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Provider 1467459776

NPI: 1467459776Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.9M

$17,913,808

Total Claims

704K

Beneficiaries

616K

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-14%
2019
$1.8M
-12%
2020
$1.6M
+24%
2021
$1.9M
+78%
2022
$3.5M
+23%
2023
$4.2M
-34%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 18% of total spending.

0450Normal range

Emergency room visit

$3.2M

78K claims · 17.6%

Your Cost: $40.60/claim|Median: $44.95
0.9× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$1.9M

7,432 claims · 10.4%

Your Cost: $250.74/claim|Median: $144.30
1.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.2M

6,240 claims · 6.7%

Your Cost: $193.02/claim|Median: $85.65
2.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$639K

13K claims · 3.6%

Your Cost: $50.58/claim|Median: $21.76
2.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$541K

2,833 claims · 3.0%

Your Cost: $190.95/claim|Median: $65.76
2.9× median
74176Normal range

CT abdomen and pelvis without contrast

$527K

6,083 claims · 2.9%

Your Cost: $86.62/claim|Median: $60.19
1.4× median
96365Normal range

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

$487K

7,161 claims · 2.7%

Your Cost: $67.97/claim|Median: $54.77
1.2× median
70450Top 25%

CT head/brain without contrast

$481K

6,153 claims · 2.7%

Your Cost: $78.10/claim|Median: $45.53
1.7× median
99284Top 25%

Emergency dept visit, high complexity

$464K

4,712 claims · 2.6%

Your Cost: $98.54/claim|Median: $69.51
1.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$453K

4,308 claims · 2.5%

Your Cost: $105.17/claim|Median: $91.47
1.1× median
80048Top 25%

Basic metabolic panel

$428K

40K claims · 2.4%

Your Cost: $10.76/claim|Median: $5.78
1.9× median
J0131Top 5%

$386K

2,123 claims · 2.2%

Your Cost: $181.94/claim|Median: $5.78
31.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$369K

3,240 claims · 2.1%

Your Cost: $114.00/claim|Median: $97.61
1.2× median
99199Top 25%

Unlisted special service, procedure, or report

$362K

11K claims · 2.0%

Your Cost: $34.39/claim|Median: $5.39
6.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$335K

3,792 claims · 1.9%

Your Cost: $88.34/claim|Median: $42.48
2.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$322K

18K claims · 1.8%

Your Cost: $18.15/claim|Median: $7.50
2.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$322K

11K claims · 1.8%

Your Cost: $28.44/claim|Median: $14.92
1.9× median
J3490Normal range

Unclassified drugs

$252K

20K claims · 1.4%

Your Cost: $12.81/claim|Median: $5.70
2.2× median
96361Normal range

IV infusion, hydration, each additional hour

$245K

10K claims · 1.4%

Your Cost: $23.32/claim|Median: $38.92
0.6× median
J0134Top 1%

$240K

1,384 claims · 1.3%

Your Cost: $173.15/claim|Median: $1.93
89.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$217K

44K claims · 1.2%

Your Cost: $4.98/claim|Median: $4.71
1.1× median
76700Normal range

Ultrasound, abdominal, complete

$212K

3,560 claims · 1.2%

Your Cost: $59.58/claim|Median: $50.69
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$202K

11K claims · 1.1%

Your Cost: $18.33/claim|Median: $9.56
1.9× median
96360Normal range

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

$189K

3,065 claims · 1.1%

Your Cost: $61.77/claim|Median: $61.57
1.0× median
71045Top 25%

Chest X-ray, single view

$163K

16K claims · 0.9%

Your Cost: $10.16/claim|Median: $4.93
2.1× median
76830Normal range

Ultrasound, transvaginal

$141K

2,713 claims · 0.8%

Your Cost: $52.15/claim|Median: $57.47
0.9× median
71046Top 25%

Chest X-ray, 2 views

$129K

7,356 claims · 0.7%

Your Cost: $17.60/claim|Median: $8.92
2.0× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$124K

1,835 claims · 0.7%

Your Cost: $67.70/claim|Median: $25.43
2.7× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$123K

426 claims · 0.7%

Your Cost: $288.26/claim|Median: $169.17
1.7× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$118K

8,918 claims · 0.7%

Your Cost: $13.20/claim|Median: $0.58
22.8× median
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