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Provider 1427055839

NPI: 1427055839Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,537,896

Total Claims

585K

Beneficiaries

493K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-8%
2019
$1.5M
-25%
2020
$1.2M
+20%
2021
$1.4M
+25%
2022
$1.7M
+31%
2023
$2.3M
-22%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 20% of total spending.

0450Normal range

Emergency room visit

$2.3M

57K claims · 20.3%

Your Cost: $41.23/claim|Median: $44.95
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$592K

3,803 claims · 5.1%

Your Cost: $155.70/claim|Median: $65.76
2.4× median
0762Top 5%

$545K

309 claims · 4.7%

Your Cost: $1,763.90/claim|Median: $102.28
17.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$518K

13K claims · 4.5%

Your Cost: $41.25/claim|Median: $21.76
1.9× median
70450Top 25%

CT head/brain without contrast

$392K

4,182 claims · 3.4%

Your Cost: $93.71/claim|Median: $45.53
2.1× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$381K

5,049 claims · 3.3%

Your Cost: $75.46/claim|Median: $97.61
0.8× median
99284Top 25%

Emergency dept visit, high complexity

$333K

3,396 claims · 2.9%

Your Cost: $97.97/claim|Median: $69.51
1.4× median
99281Normal range

Emergency dept visit, minimal complexity

$291K

8,704 claims · 2.5%

Your Cost: $33.49/claim|Median: $52.03
0.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$261K

12K claims · 2.3%

Your Cost: $22.35/claim|Median: $7.50
3.0× median
96361Normal range

IV infusion, hydration, each additional hour

$252K

9,376 claims · 2.2%

Your Cost: $26.91/claim|Median: $38.92
0.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$236K

8,729 claims · 2.0%

Your Cost: $27.04/claim|Median: $14.92
1.8× median
J3490Normal range

Unclassified drugs

$221K

17K claims · 1.9%

Your Cost: $12.83/claim|Median: $5.70
2.3× median
80048Normal range

Basic metabolic panel

$202K

27K claims · 1.7%

Your Cost: $7.38/claim|Median: $5.78
1.3× median
96365Normal range

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

$172K

3,374 claims · 1.5%

Your Cost: $50.95/claim|Median: $54.77
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$172K

1,928 claims · 1.5%

Your Cost: $89.05/claim|Median: $42.48
2.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$169K

3,595 claims · 1.5%

Your Cost: $46.88/claim|Median: $35.43
1.3× median
74176Normal range

CT abdomen and pelvis without contrast

$166K

1,558 claims · 1.4%

Your Cost: $106.64/claim|Median: $60.19
1.8× median
92507Normal range

Speech/hearing/language treatment

$156K

3,011 claims · 1.4%

Your Cost: $51.94/claim|Median: $49.45
1.1× median
0710Top 10%

$151K

1,448 claims · 1.3%

Your Cost: $104.59/claim|Median: $18.49
5.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$146K

28K claims · 1.3%

Your Cost: $5.21/claim|Median: $4.71
1.1× median
99291Top 25%

Critical care, first 30-74 minutes

$131K

786 claims · 1.1%

Your Cost: $167.02/claim|Median: $101.24
1.6× median
Z7502Normal range

$122K

3,326 claims · 1.1%

Your Cost: $36.75/claim|Median: $37.17
1.0× median
70553Top 5%

MRI brain without contrast, then with contrast

$118K

141 claims · 1.0%

Your Cost: $838.60/claim|Median: $133.68
6.3× median
96360Normal range

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

$118K

2,692 claims · 1.0%

Your Cost: $43.70/claim|Median: $61.57
0.7× median
71045Top 25%

Chest X-ray, single view

$115K

10K claims · 1.0%

Your Cost: $10.95/claim|Median: $4.93
2.2× median
99199Top 25%

Unlisted special service, procedure, or report

$102K

2,720 claims · 0.9%

Your Cost: $37.53/claim|Median: $5.39
7.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$96K

341 claims · 0.8%

Your Cost: $280.82/claim|Median: $85.65
3.3× median
97110Normal range

Therapeutic exercises, each 15 min

$90K

9,565 claims · 0.8%

Your Cost: $9.46/claim|Median: $24.49
0.4× median
83880Normal range

$85K

4,511 claims · 0.7%

Your Cost: $18.85/claim|Median: $11.81
1.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$83K

4,774 claims · 0.7%

Your Cost: $17.29/claim|Median: $9.56
1.8× median
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