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Provider 1437171568

NPI: 1437171568Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.7M

$12,688,948

Total Claims

164K

Beneficiaries

146K

1.1 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$20K
-26%
2019
$15K
+1281%
2020
$200K
+1165%
2021
$2.5M
+51%
2022
$3.8M
+1%
2023
$3.8M
-41%
2024
$2.3M

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 23% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$2.9M

8,416 claims · 23.1%

Your Cost: $347.57/claim|Median: $69.51
5.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

25K claims · 17.1%

Your Cost: $85.74/claim|Median: $42.48
2.0× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$1.4M

3,337 claims · 10.7%

Your Cost: $407.60/claim|Median: $36.13
11.3× median
G0378Top 25%

Hospital observation service, per hour

$1.0M

1,858 claims · 8.0%

Your Cost: $546.22/claim|Median: $99.39
5.5× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$979K

1,854 claims · 7.7%

Your Cost: $528.20/claim|Median: $85.65
6.2× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$548K

378 claims · 4.3%

Your Cost: $1,448.90/claim|Median: $763.43
1.9× median
99282Normal range

Emergency dept visit, low complexity

$278K

3,532 claims · 2.2%

Your Cost: $78.80/claim|Median: $37.72
2.1× median
99281Normal range

Emergency dept visit, minimal complexity

$254K

3,205 claims · 2.0%

Your Cost: $79.20/claim|Median: $52.03
1.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$228K

20K claims · 1.8%

Your Cost: $11.67/claim|Median: $4.71
2.5× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$209K

72 claims · 1.6%

Your Cost: $2,897.12/claim|Median: $331.68
8.7× median
80053Top 25%

Comprehensive metabolic panel

$204K

13K claims · 1.6%

Your Cost: $16.01/claim|Median: $7.24
2.2× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$199K

842 claims · 1.6%

Your Cost: $236.42/claim|Median: $75.28
3.1× median
87389Top 10%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$154K

3,089 claims · 1.2%

Your Cost: $49.96/claim|Median: $18.03
2.8× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$153K

1,342 claims · 1.2%

Your Cost: $114.11/claim|Median: $65.64
1.7× median
G0463Normal range

Hospital outpatient clinic visit

$135K

4,795 claims · 1.1%

Your Cost: $28.22/claim|Median: $26.41
1.1× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$133K

539 claims · 1.0%

Your Cost: $245.99/claim|Median: $37.35
6.6× median
86780Top 10%

$85K

3,193 claims · 0.7%

Your Cost: $26.73/claim|Median: $9.83
2.7× median
97530Normal range

Therapeutic activities, each 15 min

$80K

1,888 claims · 0.6%

Your Cost: $42.38/claim|Median: $33.11
1.3× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$79K

2,915 claims · 0.6%

Your Cost: $27.20/claim|Median: $34.62
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$78K

16K claims · 0.6%

Your Cost: $4.93/claim|Median: $1.57
3.1× median
99212Top 5%

Office/outpatient visit, low complexity

$74K

471 claims · 0.6%

Your Cost: $157.11/claim|Median: $25.06
6.3× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$70K

2,201 claims · 0.6%

Your Cost: $32.00/claim|Median: $9.87
3.2× median
92507Top 5%

Speech/hearing/language treatment

$69K

605 claims · 0.5%

Your Cost: $114.82/claim|Median: $49.45
2.3× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$62K

577 claims · 0.5%

Your Cost: $107.62/claim|Median: $10.88
9.9× median
84702Top 10%

$58K

2,114 claims · 0.5%

Your Cost: $27.49/claim|Median: $8.25
3.3× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$58K

947 claims · 0.5%

Your Cost: $60.73/claim|Median: $14.92
4.1× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$52K

493 claims · 0.4%

Your Cost: $104.64/claim|Median: $144.30
0.7× median
82306Top 10%

Vitamin D, 25 hydroxy

$41K

773 claims · 0.3%

Your Cost: $52.85/claim|Median: $18.18
2.9× median
86762Top 5%

$37K

1,281 claims · 0.3%

Your Cost: $28.77/claim|Median: $9.97
2.9× median
36591Top 25%

$36K

867 claims · 0.3%

Your Cost: $41.98/claim|Median: $11.16
3.8× median
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