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Provider 1417958331

NPI: 1417958331Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,763,935

Total Claims

289K

Beneficiaries

233K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-8%
2019
$1.4M
-50%
2020
$724K
+158%
2021
$1.9M
+59%
2022
$3.0M
+10%
2023
$3.3M
+20%
2024
$3.9M

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 41% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$6.5M

31K claims · 41.5%

Your Cost: $210.07/claim|Median: $69.51
3.0× median
99283Top 10%

Emergency dept visit, moderate complexity

$4.7M

31K claims · 30.0%

Your Cost: $152.11/claim|Median: $42.48
3.6× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.0M

6,310 claims · 6.5%

Your Cost: $161.55/claim|Median: $97.61
1.7× median
99213Normal range

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

$694K

26K claims · 4.4%

Your Cost: $26.85/claim|Median: $37.81
0.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$669K

2,149 claims · 4.2%

Your Cost: $311.47/claim|Median: $85.65
3.6× median
71046Top 5%

Chest X-ray, 2 views

$220K

3,914 claims · 1.4%

Your Cost: $56.17/claim|Median: $8.92
6.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$173K

23K claims · 1.1%

Your Cost: $7.63/claim|Median: $4.71
1.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$134K

3,146 claims · 0.8%

Your Cost: $42.47/claim|Median: $21.76
2.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$134K

4,487 claims · 0.8%

Your Cost: $29.75/claim|Median: $7.50
4.0× median
80053Normal range

Comprehensive metabolic panel

$133K

15K claims · 0.8%

Your Cost: $8.84/claim|Median: $7.24
1.2× median
99282Normal range

Emergency dept visit, low complexity

$101K

1,278 claims · 0.6%

Your Cost: $79.00/claim|Median: $37.72
2.1× median
74177Top 5%

CT abdomen and pelvis with contrast

$89K

120 claims · 0.6%

Your Cost: $740.12/claim|Median: $65.76
11.3× median
J3490Normal range

Unclassified drugs

$72K

5,994 claims · 0.5%

Your Cost: $12.01/claim|Median: $5.70
2.1× median
70450Top 5%

CT head/brain without contrast

$69K

279 claims · 0.4%

Your Cost: $248.28/claim|Median: $45.53
5.5× median
36415Top 25%

Collection of venous blood by venipuncture

$64K

22K claims · 0.4%

Your Cost: $2.91/claim|Median: $1.57
1.9× median
G0463Normal range

Hospital outpatient clinic visit

$59K

2,866 claims · 0.4%

Your Cost: $20.71/claim|Median: $26.41
0.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$49K

978 claims · 0.3%

Your Cost: $49.60/claim|Median: $14.92
3.3× median
G0378Normal range

Hospital observation service, per hour

$46K

403 claims · 0.3%

Your Cost: $113.62/claim|Median: $99.39
1.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$45K

1,351 claims · 0.3%

Your Cost: $33.64/claim|Median: $9.56
3.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$43K

1,428 claims · 0.3%

Your Cost: $30.41/claim|Median: $24.95
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$43K

1,428 claims · 0.3%

Your Cost: $30.35/claim|Median: $23.39
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$39K

986 claims · 0.2%

Your Cost: $39.71/claim|Median: $38.92
1.0× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$36K

570 claims · 0.2%

Your Cost: $63.15/claim|Median: $35.43
1.8× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$34K

625 claims · 0.2%

Your Cost: $54.89/claim|Median: $39.70
1.4× median
41899Top 5%

Unlisted procedure, dentoalveolar structures

$30K

12 claims · 0.2%

Your Cost: $2,487.77/claim|Median: $763.43
3.3× median
80048Normal range

Basic metabolic panel

$29K

3,518 claims · 0.2%

Your Cost: $8.26/claim|Median: $5.78
1.4× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$29K

968 claims · 0.2%

Your Cost: $29.96/claim|Median: $18.03
1.7× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$29K

2,059 claims · 0.2%

Your Cost: $14.04/claim|Median: $1.53
9.2× median
97597Normal range

$28K

718 claims · 0.2%

Your Cost: $38.93/claim|Median: $21.22
1.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$27K

395 claims · 0.2%

Your Cost: $67.81/claim|Median: $36.13
1.9× median
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