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Provider 1447221056

NPI: 1447221056Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.8M

$17,758,982

Total Claims

721K

Beneficiaries

663K

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+8%
2019
$2.6M
-31%
2020
$1.8M
+33%
2021
$2.4M
+11%
2022
$2.6M
+35%
2023
$3.5M
-28%
2024
$2.5M

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 22% of total spending.

99284Normal range

Emergency dept visit, high complexity

$4.0M

56K claims · 22.3%

Your Cost: $70.69/claim|Median: $69.51
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$3.5M

82K claims · 19.8%

Your Cost: $42.85/claim|Median: $42.48
1.0× median
G0463Normal range

Hospital outpatient clinic visit

$1.7M

61K claims · 9.6%

Your Cost: $28.28/claim|Median: $26.41
1.1× median
99282Normal range

Emergency dept visit, low complexity

$929K

24K claims · 5.2%

Your Cost: $38.96/claim|Median: $37.72
1.0× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$624K

2,851 claims · 3.5%

Your Cost: $218.88/claim|Median: $169.17
1.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$618K

71K claims · 3.5%

Your Cost: $8.75/claim|Median: $4.71
1.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$575K

11K claims · 3.2%

Your Cost: $52.33/claim|Median: $63.08
0.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$490K

1,858 claims · 2.8%

Your Cost: $263.87/claim|Median: $85.65
3.1× median
43239Normal range

Upper GI endoscopy with biopsy

$298K

1,180 claims · 1.7%

Your Cost: $252.24/claim|Median: $151.68
1.7× median
80053Top 25%

Comprehensive metabolic panel

$272K

21K claims · 1.5%

Your Cost: $12.81/claim|Median: $7.24
1.8× median
64493Normal range

$253K

3,261 claims · 1.4%

Your Cost: $77.57/claim|Median: $103.44
0.7× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$249K

5,050 claims · 1.4%

Your Cost: $49.30/claim|Median: $39.70
1.2× median
87804Normal range

Influenza virus detection, rapid test

$231K

18K claims · 1.3%

Your Cost: $12.92/claim|Median: $12.59
1.0× median
86780Top 25%

$212K

13K claims · 1.2%

Your Cost: $16.92/claim|Median: $9.83
1.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$195K

4,602 claims · 1.1%

Your Cost: $42.28/claim|Median: $35.43
1.2× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$191K

8,492 claims · 1.1%

Your Cost: $22.50/claim|Median: $38.79
0.6× median
87389Normal range

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

$179K

7,752 claims · 1.0%

Your Cost: $23.13/claim|Median: $18.03
1.3× median
80048Normal range

Basic metabolic panel

$174K

22K claims · 1.0%

Your Cost: $7.99/claim|Median: $5.78
1.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$160K

9,556 claims · 0.9%

Your Cost: $16.75/claim|Median: $15.76
1.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$155K

3,394 claims · 0.9%

Your Cost: $45.64/claim|Median: $37.56
1.2× median
87086Top 25%

Urine culture, colony count, with identification

$140K

13K claims · 0.8%

Your Cost: $10.90/claim|Median: $5.31
2.1× median
71046Normal range

Chest X-ray, 2 views

$136K

11K claims · 0.8%

Your Cost: $12.23/claim|Median: $8.92
1.4× median
88142Top 25%

$135K

6,138 claims · 0.8%

Your Cost: $21.95/claim|Median: $14.75
1.5× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$129K

3,651 claims · 0.7%

Your Cost: $35.36/claim|Median: $26.72
1.3× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$108K

627 claims · 0.6%

Your Cost: $172.23/claim|Median: $36.13
4.8× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$106K

6,334 claims · 0.6%

Your Cost: $16.66/claim|Median: $11.48
1.5× median
87486Top 25%

$105K

2,851 claims · 0.6%

Your Cost: $36.98/claim|Median: $19.16
1.9× median
87581Top 25%

$105K

2,851 claims · 0.6%

Your Cost: $36.98/claim|Median: $17.13
2.2× median
64483Normal range

$93K

1,122 claims · 0.5%

Your Cost: $83.08/claim|Median: $124.24
0.7× median
81003Top 10%

Urinalysis, automated without microscopy

$90K

31K claims · 0.5%

Your Cost: $2.92/claim|Median: $1.48
2.0× median
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