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Provider 1417460205

NPI: 1417460205Share
Active Billing Period:2018-10→2024-08(70 months)

Total Paid

$11.6M

$11,609,740

Total Claims

151K

Beneficiaries

122K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$138K
+955%
2019
$1.5M
+48%
2020
$2.2M
+55%
2021
$3.3M
+29%
2022
$4.3M
-96%
2023
$175K
-94%
2024
$10K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (8888888 (Not classified)) accounts for 84% of total spending.

8888888Top 25%

Not classified

$9.7M

21K claims · 83.8%

Your Cost: $472.21/claim|Median: $365.77
1.3× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$344K

11K claims · 3.0%

Your Cost: $31.37/claim|Median: $4.71
6.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$256K

6,169 claims · 2.2%

Your Cost: $41.57/claim|Median: $21.76
1.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$196K

1,985 claims · 1.7%

Your Cost: $98.51/claim|Median: $91.47
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$192K

6,318 claims · 1.7%

Your Cost: $30.43/claim|Median: $42.48
0.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$86K

1,197 claims · 0.7%

Your Cost: $72.09/claim|Median: $9.56
7.5× median
99282Normal range

Emergency dept visit, low complexity

$77K

1,665 claims · 0.7%

Your Cost: $46.41/claim|Median: $37.72
1.2× median
99284Normal range

Emergency dept visit, high complexity

$73K

7,343 claims · 0.6%

Your Cost: $10.00/claim|Median: $69.51
0.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$55K

4,352 claims · 0.5%

Your Cost: $12.59/claim|Median: $14.92
0.8× median
U0002Normal range

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

$36K

1,004 claims · 0.3%

Your Cost: $35.53/claim|Median: $34.62
1.0× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$35K

4,262 claims · 0.3%

Your Cost: $8.21/claim|Median: $0.91
9.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$30K

3,564 claims · 0.3%

Your Cost: $8.30/claim|Median: $85.65
0.1× median
J2704Top 25%

$29K

2,423 claims · 0.3%

Your Cost: $12.05/claim|Median: $0.76
15.9× median
80050Top 25%

General health panel

$29K

563 claims · 0.3%

Your Cost: $51.85/claim|Median: $25.59
2.0× median
70450Normal range

CT head/brain without contrast

$28K

1,137 claims · 0.2%

Your Cost: $24.98/claim|Median: $45.53
0.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$28K

1,559 claims · 0.2%

Your Cost: $17.80/claim|Median: $35.43
0.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$26K

127 claims · 0.2%

Your Cost: $207.30/claim|Median: $54.68
3.8× median
71045Top 25%

Chest X-ray, single view

$24K

2,357 claims · 0.2%

Your Cost: $10.03/claim|Median: $4.93
2.0× median
71046Top 25%

Chest X-ray, 2 views

$23K

943 claims · 0.2%

Your Cost: $24.74/claim|Median: $8.92
2.8× median
76856Normal range

Ultrasound, pelvic, complete

$22K

499 claims · 0.2%

Your Cost: $44.61/claim|Median: $47.58
0.9× median
81001Top 25%

Urinalysis, automated, with microscopy

$21K

5,280 claims · 0.2%

Your Cost: $3.93/claim|Median: $2.03
1.9× median
97110Normal range

Therapeutic exercises, each 15 min

$19K

675 claims · 0.2%

Your Cost: $27.52/claim|Median: $24.49
1.1× median
96365Normal range

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

$18K

1,314 claims · 0.2%

Your Cost: $13.54/claim|Median: $54.77
0.2× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$14K

4,745 claims · 0.1%

Your Cost: $3.06/claim|Median: $0.58
5.3× median
76705Normal range

Ultrasound, abdominal, limited

$14K

635 claims · 0.1%

Your Cost: $21.97/claim|Median: $23.81
0.9× median
80053Normal range

Comprehensive metabolic panel

$14K

9,459 claims · 0.1%

Your Cost: $1.43/claim|Median: $7.24
0.2× median
87086Normal range

Urine culture, colony count, with identification

$12K

2,084 claims · 0.1%

Your Cost: $5.85/claim|Median: $5.31
1.1× median
85027Top 5%

Complete blood count (CBC), automated

$9K

296 claims · 0.1%

Your Cost: $30.08/claim|Median: $3.72
8.1× median
G0463Normal range

Hospital outpatient clinic visit

$9K

340 claims · 0.1%

Your Cost: $25.90/claim|Median: $26.41
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$9K

271 claims · 0.1%

Your Cost: $32.14/claim|Median: $60.19
0.5× median
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