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Provider 1437179710

NPI: 1437179710Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.2M

$10,167,956

Total Claims

230K

Beneficiaries

184K

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-7%
2019
$2.3M
-64%
2020
$829K
+17%
2021
$973K
+67%
2022
$1.6M
-27%
2023
$1.2M
-37%
2024
$748K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 9% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$935K

4,435 claims · 9.2%

Your Cost: $210.93/claim|Median: $85.65
2.5× median
Y7506Normal range

Healthcare procedure, code Y7506

$819K

15K claims · 8.1%

Your Cost: $56.41/claim|Median: $146.80
0.4× median
99284Top 25%

Emergency dept visit, high complexity

$663K

4,434 claims · 6.5%

Your Cost: $149.51/claim|Median: $69.51
2.2× median
X4011Normal range

Healthcare procedure, code X4011

$647K

4,665 claims · 6.4%

Your Cost: $138.77/claim|Median: $268.66
0.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$643K

5,815 claims · 6.3%

Your Cost: $110.54/claim|Median: $42.48
2.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$567K

13K claims · 5.6%

Your Cost: $43.62/claim|Median: $35.43
1.2× median
80053Top 10%

Comprehensive metabolic panel

$451K

21K claims · 4.4%

Your Cost: $21.81/claim|Median: $7.24
3.0× median
X4006Normal range

$437K

2,087 claims · 4.3%

Your Cost: $209.46/claim|Median: $668.05
0.3× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$430K

3,688 claims · 4.2%

Your Cost: $116.65/claim|Median: $111.02
1.1× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$411K

21K claims · 4.0%

Your Cost: $19.67/claim|Median: $4.71
4.2× median
G0482Top 25%

Drug test, definitive, 15-21 drug classes

$386K

3,035 claims · 3.8%

Your Cost: $127.07/claim|Median: $75.26
1.7× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$280K

4,040 claims · 2.8%

Your Cost: $69.25/claim|Median: $37.56
1.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$273K

8,555 claims · 2.7%

Your Cost: $31.87/claim|Median: $7.50
4.2× median
J3490Normal range

Unclassified drugs

$251K

13K claims · 2.5%

Your Cost: $18.68/claim|Median: $5.70
3.3× median
71045Top 10%

Chest X-ray, single view

$228K

6,736 claims · 2.2%

Your Cost: $33.85/claim|Median: $4.93
6.9× median
G0378Normal range

Hospital observation service, per hour

$183K

1,602 claims · 1.8%

Your Cost: $114.32/claim|Median: $99.39
1.2× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$141K

4,145 claims · 1.4%

Your Cost: $33.90/claim|Median: $10.88
3.1× median
82550Top 5%

Creatine kinase (CK) total blood test

$139K

6,895 claims · 1.4%

Your Cost: $20.11/claim|Median: $2.97
6.8× median
G0483Top 25%

Drug test, definitive, 22+ drug classes

$135K

742 claims · 1.3%

Your Cost: $181.56/claim|Median: $90.89
2.0× median
72100Top 25%

$125K

4,836 claims · 1.2%

Your Cost: $25.86/claim|Median: $15.14
1.7× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$124K

1,525 claims · 1.2%

Your Cost: $81.47/claim|Median: $64.72
1.3× median
62321Normal range

$120K

950 claims · 1.2%

Your Cost: $126.04/claim|Median: $132.67
1.0× median
84484Top 10%

Troponin, quantitative

$110K

6,300 claims · 1.1%

Your Cost: $17.39/claim|Median: $4.84
3.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$103K

1,351 claims · 1.0%

Your Cost: $76.33/claim|Median: $21.76
3.5× median
81001Top 5%

Urinalysis, automated, with microscopy

$102K

5,618 claims · 1.0%

Your Cost: $18.17/claim|Median: $2.03
8.9× median
70450Normal range

CT head/brain without contrast

$82K

1,279 claims · 0.8%

Your Cost: $64.18/claim|Median: $45.53
1.4× median
72148Normal range

MRI lumbar spine without contrast

$80K

970 claims · 0.8%

Your Cost: $82.98/claim|Median: $101.03
0.8× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$74K

3,339 claims · 0.7%

Your Cost: $22.03/claim|Median: $9.87
2.2× median
82553Top 25%

$73K

4,572 claims · 0.7%

Your Cost: $15.98/claim|Median: $5.41
3.0× median
36415Top 10%

Collection of venous blood by venipuncture

$73K

9,845 claims · 0.7%

Your Cost: $7.36/claim|Median: $1.57
4.7× median
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