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Provider 1437182847

NPI: 1437182847Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$8.6M

$8,589,724

Total Claims

198K

Beneficiaries

178K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2019
$335K
+121%
2020
$739K
+224%
2021
$2.4M
-31%
2022
$1.7M
+24%
2023
$2.1M
-31%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 18% of total spending.

99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$1.6M

19K claims · 18.1%

Your Cost: $81.88/claim|Median: $37.81
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

15K claims · 17.0%

Your Cost: $95.49/claim|Median: $42.48
2.2× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

8,898 claims · 12.9%

Your Cost: $124.14/claim|Median: $69.51
1.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$558K

5,194 claims · 6.5%

Your Cost: $107.50/claim|Median: $97.61
1.1× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$531K

15K claims · 6.2%

Your Cost: $36.52/claim|Median: $121.16
0.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$523K

3,188 claims · 6.1%

Your Cost: $164.15/claim|Median: $85.65
1.9× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$409K

3,708 claims · 4.8%

Your Cost: $110.26/claim|Median: $57.85
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$232K

4,162 claims · 2.7%

Your Cost: $55.63/claim|Median: $25.06
2.2× median
U0003Top 25%

Infectious disease detection (COVID-19)

$195K

2,538 claims · 2.3%

Your Cost: $76.89/claim|Median: $63.08
1.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$187K

1,110 claims · 2.2%

Your Cost: $168.17/claim|Median: $65.76
2.6× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$169K

1,500 claims · 2.0%

Your Cost: $112.71/claim|Median: $53.41
2.1× median
G0378Top 10%

Hospital observation service, per hour

$141K

177 claims · 1.6%

Your Cost: $795.69/claim|Median: $99.39
8.0× median
99282Normal range

Emergency dept visit, low complexity

$118K

2,597 claims · 1.4%

Your Cost: $45.28/claim|Median: $37.72
1.2× median
80053Normal range

Comprehensive metabolic panel

$94K

9,509 claims · 1.1%

Your Cost: $9.84/claim|Median: $7.24
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$92K

2,702 claims · 1.1%

Your Cost: $34.16/claim|Median: $39.70
0.9× median
80050Normal range

General health panel

$83K

2,030 claims · 1.0%

Your Cost: $40.88/claim|Median: $25.59
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$61K

12K claims · 0.7%

Your Cost: $5.09/claim|Median: $4.71
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$61K

5,770 claims · 0.7%

Your Cost: $10.58/claim|Median: $7.50
1.4× median
S9083Normal range

Global fee, urgent care centers

$59K

594 claims · 0.7%

Your Cost: $99.56/claim|Median: $103.99
1.0× median
82306Top 10%

Vitamin D, 25 hydroxy

$54K

1,459 claims · 0.6%

Your Cost: $37.30/claim|Median: $18.18
2.1× median
80061Top 25%

Lipid panel

$42K

3,317 claims · 0.5%

Your Cost: $12.74/claim|Median: $8.41
1.5× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$42K

2,885 claims · 0.5%

Your Cost: $14.50/claim|Median: $30.53
0.5× median
71275Top 25%

CT angiography, chest, with contrast

$41K

215 claims · 0.5%

Your Cost: $190.03/claim|Median: $92.96
2.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$39K

5,879 claims · 0.5%

Your Cost: $6.63/claim|Median: $11.48
0.6× median
97162Top 25%

PT evaluation, moderate complexity

$35K

526 claims · 0.4%

Your Cost: $67.20/claim|Median: $46.10
1.5× median
97161Top 25%

Physical therapy evaluation, low complexity

$31K

444 claims · 0.4%

Your Cost: $70.31/claim|Median: $47.89
1.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$29K

480 claims · 0.3%

Your Cost: $61.13/claim|Median: $35.43
1.7× median
87070Normal range

Bacterial culture, any source except blood or urine

$29K

4,094 claims · 0.3%

Your Cost: $7.06/claim|Median: $5.89
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$28K

124 claims · 0.3%

Your Cost: $228.35/claim|Median: $151.68
1.5× median
70450Normal range

CT head/brain without contrast

$28K

465 claims · 0.3%

Your Cost: $59.95/claim|Median: $45.53
1.3× median
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