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Provider 1427040328

NPI: 1427040328Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,033,350

Total Claims

237K

Beneficiaries

185K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$659K
+49%
2019
$979K
-1%
2020
$965K
+10%
2021
$1.1M
+24%
2022
$1.3M
+18%
2023
$1.6M
-2%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 19% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$1.6M

10K claims · 19.4%

Your Cost: $150.70/claim|Median: $42.48
3.5× median
99284Top 25%

Emergency dept visit, high complexity

$1.4M

9,000 claims · 17.0%

Your Cost: $152.18/claim|Median: $69.51
2.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$990K

6,085 claims · 12.3%

Your Cost: $162.66/claim|Median: $85.65
1.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$858K

3,660 claims · 10.7%

Your Cost: $234.42/claim|Median: $38.92
6.0× median
70450Top 25%

CT head/brain without contrast

$458K

3,455 claims · 5.7%

Your Cost: $132.63/claim|Median: $45.53
2.9× median
99282Top 25%

Emergency dept visit, low complexity

$457K

3,422 claims · 5.7%

Your Cost: $133.61/claim|Median: $37.72
3.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$427K

2,352 claims · 5.3%

Your Cost: $181.67/claim|Median: $65.76
2.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$355K

6,381 claims · 4.4%

Your Cost: $55.60/claim|Median: $24.49
2.3× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$265K

4,573 claims · 3.3%

Your Cost: $58.04/claim|Median: $91.47
0.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$206K

1,437 claims · 2.6%

Your Cost: $143.51/claim|Median: $60.19
2.4× median
96365Normal range

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

$169K

2,432 claims · 2.1%

Your Cost: $69.33/claim|Median: $54.77
1.3× median
96366Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$135K

589 claims · 1.7%

Your Cost: $229.36/claim|Median: $40.12
5.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$84K

2,165 claims · 1.0%

Your Cost: $38.67/claim|Median: $35.43
1.1× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$78K

1,477 claims · 1.0%

Your Cost: $52.85/claim|Median: $10.88
4.9× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$63K

474 claims · 0.8%

Your Cost: $131.89/claim|Median: $61.57
2.1× median
80053Normal range

Comprehensive metabolic panel

$62K

15K claims · 0.8%

Your Cost: $4.18/claim|Median: $7.24
0.6× median
71046Normal range

Chest X-ray, 2 views

$51K

4,091 claims · 0.6%

Your Cost: $12.55/claim|Median: $8.92
1.4× median
97161Top 10%

Physical therapy evaluation, low complexity

$46K

349 claims · 0.6%

Your Cost: $132.22/claim|Median: $47.89
2.8× median
71045Normal range

Chest X-ray, single view

$38K

8,672 claims · 0.5%

Your Cost: $4.38/claim|Median: $4.93
0.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$30K

2,104 claims · 0.4%

Your Cost: $14.46/claim|Median: $37.56
0.4× median
83880Normal range

$26K

2,767 claims · 0.3%

Your Cost: $9.46/claim|Median: $11.81
0.8× median
99281Top 25%

Emergency dept visit, minimal complexity

$25K

202 claims · 0.3%

Your Cost: $122.35/claim|Median: $52.03
2.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$24K

7,852 claims · 0.3%

Your Cost: $3.09/claim|Median: $7.50
0.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$18K

6,368 claims · 0.2%

Your Cost: $2.86/claim|Median: $21.76
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$18K

16K claims · 0.2%

Your Cost: $1.16/claim|Median: $4.71
0.2× median
87040Normal range

$15K

2,247 claims · 0.2%

Your Cost: $6.72/claim|Median: $5.54
1.2× median
72125Normal range

CT cervical spine without contrast

$13K

359 claims · 0.2%

Your Cost: $37.37/claim|Median: $32.30
1.2× median
84484Normal range

Troponin, quantitative

$13K

6,295 claims · 0.2%

Your Cost: $2.01/claim|Median: $4.84
0.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$12K

784 claims · 0.2%

Your Cost: $15.71/claim|Median: $63.08
0.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$12K

249 claims · 0.1%

Your Cost: $48.24/claim|Median: $39.33
1.2× median
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