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Provider 1417945627

NPI: 1417945627Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,825,787

Total Claims

1.2M

Beneficiaries

982K

1.2 claims/patient

Avg Cost/Claim

$7

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-1%
2019
$1.3M
-33%
2020
$864K
+91%
2021
$1.6M
-14%
2022
$1.4M
-7%
2023
$1.3M
-25%
2024
$990K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 6% of total spending.

43239Normal range

Upper GI endoscopy with biopsy

$528K

3,440 claims · 6.0%

Your Cost: $153.61/claim|Median: $151.68
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$480K

21K claims · 5.4%

Your Cost: $22.80/claim|Median: $42.48
0.5× median
99284Normal range

Emergency dept visit, high complexity

$366K

20K claims · 4.1%

Your Cost: $18.39/claim|Median: $69.51
0.3× median
97530Normal range

Therapeutic activities, each 15 min

$338K

13K claims · 3.8%

Your Cost: $26.45/claim|Median: $33.11
0.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$313K

15K claims · 3.5%

Your Cost: $21.49/claim|Median: $35.80
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$310K

5,030 claims · 3.5%

Your Cost: $61.59/claim|Median: $65.76
0.9× median
G0378Normal range

Hospital observation service, per hour

$288K

4,121 claims · 3.3%

Your Cost: $70.00/claim|Median: $99.39
0.7× median
A0431Normal range

Ambulance service, conventional air, transport, one way

$273K

195 claims · 3.1%

Your Cost: $1,401.77/claim|Median: $1,650.68
0.8× median
A0430Normal range

ALS mileage, per mile, fixed wing

$255K

195 claims · 2.9%

Your Cost: $1,307.40/claim|Median: $1,588.22
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$234K

6,210 claims · 2.7%

Your Cost: $37.69/claim|Median: $85.65
0.4× median
A0435Normal range

ALS mileage, per mile, fixed wing, level 2

$201K

185 claims · 2.3%

Your Cost: $1,085.84/claim|Median: $1,235.61
0.9× median
92507Normal range

Speech/hearing/language treatment

$197K

9,594 claims · 2.2%

Your Cost: $20.54/claim|Median: $49.45
0.4× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$193K

407 claims · 2.2%

Your Cost: $473.68/claim|Median: $331.68
1.4× median
80053Normal range

Comprehensive metabolic panel

$152K

69K claims · 1.7%

Your Cost: $2.19/claim|Median: $7.24
0.3× median
70551Normal range

MRI brain without contrast

$150K

1,002 claims · 1.7%

Your Cost: $150.17/claim|Median: $85.39
1.8× median
70450Normal range

CT head/brain without contrast

$139K

3,536 claims · 1.6%

Your Cost: $39.39/claim|Median: $45.53
0.9× median
A0436Normal range

ALS mileage, per mile, level 2

$139K

198 claims · 1.6%

Your Cost: $699.55/claim|Median: $705.08
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$136K

69K claims · 1.5%

Your Cost: $1.97/claim|Median: $4.71
0.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$131K

2,618 claims · 1.5%

Your Cost: $50.21/claim|Median: $54.68
0.9× median
70553Normal range

MRI brain without contrast, then with contrast

$129K

1,370 claims · 1.5%

Your Cost: $94.07/claim|Median: $133.68
0.7× median
45380Normal range

Colonoscopy with biopsy

$125K

1,195 claims · 1.4%

Your Cost: $104.86/claim|Median: $200.68
0.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$108K

1,062 claims · 1.2%

Your Cost: $101.42/claim|Median: $169.17
0.6× median
69436Normal range

Tympanostomy, general anesthesia

$101K

279 claims · 1.1%

Your Cost: $360.79/claim|Median: $205.50
1.8× median
88342Normal range

$94K

4,076 claims · 1.1%

Your Cost: $23.14/claim|Median: $23.66
1.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$82K

6,330 claims · 0.9%

Your Cost: $12.91/claim|Median: $75.28
0.2× median
73721Normal range

MRI joint of lower extremity without contrast

$81K

1,212 claims · 0.9%

Your Cost: $67.12/claim|Median: $127.34
0.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$80K

19K claims · 0.9%

Your Cost: $4.19/claim|Median: $39.70
0.1× median
97110Normal range

Therapeutic exercises, each 15 min

$78K

14K claims · 0.9%

Your Cost: $5.43/claim|Median: $24.49
0.2× median
99282Normal range

Emergency dept visit, low complexity

$78K

4,905 claims · 0.9%

Your Cost: $15.83/claim|Median: $37.72
0.4× median
80050Normal range

General health panel

$74K

11K claims · 0.8%

Your Cost: $6.62/claim|Median: $25.59
0.3× median
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