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Unknown Provider 1396864542

NPI: 1396864542Share
Active Billing Period:2018-01→2022-08(56 months)
Billing appears to have stoppedLast active: 2022-08

Total Paid

$25.1M

$25,100,268

Total Claims

121K

Beneficiaries

97K

1.3 claims/patient

Avg Cost/Claim

$207

Monthly Spending Trend

Yearly Spending

2018
$7.5M
+5%
2019
$7.9M
-56%
2020
$3.4M
+5%
2021
$3.6M
-29%
2022
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 35% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$8.7M

7,833 claims · 34.5%

Your Cost: $1,106.09/claim|Median: $69.51
15.9× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$4.9M

3,430 claims · 19.3%

Your Cost: $1,414.52/claim|Median: $85.65
16.5× median
99283Top 1%

Emergency dept visit, moderate complexity

$3.7M

7,169 claims · 14.7%

Your Cost: $513.27/claim|Median: $42.48
12.1× median
99211Top 10%

Office/outpatient visit, minimal complexity

$708K

11K claims · 2.8%

Your Cost: $66.11/claim|Median: $12.93
5.1× median
97110Top 5%

Therapeutic exercises, each 15 min

$678K

5,340 claims · 2.7%

Your Cost: $126.94/claim|Median: $24.49
5.2× median
G0463Top 25%

Hospital outpatient clinic visit

$579K

8,343 claims · 2.3%

Your Cost: $69.38/claim|Median: $26.41
2.6× median
G0378Top 1%

Hospital observation service, per hour

$579K

336 claims · 2.3%

Your Cost: $1,722.43/claim|Median: $99.39
17.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$505K

1,001 claims · 2.0%

Your Cost: $504.61/claim|Median: $54.68
9.2× median
99219Top 1%

$356K

230 claims · 1.4%

Your Cost: $1,546.25/claim|Median: $63.35
24.4× median
99220Top 1%

$339K

210 claims · 1.3%

Your Cost: $1,613.05/claim|Median: $73.56
21.9× median
99282Top 1%

Emergency dept visit, low complexity

$327K

1,006 claims · 1.3%

Your Cost: $324.84/claim|Median: $37.72
8.6× median
77067Top 5%

Screening mammography, bilateral, including CAD

$283K

1,664 claims · 1.1%

Your Cost: $169.80/claim|Median: $39.33
4.3× median
82306Top 5%

Vitamin D, 25 hydroxy

$208K

1,931 claims · 0.8%

Your Cost: $107.79/claim|Median: $18.18
5.9× median
80061Top 5%

Lipid panel

$190K

3,895 claims · 0.8%

Your Cost: $48.79/claim|Median: $8.41
5.8× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$188K

3,084 claims · 0.7%

Your Cost: $61.00/claim|Median: $9.87
6.2× median
97530Top 10%

Therapeutic activities, each 15 min

$184K

2,046 claims · 0.7%

Your Cost: $90.05/claim|Median: $33.11
2.7× median
U0003Top 5%

Infectious disease detection (COVID-19)

$164K

1,430 claims · 0.7%

Your Cost: $114.93/claim|Median: $63.08
1.8× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$153K

5,390 claims · 0.6%

Your Cost: $28.34/claim|Median: $4.71
6.0× median
87389Top 5%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$142K

1,892 claims · 0.6%

Your Cost: $74.84/claim|Median: $18.03
4.2× median
80048Top 5%

Basic metabolic panel

$138K

3,808 claims · 0.6%

Your Cost: $36.29/claim|Median: $5.78
6.3× median
92507Top 10%

Speech/hearing/language treatment

$131K

1,505 claims · 0.5%

Your Cost: $87.08/claim|Median: $49.45
1.8× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$123K

944 claims · 0.5%

Your Cost: $130.19/claim|Median: $24.95
5.2× median
80050Top 5%

General health panel

$122K

965 claims · 0.5%

Your Cost: $126.34/claim|Median: $25.59
4.9× median
87591Top 1%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$120K

