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Provider 1407364847

NPI: 1407364847Share
Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$7.9M

$7,943,816

Total Claims

158K

Beneficiaries

134K

1.2 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2020
$104K
+854%
2021
$993K
+209%
2022
$3.1M
-12%
2023
$2.7M
-60%
2024
$1.1M

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 34% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$2.7M

7,784 claims · 34.0%

Your Cost: $347.43/claim|Median: $69.51
5.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.0M

3,843 claims · 12.8%

Your Cost: $264.46/claim|Median: $85.65
3.1× median
99283Normal range

Emergency dept visit, moderate complexity

$782K

14K claims · 9.8%

Your Cost: $55.26/claim|Median: $42.48
1.3× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$675K

3,165 claims · 8.5%

Your Cost: $213.18/claim|Median: $65.64
3.2× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$376K

2,223 claims · 4.7%

Your Cost: $169.07/claim|Median: $36.13
4.7× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$315K

4,017 claims · 4.0%

Your Cost: $78.47/claim|Median: $28.46
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$208K

762 claims · 2.6%

Your Cost: $273.47/claim|Median: $65.76
4.2× median
71045Top 5%

Chest X-ray, single view

$163K

3,168 claims · 2.0%

Your Cost: $51.36/claim|Median: $4.93
10.4× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$157K

208 claims · 2.0%

Your Cost: $753.56/claim|Median: $763.43
1.0× median
G0463Normal range

Hospital outpatient clinic visit

$115K

22K claims · 1.5%

Your Cost: $5.19/claim|Median: $26.41
0.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$114K

3,464 claims · 1.4%

Your Cost: $33.02/claim|Median: $7.50
4.4× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$103K

2,672 claims · 1.3%

Your Cost: $38.60/claim|Median: $34.62
1.1× median
G0378Top 25%

Hospital observation service, per hour

$100K

251 claims · 1.3%

Your Cost: $400.01/claim|Median: $99.39
4.0× median
87426Top 1%

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

$91K

855 claims · 1.1%

Your Cost: $106.27/claim|Median: $30.04
3.5× median
87400Top 5%

$88K

918 claims · 1.1%

Your Cost: $95.82/claim|Median: $8.40
11.4× median
69436Top 25%

Tympanostomy, general anesthesia

$88K

147 claims · 1.1%

Your Cost: $598.01/claim|Median: $205.50
2.9× median
80053Top 25%

Comprehensive metabolic panel

$82K

7,337 claims · 1.0%

Your Cost: $11.15/claim|Median: $7.24
1.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$80K

9,974 claims · 1.0%

Your Cost: $7.98/claim|Median: $4.71
1.7× median
70450Normal range

CT head/brain without contrast

$78K

1,023 claims · 1.0%

Your Cost: $76.67/claim|Median: $45.53
1.7× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$78K

30 claims · 1.0%

Your Cost: $2,595.49/claim|Median: $331.68
7.8× median
71046Top 10%

Chest X-ray, 2 views

$69K

1,399 claims · 0.9%

Your Cost: $49.62/claim|Median: $8.92
5.6× median
87430Top 5%

$51K

884 claims · 0.6%

Your Cost: $57.44/claim|Median: $9.41
6.1× median
99282Normal range

Emergency dept visit, low complexity

$30K

500 claims · 0.4%

Your Cost: $60.61/claim|Median: $37.72
1.6× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$30K

504 claims · 0.4%

Your Cost: $58.99/claim|Median: $35.43
1.7× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$30K

279 claims · 0.4%

Your Cost: $105.74/claim|Median: $37.56
2.8× median
CP008Normal range

$24K

538 claims · 0.3%

Your Cost: $44.12/claim|Median: $41.21
1.1× median
84484Top 25%

Troponin, quantitative

$20K

1,915 claims · 0.3%

Your Cost: $10.57/claim|Median: $4.84
2.2× median
83880Top 25%

$17K

723 claims · 0.2%

Your Cost: $23.45/claim|Median: $11.81
2.0× median
11045Top 10%

$16K

41 claims · 0.2%

Your Cost: $380.05/claim|Median: $27.04
14.1× median
U0003Top 10%

Infectious disease detection (COVID-19)

$15K

156 claims · 0.2%

Your Cost: $95.74/claim|Median: $63.08
1.5× median
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