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Provider 1447317896

NPI: 1447317896Share
Active Billing Period:2018-01→2024-12(75 months)

Total Paid

$10.4M

$10,396,280

Total Claims

251K

Beneficiaries

221K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$30K
-76%
2019
$7K
+9554%
2020
$714K
+326%
2021
$3.0M
-19%
2022
$2.5M
-9%
2023
$2.2M
-15%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0039 (Assertive community treatment, per diem)) accounts for 35% of total spending.

H0039Top 25%

Assertive community treatment, per diem

$3.6M

13K claims · 35.1%

Your Cost: $279.82/claim|Median: $132.62
2.1× median
99284Top 25%

Emergency dept visit, high complexity

$3.4M

26K claims · 32.8%

Your Cost: $130.98/claim|Median: $69.51
1.9× median
U0003Top 25%

Infectious disease detection (COVID-19)

$495K

6,255 claims · 4.8%

Your Cost: $79.06/claim|Median: $63.08
1.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$402K

2,914 claims · 3.9%

Your Cost: $138.05/claim|Median: $85.65
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$290K

2,811 claims · 2.8%

Your Cost: $102.99/claim|Median: $42.48
2.4× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$257K

10K claims · 2.5%

Your Cost: $24.86/claim|Median: $121.16
0.2× median
80053Normal range

Comprehensive metabolic panel

$187K

23K claims · 1.8%

Your Cost: $7.99/claim|Median: $7.24
1.1× median
G0378Top 25%

Hospital observation service, per hour

$140K

373 claims · 1.3%

Your Cost: $375.81/claim|Median: $99.39
3.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$113K

5,997 claims · 1.1%

Your Cost: $18.86/claim|Median: $15.76
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$99K

5,178 claims · 1.0%

Your Cost: $19.12/claim|Median: $21.76
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$87K

22K claims · 0.8%

Your Cost: $3.96/claim|Median: $4.71
0.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$82K

3,588 claims · 0.8%

Your Cost: $22.98/claim|Median: $30.04
0.8× median
70450Normal range

CT head/brain without contrast

$82K

2,062 claims · 0.8%

Your Cost: $39.98/claim|Median: $45.53
0.9× median
71046Normal range

Chest X-ray, 2 views

$82K

8,506 claims · 0.8%

Your Cost: $9.64/claim|Median: $8.92
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$75K

895 claims · 0.7%

Your Cost: $83.57/claim|Median: $100.62
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$45K

955 claims · 0.4%

Your Cost: $47.42/claim|Median: $60.19
0.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$45K

1,263 claims · 0.4%

Your Cost: $35.70/claim|Median: $33.72
1.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$45K

1,321 claims · 0.4%

Your Cost: $34.00/claim|Median: $39.63
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$44K

7,073 claims · 0.4%

Your Cost: $6.21/claim|Median: $7.50
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$34K

389 claims · 0.3%

Your Cost: $87.48/claim|Median: $65.76
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$33K

835 claims · 0.3%

Your Cost: $39.80/claim|Median: $35.43
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$32K

906 claims · 0.3%

Your Cost: $35.82/claim|Median: $39.70
0.9× median
80061Normal range

Lipid panel

$32K

2,970 claims · 0.3%

Your Cost: $10.73/claim|Median: $8.41
1.3× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$31K

768 claims · 0.3%

Your Cost: $40.44/claim|Median: $36.70
1.1× median
80050Normal range

General health panel

$27K

729 claims · 0.3%

Your Cost: $37.01/claim|Median: $25.59
1.4× median
84484Normal range

Troponin, quantitative

$27K

3,852 claims · 0.3%

Your Cost: $6.97/claim|Median: $4.84
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$26K

1,773 claims · 0.3%

Your Cost: $14.80/claim|Median: $9.87
1.5× median
87081Normal range

Culture screening for pathogenic organisms

$24K

4,468 claims · 0.2%

Your Cost: $5.43/claim|Median: $5.09
1.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$23K

2,308 claims · 0.2%

Your Cost: $9.81/claim|Median: $14.92
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$19K

473 claims · 0.2%

Your Cost: $39.90/claim|Median: $54.68
0.7× median
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