922 claims · 0.5%

Your Cost: $129.89/claim|Median: $23.39
5.6× median
80053Top 5%

Comprehensive metabolic panel

$116K

2,674 claims · 0.5%

Your Cost: $43.42/claim|Median: $7.24
6.0× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$104K

1,184 claims · 0.4%

Your Cost: $87.55/claim|Median: $7.50
11.7× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$103K

2,914 claims · 0.4%

Your Cost: $35.48/claim|Median: $5.50
6.5× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$90K

1,486 claims · 0.4%

Your Cost: $60.74/claim|Median: $16.79
3.6× median
U0005Top 1%

Infectious disease detection, COVID-19, antigen

$82K

1,171 claims · 0.3%

Your Cost: $70.13/claim|Median: $15.76
4.4× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$75K

371 claims · 0.3%

Your Cost: $201.16/claim|Median: $35.43
5.7× median
85027Top 5%

Complete blood count (CBC), automated

$70K

2,967 claims · 0.3%

Your Cost: $23.46/claim|Median: $3.72
6.3× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$68K

1,572 claims · 0.3%

Your Cost: $43.17/claim|Median: $21.41
2.0× median
C9803Top 10%

$67K

1,044 claims · 0.3%

Your Cost: $64.10/claim|Median: $13.20
4.9× median
86780Top 5%

$62K

1,326 claims · 0.2%

Your Cost: $46.91/claim|Median: $9.83
4.8× median
82607Top 5%

Cyanocobalamin (vitamin B-12)

$61K

1,097 claims · 0.2%

Your Cost: $55.21/claim|Median: $8.72
6.3× median
99212Top 10%

Office/outpatient visit, low complexity

$58K

707 claims · 0.2%

Your Cost: $81.46/claim|Median: $25.06
3.3× median
86803Top 5%

Hepatitis C antibody

$56K

1,081 claims · 0.2%

Your Cost: $51.43/claim|Median: $10.17
5.1× median
80076Top 5%

Hepatic function panel

$48K

1,593 claims · 0.2%

Your Cost: $30.04/claim|Median: $4.59
6.5× median
82728Top 10%

Ferritin

$43K

864 claims · 0.2%

Your Cost: $49.80/claim|Median: $6.00
8.3× median
59025Top 5%

Fetal non-stress test

$43K

166 claims · 0.2%

Your Cost: $258.65/claim|Median: $26.45
9.8× median
84439Top 5%

Free thyroxine level blood test

$30K

921 claims · 0.1%

Your Cost: $32.79/claim|Median: $6.31
5.2× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$29K

2,047 claims · 0.1%

Your Cost: $14.36/claim|Median: $2.14
6.7× median
83550Top 10%

$29K

897 claims · 0.1%

Your Cost: $32.04/claim|Median: $3.49
9.2× median
81001Top 10%

Urinalysis, automated, with microscopy

$26K

2,199 claims · 0.1%

Your Cost: $11.94/claim|Median: $2.03
5.9× median
82565Top 10%

Creatinine blood test

$24K

1,272 claims · 0.1%

Your Cost: $18.58/claim|Median: $1.94
9.6× median
86618Top 1%

$23K

266 claims · 0.1%

Your Cost: $87.13/claim|Median: $12.93
6.7× median
83735Top 5%

Magnesium blood level test

$23K

914 claims · 0.1%

Your Cost: $25.17/claim|Median: $2.77
9.1× median
87086Top 5%

Urine culture, colony count, with identification

$23K

913 claims · 0.1%

Your Cost: $24.84/claim|Median: $5.31
4.7× median
87340Top 10%

Hepatitis B surface antigen detection

$20K

543 claims · 0.1%

Your Cost: $36.50/claim|Median: $5.52
6.6× median
71046Top 5%

Chest X-ray, 2 views

$19K

196 claims · 0.1%

Your Cost: $94.61/claim|Median: $8.92
10.6× median
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