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Provider 1457458556

NPI: 1457458556Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$16.2M

$16,160,683

Total Claims

178K

Beneficiaries

146K

1.2 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-0%
2019
$2.1M
+10%
2020
$2.3M
+49%
2021
$3.4M
+1%
2022
$3.4M
-31%
2023
$2.4M
-73%
2024
$637K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 45% of total spending.

41899Top 25%

Unlisted procedure, dentoalveolar structures

$7.2M

4,216 claims · 44.7%

Your Cost: $1,714.53/claim|Median: $763.43
2.2× median
69436Top 5%

Tympanostomy, general anesthesia

$3.2M

1,892 claims · 19.5%

Your Cost: $1,667.38/claim|Median: $205.50
8.1× median
43239Top 5%

Upper GI endoscopy with biopsy

$1.8M

2,117 claims · 10.8%

Your Cost: $827.01/claim|Median: $151.68
5.5× median
45380Top 5%

Colonoscopy with biopsy

$555K

753 claims · 3.4%

Your Cost: $736.61/claim|Median: $200.68
3.7× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$422K

2,237 claims · 2.6%

Your Cost: $188.43/claim|Median: $35.80
5.3× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$320K

6,347 claims · 2.0%

Your Cost: $50.38/claim|Median: $28.46
1.8× median
42830Top 5%

$317K

147 claims · 2.0%

Your Cost: $2,155.38/claim|Median: $341.04
6.3× median
95812Top 5%

$297K

443 claims · 1.8%

Your Cost: $671.14/claim|Median: $104.99
6.4× median
70553Top 5%

MRI brain without contrast, then with contrast

$206K

326 claims · 1.3%

Your Cost: $632.70/claim|Median: $133.68
4.7× median
G0378Normal range

Hospital observation service, per hour

$116K

946 claims · 0.7%

Your Cost: $122.21/claim|Median: $99.39
1.2× median
82306Top 10%

Vitamin D, 25 hydroxy

$114K

2,720 claims · 0.7%

Your Cost: $42.03/claim|Median: $18.18
2.3× median
80050Normal range

General health panel

$110K

3,909 claims · 0.7%

Your Cost: $28.17/claim|Median: $25.59
1.1× median
74018Top 5%

$89K

1,287 claims · 0.6%

Your Cost: $69.15/claim|Median: $7.00
9.9× median
80053Top 25%

Comprehensive metabolic panel

$76K

5,928 claims · 0.5%

Your Cost: $12.86/claim|Median: $7.24
1.8× median
J3490Normal range

Unclassified drugs

$76K

25K claims · 0.5%

Your Cost: $3.07/claim|Median: $5.70
0.5× median
J3010Top 10%

$74K

8,879 claims · 0.5%

Your Cost: $8.32/claim|Median: $0.55
15.1× median
84439Top 10%

Free thyroxine level blood test

$68K

4,041 claims · 0.4%

Your Cost: $16.76/claim|Median: $6.31
2.7× median
83655Top 5%

$64K

3,699 claims · 0.4%

Your Cost: $17.36/claim|Median: $10.49
1.7× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$63K

4,106 claims · 0.4%

Your Cost: $15.24/claim|Median: $9.87
1.5× median
70310Normal range

$62K

2,358 claims · 0.4%

Your Cost: $26.18/claim|Median: $14.69
1.8× median
J7120Normal range

Ringer's lactate infusion, up to 1000 cc

$58K

9,863 claims · 0.4%

Your Cost: $5.84/claim|Median: $1.51
3.9× median
71046Top 5%

Chest X-ray, 2 views

$55K

843 claims · 0.3%

Your Cost: $65.16/claim|Median: $8.92
7.3× median
92586Top 10%

$51K

371 claims · 0.3%

Your Cost: $137.26/claim|Median: $51.18
2.7× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$47K

10K claims · 0.3%

Your Cost: $4.59/claim|Median: $0.58
7.9× median
80061Top 25%

Lipid panel

$46K

3,592 claims · 0.3%

Your Cost: $12.81/claim|Median: $8.41
1.5× median
88342Normal range

$45K

1,777 claims · 0.3%

Your Cost: $25.23/claim|Median: $23.66
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$42K

4,922 claims · 0.3%

Your Cost: $8.58/claim|Median: $4.71
1.8× median
95716Normal range

$40K

59 claims · 0.2%

Your Cost: $679.26/claim|Median: $685.48
1.0× median
70551Top 10%

MRI brain without contrast

$36K

109 claims · 0.2%

Your Cost: $328.00/claim|Median: $85.39
3.8× median
86140Top 10%

$35K

3,410 claims · 0.2%

Your Cost: $10.20/claim|Median: $3.02
3.4× median
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