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Provider 1457458986

NPI: 1457458986Share
Active Billing Period:2018-01→2023-04(64 months)
Billing appears to have stoppedLast active: 2023-04

Total Paid

$11.1M

$11,125,632

Total Claims

527K

Beneficiaries

412K

1.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$509K
+337%
2019
$2.2M
-9%
2020
$2.0M
+46%
2021
$2.9M
-5%
2022
$2.8M
-78%
2023
$612K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 13% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

22K claims · 13.5%

Your Cost: $67.64/claim|Median: $42.48
1.6× median
99284Normal range

Emergency dept visit, high complexity

$1.2M

19K claims · 10.5%

Your Cost: $61.33/claim|Median: $69.51
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$538K

7,560 claims · 4.8%

Your Cost: $71.17/claim|Median: $38.92
1.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$531K

9,179 claims · 4.8%

Your Cost: $57.88/claim|Median: $85.65
0.7× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$469K

5,843 claims · 4.2%

Your Cost: $80.25/claim|Median: $3.42
23.5× median
74177Normal range

CT abdomen and pelvis with contrast

$420K

2,990 claims · 3.8%

Your Cost: $140.52/claim|Median: $65.76
2.1× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$412K

2,694 claims · 3.7%

Your Cost: $152.76/claim|Median: $61.57
2.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$401K

9,932 claims · 3.6%

Your Cost: $40.41/claim|Median: $21.76
1.9× median
70450Top 25%

CT head/brain without contrast

$365K

3,875 claims · 3.3%

Your Cost: $94.23/claim|Median: $45.53
2.1× median
G0463Normal range

Hospital outpatient clinic visit

$341K

18K claims · 3.1%

Your Cost: $19.04/claim|Median: $26.41
0.7× median
99282Normal range

Emergency dept visit, low complexity

$320K

4,478 claims · 2.9%

Your Cost: $71.52/claim|Median: $37.72
1.9× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$281K

8,253 claims · 2.5%

Your Cost: $34.05/claim|Median: $9.56
3.6× median
80053Normal range

Comprehensive metabolic panel

$280K

27K claims · 2.5%

Your Cost: $10.35/claim|Median: $7.24
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$223K

1,992 claims · 2.0%

Your Cost: $111.72/claim|Median: $60.19
1.9× median
59025Top 25%

Fetal non-stress test

$206K

2,311 claims · 1.9%

Your Cost: $89.16/claim|Median: $26.45
3.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$168K

4,335 claims · 1.5%

Your Cost: $38.87/claim|Median: $63.08
0.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$129K

2,230 claims · 1.2%

Your Cost: $57.85/claim|Median: $65.64
0.9× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$122K

2,280 claims · 1.1%

Your Cost: $53.50/claim|Median: $54.77
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$114K

4,260 claims · 1.0%

Your Cost: $26.85/claim|Median: $24.49
1.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$106K

7,035 claims · 0.9%

Your Cost: $15.00/claim|Median: $14.92
1.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$99K

1,875 claims · 0.9%

Your Cost: $52.73/claim|Median: $36.79
1.4× median
G0378Normal range

Hospital observation service, per hour

$96K

5,902 claims · 0.9%

Your Cost: $16.28/claim|Median: $99.39
0.2× median
76856Top 25%

Ultrasound, pelvic, complete

$91K

1,031 claims · 0.8%

Your Cost: $87.84/claim|Median: $47.58
1.8× median
36415Top 10%

Collection of venous blood by venipuncture

$90K

16K claims · 0.8%

Your Cost: $5.66/claim|Median: $1.57
3.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$89K

2,755 claims · 0.8%

Your Cost: $32.14/claim|Median: $100.62
0.3× median
01999Top 25%

$88K

1,994 claims · 0.8%

Your Cost: $44.24/claim|Median: $15.72
2.8× median
80048Normal range

Basic metabolic panel

$88K

11K claims · 0.8%

Your Cost: $7.85/claim|Median: $5.78
1.4× median
76705Top 25%

Ultrasound, abdominal, limited

$87K

1,465 claims · 0.8%

Your Cost: $59.25/claim|Median: $23.81
2.5× median
71046Top 25%

Chest X-ray, 2 views

$84K

4,264 claims · 0.8%

Your Cost: $19.67/claim|Median: $8.92
2.2× median
82947Top 5%

Blood glucose level test

$83K

7,480 claims · 0.7%

Your Cost: $11.14/claim|Median: $2.38
4.7× median
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