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Provider 1427009026

NPI: 1427009026Share
Active Billing Period:2018-01→2019-11(23 months)
Billing appears to have stoppedLast active: 2019-11

Total Paid

$8.7M

$8,694,421

Total Claims

174K

Beneficiaries

135K

1.3 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-12%
2019
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (64636) accounts for 17% of total spending.

64636Top 1%

$1.5M

915 claims · 17.0%

Your Cost: $1,610.67/claim|Median: $63.60
25.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.3M

4,580 claims · 14.8%

Your Cost: $281.49/claim|Median: $85.65
3.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$910K

7,303 claims · 10.5%

Your Cost: $124.67/claim|Median: $42.48
2.9× median
99284Top 25%

Emergency dept visit, high complexity

$674K

6,306 claims · 7.8%

Your Cost: $106.93/claim|Median: $69.51
1.5× median
80053Top 5%

Comprehensive metabolic panel

$611K

6,332 claims · 7.0%

Your Cost: $96.56/claim|Median: $7.24
13.3× median
64483Top 10%

$398K

899 claims · 4.6%

Your Cost: $442.34/claim|Median: $124.24
3.6× median
64634Top 5%

$340K

395 claims · 3.9%

Your Cost: $860.83/claim|Median: $96.82
8.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$322K

963 claims · 3.7%

Your Cost: $334.22/claim|Median: $151.68
2.2× median
64493Top 5%

$252K

263 claims · 2.9%

Your Cost: $958.61/claim|Median: $103.44
9.3× median
74177Top 5%

CT abdomen and pelvis with contrast

$225K

473 claims · 2.6%

Your Cost: $475.15/claim|Median: $65.76
7.2× median
70450Top 10%

CT head/brain without contrast

$224K

937 claims · 2.6%

Your Cost: $238.61/claim|Median: $45.53
5.2× median
74176Top 5%

CT abdomen and pelvis without contrast

$223K

555 claims · 2.6%

Your Cost: $402.48/claim|Median: $60.19
6.7× median
45380Top 25%

Colonoscopy with biopsy

$174K

437 claims · 2.0%

Your Cost: $397.48/claim|Median: $200.68
2.0× median
64484Top 10%

$170K

896 claims · 2.0%

Your Cost: $190.09/claim|Median: $47.83
4.0× median
93458Top 25%

Left heart catheterization with imaging

$167K

169 claims · 1.9%

Your Cost: $988.86/claim|Median: $183.33
5.4× median
45378Top 25%

Colonoscopy, diagnostic

$139K

361 claims · 1.6%

Your Cost: $383.89/claim|Median: $225.49
1.7× median
62321Top 25%

$137K

549 claims · 1.6%

Your Cost: $249.88/claim|Median: $132.67
1.9× median
63650Top 25%

$133K

40 claims · 1.5%

Your Cost: $3,320.16/claim|Median: $787.73
4.2× median
99282Top 25%

Emergency dept visit, low complexity

$121K

1,334 claims · 1.4%

Your Cost: $90.93/claim|Median: $37.72
2.4× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$107K

140 claims · 1.2%

Your Cost: $764.08/claim|Median: $123.40
6.2× median
27096Top 5%

$91K

211 claims · 1.0%

Your Cost: $429.76/claim|Median: $89.16
4.8× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$74K

711 claims · 0.8%

Your Cost: $103.71/claim|Median: $36.13
2.9× median
72125Top 5%

CT cervical spine without contrast

$67K

159 claims · 0.8%

Your Cost: $420.73/claim|Median: $32.30
13.0× median
64490Top 1%

$64K

84 claims · 0.7%

Your Cost: $766.77/claim|Median: $111.43
6.9× median
64633Normal range

$47K

360 claims · 0.5%

Your Cost: $131.75/claim|Median: $223.58
0.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$36K

1,154 claims · 0.4%

Your Cost: $30.82/claim|Median: $10.88
2.8× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$34K

125 claims · 0.4%

Your Cost: $270.70/claim|Median: $111.02
2.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$32K

1,459 claims · 0.4%

Your Cost: $22.18/claim|Median: $35.80
0.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$18K

47 claims · 0.2%

Your Cost: $386.27/claim|Median: $54.68
7.1× median
43235Top 25%

Upper GI endoscopy, diagnostic, including collection

$17K

54 claims · 0.2%

Your Cost: $321.56/claim|Median: $114.30
2.8× median
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