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Provider 1407962046

NPI: 1407962046Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,265,708

Total Claims

182K

Beneficiaries

156K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$689K
+7%
2019
$738K
-33%
2020
$493K
+118%
2021
$1.1M
+48%
2022
$1.6M
+15%
2023
$1.8M
+3%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 21% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$1.7M

12K claims · 21.0%

Your Cost: $143.89/claim|Median: $85.65
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.2M

13K claims · 14.3%

Your Cost: $91.89/claim|Median: $42.48
2.2× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

10K claims · 13.7%

Your Cost: $108.78/claim|Median: $69.51
1.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$396K

1,166 claims · 4.8%

Your Cost: $339.82/claim|Median: $65.76
5.2× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$347K

6,505 claims · 4.2%

Your Cost: $53.31/claim|Median: $39.70
1.3× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$333K

1,227 claims · 4.0%

Your Cost: $271.15/claim|Median: $169.17
1.6× median
69436Top 25%

Tympanostomy, general anesthesia

$301K

340 claims · 3.6%

Your Cost: $884.95/claim|Median: $205.50
4.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$292K

7,543 claims · 3.5%

Your Cost: $38.70/claim|Median: $21.76
1.8× median
99213Normal range

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

$284K

10K claims · 3.4%

Your Cost: $28.10/claim|Median: $37.81
0.7× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$251K

262 claims · 3.0%

Your Cost: $957.55/claim|Median: $763.43
1.3× median
C9803Top 25%

$211K

8,325 claims · 2.5%

Your Cost: $25.30/claim|Median: $13.20
1.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$146K

4,478 claims · 1.8%

Your Cost: $32.67/claim|Median: $28.46
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$117K

16K claims · 1.4%

Your Cost: $7.54/claim|Median: $4.71
1.6× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$115K

1,044 claims · 1.4%

Your Cost: $109.93/claim|Median: $144.30
0.8× median
80053Normal range

Comprehensive metabolic panel

$109K

14K claims · 1.3%

Your Cost: $7.98/claim|Median: $7.24
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$105K

1,327 claims · 1.3%

Your Cost: $79.32/claim|Median: $65.64
1.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$98K

3,852 claims · 1.2%

Your Cost: $25.50/claim|Median: $14.92
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$78K

2,743 claims · 0.9%

Your Cost: $28.41/claim|Median: $7.50
3.8× median
99282Normal range

Emergency dept visit, low complexity

$73K

1,994 claims · 0.9%

Your Cost: $36.47/claim|Median: $37.72
1.0× median
71045Top 25%

Chest X-ray, single view

$72K

3,132 claims · 0.9%

Your Cost: $23.02/claim|Median: $4.93
4.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$60K

2,214 claims · 0.7%

Your Cost: $26.88/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$57K

2,196 claims · 0.7%

Your Cost: $26.02/claim|Median: $23.39
1.1× median
70450Normal range

CT head/brain without contrast

$55K

733 claims · 0.7%

Your Cost: $75.41/claim|Median: $45.53
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$55K

2,721 claims · 0.7%

Your Cost: $20.25/claim|Median: $25.06
0.8× median
96361Normal range

IV infusion, hydration, each additional hour

$55K

3,230 claims · 0.7%

Your Cost: $16.92/claim|Median: $38.92
0.4× median
99203Normal range

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

$49K

1,801 claims · 0.6%

Your Cost: $27.48/claim|Median: $57.85
0.5× median
87070Top 25%

Bacterial culture, any source except blood or urine

$44K

4,169 claims · 0.5%

Your Cost: $10.48/claim|Median: $5.89
1.8× median
99214Normal range

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

$41K

2,426 claims · 0.5%

Your Cost: $16.90/claim|Median: $53.41
0.3× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$29K

390 claims · 0.4%

Your Cost: $74.99/claim|Median: $36.13
2.1× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$27K

41 claims · 0.3%

Your Cost: $658.04/claim|Median: $331.68
2.0× median
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