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Provider 1396792032

NPI: 1396792032Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,586,160

Total Claims

521K

Beneficiaries

353K

1.5 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+1%
2019
$3.0M
-33%
2020
$2.0M
+17%
2021
$2.3M
+12%
2022
$2.6M
-17%
2023
$2.2M
-29%
2024
$1.6M

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

$3.3M

28K claims · 20.0%

Your Cost: $119.04/claim|Median: $42.48
2.8× median
99284Top 25%

Emergency dept visit, high complexity

$2.0M

13K claims · 12.2%

Your Cost: $159.89/claim|Median: $69.51
2.3× median
G0378Normal range

Hospital observation service, per hour

$1.0M

4,487 claims · 6.2%

Your Cost: $228.94/claim|Median: $99.39
2.3× median
69436Top 25%

Tympanostomy, general anesthesia

$788K

1,151 claims · 4.7%

Your Cost: $684.26/claim|Median: $205.50
3.3× median
99282Normal range

Emergency dept visit, low complexity

$602K

8,029 claims · 3.6%

Your Cost: $75.03/claim|Median: $37.72
2.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$585K

7,699 claims · 3.5%

Your Cost: $76.00/claim|Median: $21.76
3.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$576K

2,997 claims · 3.5%

Your Cost: $192.28/claim|Median: $85.65
2.2× median
92507Normal range

Speech/hearing/language treatment

$496K

11K claims · 3.0%

Your Cost: $44.84/claim|Median: $49.45
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$472K

2,970 claims · 2.8%

Your Cost: $159.04/claim|Median: $65.76
2.4× median
97530Normal range

Therapeutic activities, each 15 min

$444K

11K claims · 2.7%

Your Cost: $39.60/claim|Median: $33.11
1.2× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$393K

1,029 claims · 2.4%

Your Cost: $382.26/claim|Median: $57.39
6.7× median
99281Normal range

Emergency dept visit, minimal complexity

$336K

8,303 claims · 2.0%

Your Cost: $40.52/claim|Median: $52.03
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$335K

6,931 claims · 2.0%

Your Cost: $48.32/claim|Median: $120.85
0.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$325K

3,555 claims · 2.0%

Your Cost: $91.35/claim|Median: $10.88
8.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$267K

6,082 claims · 1.6%

Your Cost: $43.92/claim|Median: $39.63
1.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$267K

8,128 claims · 1.6%

Your Cost: $32.86/claim|Median: $9.56
3.4× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$266K

129 claims · 1.6%

Your Cost: $2,060.25/claim|Median: $331.68
6.2× median
96361Normal range

IV infusion, hydration, each additional hour

$262K

5,156 claims · 1.6%

Your Cost: $50.90/claim|Median: $38.92
1.3× median
73721Normal range

MRI joint of lower extremity without contrast

$248K

1,725 claims · 1.5%

Your Cost: $143.58/claim|Median: $127.34
1.1× median
71046Top 10%

Chest X-ray, 2 views

$201K

5,987 claims · 1.2%

Your Cost: $33.56/claim|Median: $8.92
3.8× median
71045Top 10%

Chest X-ray, single view

$194K

5,705 claims · 1.2%

Your Cost: $33.93/claim|Median: $4.93
6.9× median
86900Top 5%

$171K

4,012 claims · 1.0%

Your Cost: $42.70/claim|Median: $2.55
16.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$155K

9,727 claims · 0.9%

Your Cost: $15.97/claim|Median: $7.50
2.1× median
70450Normal range

CT head/brain without contrast

$132K

2,864 claims · 0.8%

Your Cost: $46.09/claim|Median: $45.53
1.0× median
96365Normal range

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

$131K

1,614 claims · 0.8%

Your Cost: $80.86/claim|Median: $54.77
1.5× median
96360Normal range

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

$129K

1,507 claims · 0.8%

Your Cost: $85.29/claim|Median: $61.57
1.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$106K

4,806 claims · 0.6%

Your Cost: $22.15/claim|Median: $14.92
1.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$106K

3,738 claims · 0.6%

Your Cost: $28.48/claim|Median: $30.04
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$105K

24K claims · 0.6%

Your Cost: $4.35/claim|Median: $4.71
0.9× median
C9803Normal range

$102K

7,399 claims · 0.6%

Your Cost: $13.79/claim|Median: $13.20
1.0× median
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