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Provider 1396394961

NPI: 1396394961Share
Active Billing Period:2020-08→2024-12(53 months)

Total Paid

$7.7M

$7,748,577

Total Claims

181K

Beneficiaries

152K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2020
$609K
+334%
2021
$2.6M
-9%
2022
$2.4M
-46%
2023
$1.3M
-40%
2024
$779K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 36% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.8M

13K claims · 35.6%

Your Cost: $212.26/claim|Median: $69.51
3.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.9M

12K claims · 24.8%

Your Cost: $165.09/claim|Median: $42.48
3.9× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$783K

2,603 claims · 10.1%

Your Cost: $300.74/claim|Median: $85.65
3.5× median
G0378Top 25%

Hospital observation service, per hour

$308K

815 claims · 4.0%

Your Cost: $377.85/claim|Median: $99.39
3.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$254K

5,101 claims · 3.3%

Your Cost: $49.74/claim|Median: $63.08
0.8× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$185K

790 claims · 2.4%

Your Cost: $233.66/claim|Median: $54.68
4.3× median
58662Normal range

$174K

436 claims · 2.2%

Your Cost: $398.71/claim|Median: $457.94
0.9× median
71045Top 10%

Chest X-ray, single view

$135K

3,293 claims · 1.7%

Your Cost: $41.06/claim|Median: $4.93
8.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$103K

2,803 claims · 1.3%

Your Cost: $36.60/claim|Median: $7.50
4.9× median
80053Normal range

Comprehensive metabolic panel

$82K

15K claims · 1.1%

Your Cost: $5.55/claim|Median: $7.24
0.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$73K

1,641 claims · 0.9%

Your Cost: $44.19/claim|Median: $35.43
1.2× median
71046Top 5%

Chest X-ray, 2 views

$67K

1,225 claims · 0.9%

Your Cost: $54.33/claim|Median: $8.92
6.1× median
69436Normal range

Tympanostomy, general anesthesia

$58K

205 claims · 0.7%

Your Cost: $282.34/claim|Median: $205.50
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$58K

15K claims · 0.7%

Your Cost: $3.80/claim|Median: $4.71
0.8× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$55K

199 claims · 0.7%

Your Cost: $278.88/claim|Median: $106.14
2.6× median
87276Top 25%

$52K

4,114 claims · 0.7%

Your Cost: $12.54/claim|Median: $11.29
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$48K

4,453 claims · 0.6%

Your Cost: $10.87/claim|Median: $9.56
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$48K

1,633 claims · 0.6%

Your Cost: $29.18/claim|Median: $39.70
0.7× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$46K

7,120 claims · 0.6%

Your Cost: $6.49/claim|Median: $0.91
7.1× median
58558Normal range

$43K

95 claims · 0.6%

Your Cost: $452.59/claim|Median: $942.89
0.5× median
87275Normal range

$38K

3,955 claims · 0.5%

Your Cost: $9.57/claim|Median: $10.59
0.9× median
58563Normal range

$29K

65 claims · 0.4%

Your Cost: $439.64/claim|Median: $991.85
0.4× median
80050Normal range

General health panel

$27K

665 claims · 0.3%

Your Cost: $39.93/claim|Median: $25.59
1.6× median
36415Normal range

Collection of venous blood by venipuncture

$25K

16K claims · 0.3%

Your Cost: $1.54/claim|Median: $1.57
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$24K

1,784 claims · 0.3%

Your Cost: $13.49/claim|Median: $11.48
1.2× median
99282Top 25%

Emergency dept visit, low complexity

$24K

237 claims · 0.3%

Your Cost: $101.45/claim|Median: $37.72
2.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$24K

106 claims · 0.3%

Your Cost: $226.46/claim|Median: $60.19
3.8× median
99214Normal range

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

$24K

598 claims · 0.3%

Your Cost: $39.86/claim|Median: $53.41
0.7× median
J2785Normal range

$18K

196 claims · 0.2%

Your Cost: $90.83/claim|Median: $61.83
1.5× median
81025Top 25%

Urine pregnancy test

$15K

2,288 claims · 0.2%

Your Cost: $6.69/claim|Median: $4.81
1.4× median
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