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Provider 1427132158

NPI: 1427132158Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,139,192

Total Claims

295K

Beneficiaries

214K

1.4 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-13%
2019
$2.5M
-4%
2020
$2.4M
-1%
2021
$2.4M
+7%
2022
$2.6M
-1%
2023
$2.5M
+8%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 25% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$4.6M

13K claims · 25.4%

Your Cost: $357.63/claim|Median: $69.51
5.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.6M

17K claims · 14.2%

Your Cost: $154.85/claim|Median: $42.48
3.6× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.8M

4,257 claims · 9.7%

Your Cost: $413.96/claim|Median: $85.65
4.8× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.3M

2,220 claims · 7.0%

Your Cost: $571.12/claim|Median: $60.19
9.5× median
G0378Top 25%

Hospital observation service, per hour

$648K

1,265 claims · 3.6%

Your Cost: $512.13/claim|Median: $99.39
5.2× median
74177Top 5%

CT abdomen and pelvis with contrast

$613K

1,029 claims · 3.4%

Your Cost: $596.21/claim|Median: $65.76
9.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$604K

9,941 claims · 3.3%

Your Cost: $60.77/claim|Median: $24.49
2.5× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$487K

1,770 claims · 2.7%

Your Cost: $275.01/claim|Median: $144.30
1.9× median
99282Top 25%

Emergency dept visit, low complexity

$468K

4,680 claims · 2.6%

Your Cost: $100.08/claim|Median: $37.72
2.7× median
70450Top 10%

CT head/brain without contrast

$462K

2,045 claims · 2.5%

Your Cost: $225.88/claim|Median: $45.53
5.0× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$417K

6,455 claims · 2.3%

Your Cost: $64.53/claim|Median: $7.50
8.6× median
96361Normal range

IV infusion, hydration, each additional hour

$279K

6,389 claims · 1.5%

Your Cost: $43.70/claim|Median: $38.92
1.1× median
71046Top 5%

Chest X-ray, 2 views

$276K

3,977 claims · 1.5%

Your Cost: $69.29/claim|Median: $8.92
7.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$231K

4,984 claims · 1.3%

Your Cost: $46.40/claim|Median: $9.56
4.9× median
80053Normal range

Comprehensive metabolic panel

$226K

28K claims · 1.2%

Your Cost: $8.16/claim|Median: $7.24
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$206K

4,610 claims · 1.1%

Your Cost: $44.58/claim|Median: $21.76
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$179K

5,347 claims · 1.0%

Your Cost: $33.42/claim|Median: $35.43
0.9× median
71045Top 10%

Chest X-ray, single view

$153K

4,233 claims · 0.8%

Your Cost: $36.26/claim|Median: $4.93
7.4× median
96365Normal range

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

$148K

1,826 claims · 0.8%

Your Cost: $81.02/claim|Median: $54.77
1.5× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$117K

3,252 claims · 0.6%

Your Cost: $35.90/claim|Median: $14.92
2.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$114K

18K claims · 0.6%

Your Cost: $6.21/claim|Median: $4.71
1.3× median
92507Top 25%

Speech/hearing/language treatment

$111K

1,344 claims · 0.6%

Your Cost: $82.77/claim|Median: $49.45
1.7× median
87804Top 25%

Influenza virus detection, rapid test

$103K

4,432 claims · 0.6%

Your Cost: $23.33/claim|Median: $12.59
1.9× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$99K

1,458 claims · 0.5%

Your Cost: $67.79/claim|Median: $13.55
5.0× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$97K

1,565 claims · 0.5%

Your Cost: $61.71/claim|Median: $12.06
5.1× median
36415Top 25%

Collection of venous blood by venipuncture

$92K

24K claims · 0.5%

Your Cost: $3.91/claim|Median: $1.57
2.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$84K

1,117 claims · 0.5%

Your Cost: $75.23/claim|Median: $39.33
1.9× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$84K

2,292 claims · 0.5%

Your Cost: $36.54/claim|Median: $10.88
3.4× median
73562Top 5%

$73K

960 claims · 0.4%

Your Cost: $75.77/claim|Median: $12.28
6.2× median
73130Top 5%

$70K

1,063 claims · 0.4%

Your Cost: $65.59/claim|Median: $10.69
6.1× median
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