contrast

$74K

963 claims · 0.6%

Your Cost: $76.41/claim|Median: $45.53
1.7× median
99214Top 10%

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

$68K

590 claims · 0.6%

Your Cost: $114.71/claim|Median: $53.41
2.1× median
71046Normal range

Chest X-ray, 2 views

$52K

3,644 claims · 0.4%

Your Cost: $14.32/claim|Median: $8.92
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$52K

572 claims · 0.4%

Your Cost: $90.47/claim|Median: $60.19
1.5× median
71275Top 25%

CT angiography, chest, with contrast

$52K

258 claims · 0.4%

Your Cost: $199.93/claim|Median: $92.96
2.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$44K

409 claims · 0.4%

Your Cost: $107.71/claim|Median: $75.28
1.4× median
80048Normal range

Basic metabolic panel

$39K

4,683 claims · 0.3%

Your Cost: $8.33/claim|Median: $5.78
1.4× median
80050Normal range

General health panel

$37K

903 claims · 0.3%

Your Cost: $40.55/claim|Median: $25.59
1.6× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$36K

609 claims · 0.3%

Your Cost: $59.27/claim|Median: $35.43
1.7× median
97161Top 25%

Physical therapy evaluation, low complexity

$35K

526 claims · 0.3%

Your Cost: $67.41/claim|Median: $47.89
1.4× median
S9083Normal range

Global fee, urgent care centers

$35K

324 claims · 0.3%

Your Cost: $107.48/claim|Median: $103.99
1.0× median
80061Top 25%

Lipid panel

$32K

2,418 claims · 0.3%

Your Cost: $13.21/claim|Median: $8.41
1.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$31K

879 claims · 0.3%

Your Cost: $35.33/claim|Median: $91.47
0.4× median
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