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Provider 1417465824

NPI: 1417465824Share
Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$8.3M

$8,315,965

Total Claims

124K

Beneficiaries

107K

1.2 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2020
$60K
+1601%
2021
$1.0M
+194%
2022
$3.0M
+6%
2023
$3.2M
-69%
2024
$988K

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 42% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.5M

11K claims · 41.6%

Your Cost: $322.37/claim|Median: $69.51
4.6× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.7M

4,721 claims · 19.9%

Your Cost: $351.33/claim|Median: $85.65
4.1× median
99283Normal range

Emergency dept visit, moderate complexity

$995K

21K claims · 12.0%

Your Cost: $48.37/claim|Median: $42.48
1.1× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$511K

3,224 claims · 6.2%

Your Cost: $158.65/claim|Median: $65.64
2.4× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$184K

3,203 claims · 2.2%

Your Cost: $57.59/claim|Median: $7.50
7.7× median
71045Top 10%

Chest X-ray, single view

$144K

4,411 claims · 1.7%

Your Cost: $32.55/claim|Median: $4.93
6.6× median
87637Top 1%

Respiratory virus detection, 3-5 targets, nucleic acid

$142K

484 claims · 1.7%

Your Cost: $292.81/claim|Median: $100.62
2.9× median
80053Top 25%

Comprehensive metabolic panel

$129K

10K claims · 1.6%

Your Cost: $12.44/claim|Median: $7.24
1.7× median
74177Top 10%

CT abdomen and pelvis with contrast

$111K

345 claims · 1.3%

Your Cost: $322.44/claim|Median: $65.76
4.9× median
87430Top 5%

$104K

3,069 claims · 1.2%

Your Cost: $33.81/claim|Median: $9.41
3.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$95K

10K claims · 1.1%

Your Cost: $9.24/claim|Median: $4.71
2.0× median
87428Top 5%

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

$91K

1,161 claims · 1.1%

Your Cost: $78.55/claim|Median: $39.63
2.0× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$80K

1,320 claims · 1.0%

Your Cost: $60.44/claim|Median: $28.46
2.1× median
70450Top 25%

CT head/brain without contrast

$68K

878 claims · 0.8%

Your Cost: $77.42/claim|Median: $45.53
1.7× median
U0002Top 10%

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

$56K

1,006 claims · 0.7%

Your Cost: $56.03/claim|Median: $34.62
1.6× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$54K

425 claims · 0.6%

Your Cost: $125.93/claim|Median: $37.56
3.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$37K

191 claims · 0.4%

Your Cost: $194.91/claim|Median: $60.19
3.2× median
99282Normal range

Emergency dept visit, low complexity

$32K

681 claims · 0.4%

Your Cost: $46.59/claim|Median: $37.72
1.2× median
U0003Top 10%

Infectious disease detection (COVID-19)

$29K

277 claims · 0.4%

Your Cost: $105.88/claim|Median: $63.08
1.7× median
81001Top 25%

Urinalysis, automated, with microscopy

$29K

7,246 claims · 0.3%

Your Cost: $3.97/claim|Median: $2.03
2.0× median
69436Top 25%

Tympanostomy, general anesthesia

$23K

31 claims · 0.3%

Your Cost: $750.14/claim|Median: $205.50
3.7× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$20K

1,059 claims · 0.2%

Your Cost: $18.91/claim|Median: $9.87
1.9× median
84484Top 25%

Troponin, quantitative

$19K

1,971 claims · 0.2%

Your Cost: $9.74/claim|Median: $4.84
2.0× median
83880Top 25%

$17K

679 claims · 0.2%

Your Cost: $25.53/claim|Median: $11.81
2.2× median
96365Normal range

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

$15K

468 claims · 0.2%

Your Cost: $31.75/claim|Median: $54.77
0.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$14K

293 claims · 0.2%

Your Cost: $47.32/claim|Median: $10.88
4.3× median
80061Top 25%

Lipid panel

$13K

893 claims · 0.2%

Your Cost: $15.09/claim|Median: $8.41
1.8× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$13K

1,253 claims · 0.2%

Your Cost: $10.25/claim|Median: $1.53
6.7× median
87081Top 10%

Culture screening for pathogenic organisms

$13K

650 claims · 0.2%

Your Cost: $19.30/claim|Median: $5.09
3.8× median
99001Top 5%

$12K

323 claims · 0.1%

Your Cost: $37.44/claim|Median: $2.31
16.2× median
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