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Provider 1437222312

NPI: 1437222312Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.4M

$9,379,659

Total Claims

501K

Beneficiaries

432K

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$989K
+66%
2019
$1.6M
-20%
2020
$1.3M
-8%
2021
$1.2M
+2%
2022
$1.2M
+35%
2023
$1.7M
-21%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0002 (COVID-19 lab test, non-CDC, nucleic acid)) accounts for 6% of total spending.

U0002Top 10%

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

$560K

10K claims · 6.0%

Your Cost: $55.84/claim|Median: $34.62
1.6× median
80053Top 25%

Comprehensive metabolic panel

$501K

42K claims · 5.3%

Your Cost: $12.00/claim|Median: $7.24
1.7× median
99284Normal range

Emergency dept visit, high complexity

$449K

7,438 claims · 4.8%

Your Cost: $60.34/claim|Median: $69.51
0.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$417K

49K claims · 4.4%

Your Cost: $8.49/claim|Median: $4.71
1.8× median
74177Normal range

CT abdomen and pelvis with contrast

$360K

2,218 claims · 3.8%

Your Cost: $162.24/claim|Median: $65.76
2.5× median
59025Top 10%

Fetal non-stress test

$346K

2,111 claims · 3.7%

Your Cost: $163.92/claim|Median: $26.45
6.2× median
70450Top 25%

CT head/brain without contrast

$333K

2,950 claims · 3.6%

Your Cost: $112.96/claim|Median: $45.53
2.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$306K

4,189 claims · 3.3%

Your Cost: $72.98/claim|Median: $42.48
1.7× median
72148Top 10%

MRI lumbar spine without contrast

$236K

795 claims · 2.5%

Your Cost: $297.12/claim|Median: $101.03
2.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$229K

5,617 claims · 2.4%

Your Cost: $40.82/claim|Median: $85.65
0.5× median
80306Top 25%

$199K

9,711 claims · 2.1%

Your Cost: $20.53/claim|Median: $10.29
2.0× median
80050Top 25%

General health panel

$190K

3,929 claims · 2.0%

Your Cost: $48.30/claim|Median: $25.59
1.9× median
97110Normal range

Therapeutic exercises, each 15 min

$188K

5,430 claims · 2.0%

Your Cost: $34.62/claim|Median: $24.49
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$176K

12K claims · 1.9%

Your Cost: $14.27/claim|Median: $9.87
1.4× median
71046Top 25%

Chest X-ray, 2 views

$163K

8,394 claims · 1.7%

Your Cost: $19.37/claim|Median: $8.92
2.2× median
83880Top 25%

$148K

5,293 claims · 1.6%

Your Cost: $27.94/claim|Median: $11.81
2.4× median
0240UTop 25%

$140K

1,102 claims · 1.5%

Your Cost: $127.30/claim|Median: $89.76
1.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$116K

10K claims · 1.2%

Your Cost: $11.32/claim|Median: $7.50
1.5× median
87086Top 25%

Urine culture, colony count, with identification

$109K

11K claims · 1.2%

Your Cost: $10.19/claim|Median: $5.31
1.9× median
43239Normal range

Upper GI endoscopy with biopsy

$109K

497 claims · 1.2%

Your Cost: $218.59/claim|Median: $151.68
1.4× median
80061Top 25%

Lipid panel

$109K

7,549 claims · 1.2%

Your Cost: $14.39/claim|Median: $8.41
1.7× median
36415Top 25%

Collection of venous blood by venipuncture

$98K

19K claims · 1.0%

Your Cost: $5.01/claim|Median: $1.57
3.2× median
87081Top 25%

Culture screening for pathogenic organisms

$92K

9,859 claims · 1.0%

Your Cost: $9.33/claim|Median: $5.09
1.8× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$88K

1,276 claims · 0.9%

Your Cost: $68.70/claim|Median: $23.39
2.9× median
80074Top 5%

$88K

1,461 claims · 0.9%

Your Cost: $59.89/claim|Median: $27.54
2.2× median
72125Top 25%

CT cervical spine without contrast

$87K

632 claims · 0.9%

Your Cost: $137.08/claim|Median: $32.30
4.2× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$86K

1,273 claims · 0.9%

Your Cost: $67.61/claim|Median: $24.95
2.7× median
82306Top 25%

Vitamin D, 25 hydroxy

$84K

2,624 claims · 0.9%

Your Cost: $32.14/claim|Median: $18.18
1.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$82K

2,402 claims · 0.9%

Your Cost: $34.25/claim|Median: $35.80
1.0× median
87275Top 25%

$80K

6,136 claims · 0.8%

Your Cost: $12.99/claim|Median: $10.59
1.2× median