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Provider 1427049964

NPI: 1427049964Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,183,935

Total Claims

298K

Beneficiaries

253K

1.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-4%
2019
$2.6M
-47%
2020
$1.4M
+13%
2021
$1.6M
+2%
2022
$1.6M
+17%
2023
$1.9M
-24%
2024
$1.4M

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 20% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.6M

13K claims · 19.5%

Your Cost: $191.62/claim|Median: $42.48
4.5× median
T1015Top 25%

Clinic visit/encounter, all-inclusive

$2.5M

11K claims · 19.2%

Your Cost: $227.52/claim|Median: $121.16
1.9× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.2M

9,839 claims · 17.0%

Your Cost: $228.25/claim|Median: $85.65
2.7× median
0450Top 25%

Emergency room visit

$862K

8,060 claims · 6.5%

Your Cost: $106.91/claim|Median: $44.95
2.4× median
99213Normal range

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

$796K

26K claims · 6.0%

Your Cost: $30.85/claim|Median: $37.81
0.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$609K

12K claims · 4.6%

Your Cost: $51.10/claim|Median: $24.49
2.1× median
0270Top 5%

$385K

5,201 claims · 2.9%

Your Cost: $74.06/claim|Median: $5.50
13.5× median
99284Normal range

Emergency dept visit, high complexity

$373K

4,722 claims · 2.8%

Your Cost: $78.96/claim|Median: $69.51
1.1× median
99214Normal range

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

$323K

9,046 claims · 2.5%

Your Cost: $35.73/claim|Median: $53.41
0.7× median
Q3014Top 25%

Telehealth originating site facility fee

$186K

8,286 claims · 1.4%

Your Cost: $22.41/claim|Median: $15.37
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$163K

3,917 claims · 1.2%

Your Cost: $41.62/claim|Median: $74.09
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$146K

1,499 claims · 1.1%

Your Cost: $97.07/claim|Median: $65.76
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$127K

5,847 claims · 1.0%

Your Cost: $21.81/claim|Median: $25.06
0.9× median
70450Normal range

CT head/brain without contrast

$114K

2,216 claims · 0.9%

Your Cost: $51.56/claim|Median: $45.53
1.1× median
G0467Top 25%

Federally qualified health center visit, mental health

$108K

2,100 claims · 0.8%

Your Cost: $51.46/claim|Median: $21.91
2.3× median
J3490Normal range

Unclassified drugs

$95K

11K claims · 0.7%

Your Cost: $8.59/claim|Median: $5.70
1.5× median
80053Normal range

Comprehensive metabolic panel

$89K

12K claims · 0.7%

Your Cost: $7.28/claim|Median: $7.24
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$69K

3,662 claims · 0.5%

Your Cost: $18.80/claim|Median: $38.92
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$59K

13K claims · 0.5%

Your Cost: $4.68/claim|Median: $4.71
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$57K

2,457 claims · 0.4%

Your Cost: $23.02/claim|Median: $21.76
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$54K

2,644 claims · 0.4%

Your Cost: $20.32/claim|Median: $35.43
0.6× median
71046Top 25%

Chest X-ray, 2 views

$53K

2,739 claims · 0.4%

Your Cost: $19.26/claim|Median: $8.92
2.2× median
96365Normal range

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

$53K

1,838 claims · 0.4%

Your Cost: $28.59/claim|Median: $54.77
0.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$52K

3,283 claims · 0.4%

Your Cost: $15.71/claim|Median: $14.92
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$50K

5,364 claims · 0.4%

Your Cost: $9.37/claim|Median: $7.50
1.2× median
71275Normal range

CT angiography, chest, with contrast

$48K

468 claims · 0.4%

Your Cost: $103.28/claim|Median: $92.96
1.1× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$48K

3,147 claims · 0.4%

Your Cost: $15.29/claim|Median: $9.87
1.5× median
99223Normal range

Initial hospital care, per day, high complexity

$44K

553 claims · 0.3%

Your Cost: $80.32/claim|Median: $67.32
1.2× median
83880Normal range

$44K

3,538 claims · 0.3%

Your Cost: $12.33/claim|Median: $11.81
1.0× median
87426Normal range

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

$43K

3,146 claims · 0.3%

Your Cost: $13.69/claim|Median: $30.04
0.5× median
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