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Provider 1477522019

NPI: 1477522019Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$9.5M

$9,493,946

Total Claims

319K

Beneficiaries

280K

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$600K
+68%
2019
$1.0M
-14%
2020
$871K
+38%
2021
$1.2M
+28%
2022
$1.5M
+3%
2023
$1.6M
+71%
2024
$2.7M

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 11% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$1.1M

19K claims · 11.4%

Your Cost: $58.42/claim|Median: $42.48
1.4× median
0450Normal range

Emergency room visit

$1.1M

21K claims · 11.3%

Your Cost: $51.54/claim|Median: $44.95
1.1× median
99284Top 25%

Emergency dept visit, high complexity

$870K

9,015 claims · 9.2%

Your Cost: $96.54/claim|Median: $69.51
1.4× median
99281Top 25%

Emergency dept visit, minimal complexity

$659K

4,449 claims · 6.9%

Your Cost: $148.16/claim|Median: $52.03
2.8× median
74176Normal range

CT abdomen and pelvis without contrast

$402K

3,585 claims · 4.2%

Your Cost: $112.10/claim|Median: $60.19
1.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$364K

7,652 claims · 3.8%

Your Cost: $47.63/claim|Median: $39.70
1.2× median
99199Top 25%

Unlisted special service, procedure, or report

$352K

6,936 claims · 3.7%

Your Cost: $50.80/claim|Median: $5.39
9.4× median
70450Top 25%

CT head/brain without contrast

$319K

2,751 claims · 3.4%

Your Cost: $115.94/claim|Median: $45.53
2.5× median
80053Top 25%

Comprehensive metabolic panel

$245K

20K claims · 2.6%

Your Cost: $12.13/claim|Median: $7.24
1.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$242K

3,371 claims · 2.6%

Your Cost: $71.93/claim|Median: $21.76
3.3× median
77067Top 25%

Screening mammography, bilateral, including CAD

$239K

3,115 claims · 2.5%

Your Cost: $76.87/claim|Median: $39.33
2.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$191K

8,060 claims · 2.0%

Your Cost: $23.66/claim|Median: $9.56
2.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$178K

6,245 claims · 1.9%

Your Cost: $28.51/claim|Median: $7.50
3.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$175K

722 claims · 1.8%

Your Cost: $241.90/claim|Median: $65.76
3.7× median
76700Normal range

Ultrasound, abdominal, complete

$170K

2,153 claims · 1.8%

Your Cost: $78.88/claim|Median: $50.69
1.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$151K

18K claims · 1.6%

Your Cost: $8.50/claim|Median: $4.71
1.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$130K

1,080 claims · 1.4%

Your Cost: $120.40/claim|Median: $85.65
1.4× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$117K

6,185 claims · 1.2%

Your Cost: $18.84/claim|Median: $9.87
1.9× median
71046Top 25%

Chest X-ray, 2 views

$113K

5,511 claims · 1.2%

Your Cost: $20.44/claim|Median: $8.92
2.3× median
97110Normal range

Therapeutic exercises, each 15 min

$110K

5,115 claims · 1.2%

Your Cost: $21.57/claim|Median: $24.49
0.9× median
96365Top 25%

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

$103K

896 claims · 1.1%

Your Cost: $115.21/claim|Median: $54.77
2.1× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$102K

2,763 claims · 1.1%

Your Cost: $37.10/claim|Median: $21.41
1.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$98K

2,308 claims · 1.0%

Your Cost: $42.55/claim|Median: $14.92
2.9× median
0360Normal range

$89K

600 claims · 0.9%

Your Cost: $149.16/claim|Median: $95.40
1.6× median
71045Top 25%

Chest X-ray, single view

$88K

6,636 claims · 0.9%

Your Cost: $13.30/claim|Median: $4.93
2.7× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$87K

13K claims · 0.9%

Your Cost: $6.74/claim|Median: $13.14
0.5× median
80061Top 25%

Lipid panel

$78K

6,032 claims · 0.8%

Your Cost: $13.00/claim|Median: $8.41
1.5× median
72125Top 10%

CT cervical spine without contrast

$74K

362 claims · 0.8%

Your Cost: $204.16/claim|Median: $32.30
6.3× median
82306Normal range

Vitamin D, 25 hydroxy

$70K

2,889 claims · 0.7%

Your Cost: $24.34/claim|Median: $18.18
1.3× median
80306Top 25%

$66K

4,122 claims · 0.7%

Your Cost: $16.03/claim|Median: $10.29
1.6× median