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Provider 1437156247

NPI: 1437156247Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.0M

$13,989,866

Total Claims

354K

Beneficiaries

278K

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$865K
+1%
2019
$872K
+9%
2020
$947K
+20%
2021
$1.1M
+36%
2022
$1.5M
+222%
2023
$5.0M
-26%
2024
$3.7M

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 18% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.6M

23K claims · 18.4%

Your Cost: $110.13/claim|Median: $42.48
2.6× median
96361Top 25%

IV infusion, hydration, each additional hour

$2.2M

8,028 claims · 15.5%

Your Cost: $269.95/claim|Median: $38.92
6.9× median
99282Top 25%

Emergency dept visit, low complexity

$2.0M

18K claims · 14.3%

Your Cost: $111.42/claim|Median: $37.72
3.0× median
99284Top 25%

Emergency dept visit, high complexity

$936K

7,974 claims · 6.7%

Your Cost: $117.34/claim|Median: $69.51
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$870K

7,783 claims · 6.2%

Your Cost: $111.76/claim|Median: $85.65
1.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$425K

6,567 claims · 3.0%

Your Cost: $64.75/claim|Median: $24.49
2.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$424K

1,656 claims · 3.0%

Your Cost: $256.12/claim|Median: $65.76
3.9× median
70450Top 10%

CT head/brain without contrast

$397K

1,637 claims · 2.8%

Your Cost: $242.41/claim|Median: $45.53
5.3× median
92507Top 25%

Speech/hearing/language treatment

$347K

4,650 claims · 2.5%

Your Cost: $74.64/claim|Median: $49.45
1.5× median
74176Top 10%

CT abdomen and pelvis without contrast

$243K

879 claims · 1.7%

Your Cost: $276.43/claim|Median: $60.19
4.6× median
97530Normal range

Therapeutic activities, each 15 min

$233K

4,034 claims · 1.7%

Your Cost: $57.81/claim|Median: $33.11
1.7× median
96360Top 25%

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

$195K

1,385 claims · 1.4%

Your Cost: $141.09/claim|Median: $61.57
2.3× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$180K

928 claims · 1.3%

Your Cost: $193.71/claim|Median: $40.12
4.8× median
96365Top 25%

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

$177K

1,530 claims · 1.3%

Your Cost: $115.51/claim|Median: $54.77
2.1× median
80053Top 25%

Comprehensive metabolic panel

$169K

14K claims · 1.2%

Your Cost: $12.32/claim|Median: $7.24
1.7× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$148K

1,551 claims · 1.1%

Your Cost: $95.34/claim|Median: $36.13
2.6× median
G0378Normal range

Hospital observation service, per hour

$136K

1,550 claims · 1.0%

Your Cost: $87.84/claim|Median: $99.39
0.9× median
80048Normal range

Basic metabolic panel

$120K

21K claims · 0.9%

Your Cost: $5.76/claim|Median: $5.78
1.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$119K

339 claims · 0.9%

Your Cost: $351.38/claim|Median: $151.68
2.3× median
71275Top 25%

CT angiography, chest, with contrast

$114K

456 claims · 0.8%

Your Cost: $250.77/claim|Median: $92.96
2.7× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$114K

1,220 claims · 0.8%

Your Cost: $93.16/claim|Median: $10.88
8.6× median
59025Top 10%

Fetal non-stress test

$112K

724 claims · 0.8%

Your Cost: $154.23/claim|Median: $26.45
5.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$88K

38K claims · 0.6%

Your Cost: $2.30/claim|Median: $4.71
0.5× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$84K

364 claims · 0.6%

Your Cost: $231.57/claim|Median: $54.68
4.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$78K

5,256 claims · 0.6%

Your Cost: $14.86/claim|Median: $9.87
1.5× median
36415Top 25%

Collection of venous blood by venipuncture

$71K

27K claims · 0.5%

Your Cost: $2.64/claim|Median: $1.57
1.7× median
U0003Top 25%

Infectious disease detection (COVID-19)

$60K

711 claims · 0.4%

Your Cost: $84.15/claim|Median: $63.08
1.3× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$52K

883 claims · 0.4%

Your Cost: $58.44/claim|Median: $65.45
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$41K

494 claims · 0.3%

Your Cost: $82.86/claim|Median: $23.81
3.5× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$40K

1,029 claims · 0.3%

Your Cost: $39.24/claim|Median: $24.95
1.6× median
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