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Provider 1417279936

NPI: 1417279936Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$17,967,270

Total Claims

634K

Beneficiaries

522K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$592K
+250%
2019
$2.1M
-22%
2020
$1.6M
+119%
2021
$3.5M
+39%
2022
$4.9M
-26%
2023
$3.6M
-53%
2024
$1.7M

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 25% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.5M

45K claims · 25.0%

Your Cost: $100.63/claim|Median: $42.48
2.4× median
99284Normal range

Emergency dept visit, high complexity

$4.1M

47K claims · 23.0%

Your Cost: $88.40/claim|Median: $69.51
1.3× median
36415Top 5%

Collection of venous blood by venipuncture

$1.4M

42K claims · 7.9%

Your Cost: $33.25/claim|Median: $1.57
21.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.2M

17K claims · 6.7%

Your Cost: $71.54/claim|Median: $85.65
0.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.1M

5,635 claims · 5.9%

Your Cost: $187.35/claim|Median: $65.76
2.8× median
70450Top 25%

CT head/brain without contrast

$1.0M

7,952 claims · 5.6%

Your Cost: $126.36/claim|Median: $45.53
2.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$980K

4,956 claims · 5.5%

Your Cost: $197.82/claim|Median: $60.19
3.3× median
99282Normal range

Emergency dept visit, low complexity

$339K

4,587 claims · 1.9%

Your Cost: $73.96/claim|Median: $37.72
2.0× median
96361Normal range

IV infusion, hydration, each additional hour

$263K

12K claims · 1.5%

Your Cost: $21.12/claim|Median: $38.92
0.5× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$251K

6,092 claims · 1.4%

Your Cost: $41.21/claim|Median: $144.30
0.3× median
71275Top 25%

CT angiography, chest, with contrast

$216K

1,202 claims · 1.2%

Your Cost: $180.02/claim|Median: $92.96
1.9× median
G0378Normal range

Hospital observation service, per hour

$135K

6,307 claims · 0.8%

Your Cost: $21.42/claim|Median: $99.39
0.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$135K

8,203 claims · 0.8%

Your Cost: $16.43/claim|Median: $39.70
0.4× median
76705Normal range

Ultrasound, abdominal, limited

$127K

3,321 claims · 0.7%

Your Cost: $38.36/claim|Median: $23.81
1.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$124K

894 claims · 0.7%

Your Cost: $138.91/claim|Median: $54.68
2.5× median
80076Normal range

Hepatic function panel

$121K

20K claims · 0.7%

Your Cost: $5.99/claim|Median: $4.59
1.3× median
86900Top 10%

$95K

2,808 claims · 0.5%

Your Cost: $33.68/claim|Median: $2.55
13.2× median
87804Normal range

Influenza virus detection, rapid test

$88K

10K claims · 0.5%

Your Cost: $8.76/claim|Median: $12.59
0.7× median
72125Normal range

CT cervical spine without contrast

$79K

1,783 claims · 0.4%

Your Cost: $44.40/claim|Median: $32.30
1.4× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$72K

4,130 claims · 0.4%

Your Cost: $17.40/claim|Median: $10.88
1.6× median
80048Normal range

Basic metabolic panel

$68K

38K claims · 0.4%

Your Cost: $1.79/claim|Median: $5.78
0.3× median
72131Normal range

$66K

844 claims · 0.4%

Your Cost: $78.51/claim|Median: $42.82
1.8× median
87081Top 25%

Culture screening for pathogenic organisms

$62K

6,891 claims · 0.3%

Your Cost: $9.03/claim|Median: $5.09
1.8× median
86850Top 25%

$54K

2,424 claims · 0.3%

Your Cost: $22.23/claim|Median: $5.44
4.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$52K

1,273 claims · 0.3%

Your Cost: $40.79/claim|Median: $169.17
0.2× median
76856Normal range

Ultrasound, pelvic, complete

$52K

1,586 claims · 0.3%

Your Cost: $32.61/claim|Median: $47.58
0.7× median
86901Top 10%

$48K

2,696 claims · 0.3%

Your Cost: $17.89/claim|Median: $2.26
7.9× median
96360Normal range

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

$46K

3,424 claims · 0.3%

Your Cost: $13.34/claim|Median: $61.57
0.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$45K

1,128 claims · 0.3%

Your Cost: $39.96/claim|Median: $49.45
0.8× median
10060Top 25%

Incision and drainage of abscess, simple

$45K

229 claims · 0.2%

Your Cost: $194.61/claim|Median: $75.72
2.6× median
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