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Provider 1437102639

NPI: 1437102639Share
Active Billing Period:2019-12→2024-12(61 months)

Total Paid

$7.7M

$7,662,443

Total Claims

92K

Beneficiaries

83K

1.1 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2019
$43
+337208%
2020
$146K
+837%
2021
$1.4M
+49%
2022
$2.0M
+37%
2023
$2.8M
-53%
2024
$1.3M

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 46% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.5M

9,594 claims · 45.8%

Your Cost: $365.42/claim|Median: $69.51
5.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$3.2M

16K claims · 42.1%

Your Cost: $196.07/claim|Median: $42.48
4.6× median
80053Top 10%

Comprehensive metabolic panel

$199K

7,523 claims · 2.6%

Your Cost: $26.40/claim|Median: $7.24
3.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$176K

2,345 claims · 2.3%

Your Cost: $75.24/claim|Median: $21.76
3.5× median
87804Normal range

Influenza virus detection, rapid test

$61K

5,086 claims · 0.8%

Your Cost: $11.98/claim|Median: $12.59
1.0× median
80048Top 5%

Basic metabolic panel

$61K

1,107 claims · 0.8%

Your Cost: $54.93/claim|Median: $5.78
9.5× median
70450Normal range

CT head/brain without contrast

$41K

793 claims · 0.5%

Your Cost: $51.78/claim|Median: $45.53
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$41K

883 claims · 0.5%

Your Cost: $46.48/claim|Median: $85.65
0.5× median
71045Top 25%

Chest X-ray, single view

$40K

3,930 claims · 0.5%

Your Cost: $10.19/claim|Median: $4.93
2.1× median
87070Top 10%

Bacterial culture, any source except blood or urine

$31K

1,655 claims · 0.4%

Your Cost: $18.51/claim|Median: $5.89
3.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$30K

2,673 claims · 0.4%

Your Cost: $11.24/claim|Median: $7.50
1.5× median
85027Normal range

Complete blood count (CBC), automated

$29K

10K claims · 0.4%

Your Cost: $2.88/claim|Median: $3.72
0.8× median
81003Top 10%

Urinalysis, automated without microscopy

$26K

7,370 claims · 0.3%

Your Cost: $3.52/claim|Median: $1.48
2.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$23K

2,287 claims · 0.3%

Your Cost: $10.02/claim|Median: $11.48
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$19K

1,386 claims · 0.2%

Your Cost: $13.48/claim|Median: $39.70
0.3× median
99282Top 25%

Emergency dept visit, low complexity

$18K

157 claims · 0.2%

Your Cost: $113.28/claim|Median: $37.72
3.0× median
87420Top 10%

$17K

603 claims · 0.2%

Your Cost: $27.63/claim|Median: $9.78
2.8× median
74177Normal range

CT abdomen and pelvis with contrast

$16K

214 claims · 0.2%

Your Cost: $72.63/claim|Median: $65.76
1.1× median
G0383Top 1%

$14K

37 claims · 0.2%

Your Cost: $373.82/claim|Median: $108.78
3.4× median
G0463Normal range

Hospital outpatient clinic visit

$11K

1,180 claims · 0.1%

Your Cost: $9.08/claim|Median: $26.41
0.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$9K

907 claims · 0.1%

Your Cost: $10.37/claim|Median: $63.08
0.2× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$8K

1,339 claims · 0.1%

Your Cost: $5.90/claim|Median: $4.20
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$7K

77 claims · 0.1%

Your Cost: $87.87/claim|Median: $60.19
1.5× median
87426Normal range

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

$5K

555 claims · 0.1%

Your Cost: $9.87/claim|Median: $30.04
0.3× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$5K

118 claims · 0.1%

Your Cost: $39.11/claim|Median: $21.41
1.8× median
71046Top 25%

Chest X-ray, 2 views

$5K

221 claims · 0.1%

Your Cost: $20.63/claim|Median: $8.92
2.3× median
84484Normal range

Troponin, quantitative

$5K

1,472 claims · 0.1%

Your Cost: $3.06/claim|Median: $4.84
0.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$4K

118 claims · 0.1%

Your Cost: $37.28/claim|Median: $39.33
0.9× median
S3620Normal range

Newborn metabolic screening panel

$4K

96 claims · 0.1%

Your Cost: $41.83/claim|Median: $11.82
3.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$3K

455 claims · 0.0%

Your Cost: $6.42/claim|Median: $14.92
0.4× median
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