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Provider 1427068345

NPI: 1427068345Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,246,689

Total Claims

419K

Beneficiaries

328K

1.3 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$374K
+276%
2019
$1.4M
+4%
2020
$1.5M
+48%
2021
$2.2M
-15%
2022
$1.9M
-3%
2023
$1.8M
-35%
2024
$1.2M

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 22% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

31K claims · 21.5%

Your Cost: $71.72/claim|Median: $42.48
1.7× median
99284Normal range

Emergency dept visit, high complexity

$1.8M

25K claims · 17.6%

Your Cost: $72.70/claim|Median: $69.51
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$686K

10K claims · 6.7%

Your Cost: $67.89/claim|Median: $85.65
0.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$620K

15K claims · 6.1%

Your Cost: $42.47/claim|Median: $21.76
2.0× median
74177Normal range

CT abdomen and pelvis with contrast

$406K

3,122 claims · 4.0%

Your Cost: $130.06/claim|Median: $65.76
2.0× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$375K

4,528 claims · 3.7%

Your Cost: $82.84/claim|Median: $3.42
24.2× median
96360Top 25%

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

$316K

2,079 claims · 3.1%

Your Cost: $152.10/claim|Median: $61.57
2.5× median
96361Normal range

IV infusion, hydration, each additional hour

$312K

8,304 claims · 3.0%

Your Cost: $37.55/claim|Median: $38.92
1.0× median
70450Top 25%

CT head/brain without contrast

$306K

3,538 claims · 3.0%

Your Cost: $86.36/claim|Median: $45.53
1.9× median
99282Normal range

Emergency dept visit, low complexity

$288K

3,997 claims · 2.8%

Your Cost: $72.17/claim|Median: $37.72
1.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$275K

6,572 claims · 2.7%

Your Cost: $41.89/claim|Median: $97.61
0.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$198K

9,752 claims · 1.9%

Your Cost: $20.33/claim|Median: $14.92
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$169K

4,024 claims · 1.7%

Your Cost: $42.05/claim|Median: $63.08
0.7× median
80053Normal range

Comprehensive metabolic panel

$166K

25K claims · 1.6%

Your Cost: $6.58/claim|Median: $7.24
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$156K

2,415 claims · 1.5%

Your Cost: $64.71/claim|Median: $65.64
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$155K

1,596 claims · 1.5%

Your Cost: $97.40/claim|Median: $60.19
1.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$143K

2,213 claims · 1.4%

Your Cost: $64.66/claim|Median: $36.13
1.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$131K

3,707 claims · 1.3%

Your Cost: $35.43/claim|Median: $9.56
3.7× median
81025Top 5%

Urine pregnancy test

$108K

5,424 claims · 1.1%

Your Cost: $19.87/claim|Median: $4.81
4.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$98K

1,789 claims · 1.0%

Your Cost: $54.94/claim|Median: $100.62
0.5× median
G0463Normal range

Hospital outpatient clinic visit

$86K

3,389 claims · 0.8%

Your Cost: $25.47/claim|Median: $26.41
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$80K

6,449 claims · 0.8%

Your Cost: $12.42/claim|Median: $28.46
0.4× median
82947Top 10%

Blood glucose level test

$72K

8,253 claims · 0.7%

Your Cost: $8.75/claim|Median: $2.38
3.7× median
96365Normal range

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

$69K

1,238 claims · 0.7%

Your Cost: $56.08/claim|Median: $54.77
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$65K

1,859 claims · 0.6%

Your Cost: $35.05/claim|Median: $35.80
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$57K

619 claims · 0.6%

Your Cost: $91.75/claim|Median: $151.68
0.6× median
99281Normal range

Emergency dept visit, minimal complexity

$50K

765 claims · 0.5%

Your Cost: $65.01/claim|Median: $52.03
1.2× median
01999Normal range

$46K

1,898 claims · 0.5%

Your Cost: $24.43/claim|Median: $15.72
1.6× median
76830Normal range

Ultrasound, transvaginal

$46K

726 claims · 0.4%

Your Cost: $63.20/claim|Median: $57.47
1.1× median
80048Normal range

Basic metabolic panel

$46K

5,744 claims · 0.4%

Your Cost: $7.98/claim|Median: $5.78
1.4× median
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