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Provider 1477554152

NPI: 1477554152Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.5M

$13,499,156

Total Claims

331K

Beneficiaries

215K

1.5 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+7%
2019
$2.3M
-23%
2020
$1.8M
+47%
2021
$2.6M
-16%
2022
$2.2M
-33%
2023
$1.5M
-46%
2024
$808K

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 73% of total spending.

0450Top 25%

Emergency room visit

$9.8M

65K claims · 72.5%

Your Cost: $151.41/claim|Median: $44.95
3.4× median
0761Top 25%

$780K

21K claims · 5.8%

Your Cost: $36.90/claim|Median: $24.10
1.5× median
0250Normal range

$321K

70K claims · 2.4%

Your Cost: $4.58/claim|Median: $3.70
1.2× median
99284Top 25%

Emergency dept visit, high complexity

$301K

2,847 claims · 2.2%

Your Cost: $105.64/claim|Median: $69.51
1.5× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$239K

4,125 claims · 1.8%

Your Cost: $57.91/claim|Median: $37.81
1.5× median
0370Top 5%

$228K

515 claims · 1.7%

Your Cost: $443.51/claim|Median: $12.04
36.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$215K

2,486 claims · 1.6%

Your Cost: $86.44/claim|Median: $42.48
2.0× median
0360Normal range

$192K

1,609 claims · 1.4%

Your Cost: $119.28/claim|Median: $95.40
1.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$176K

4,412 claims · 1.3%

Your Cost: $39.80/claim|Median: $36.70
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$171K

4,405 claims · 1.3%

Your Cost: $38.86/claim|Median: $33.72
1.2× median
Z7502Normal range

$136K

3,636 claims · 1.0%

Your Cost: $37.27/claim|Median: $37.17
1.0× median
0510Normal range

Revenue code, clinic services

$97K

3,684 claims · 0.7%

Your Cost: $26.37/claim|Median: $28.38
0.9× median
0301Normal range

$86K

58K claims · 0.6%

Your Cost: $1.48/claim|Median: $11.15
0.1× median
A4649Top 25%

Surgical supply, miscellaneous, not otherwise classified

$73K

1,880 claims · 0.5%

Your Cost: $38.65/claim|Median: $5.04
7.7× median
0762Normal range

$68K

382 claims · 0.5%

Your Cost: $177.22/claim|Median: $102.28
1.7× median
0483Normal range

$51K

336 claims · 0.4%

Your Cost: $151.33/claim|Median: $20.62
7.3× median
96379Top 25%

$40K

1,761 claims · 0.3%

Your Cost: $22.80/claim|Median: $5.19
4.4× median
80053Normal range

Comprehensive metabolic panel

$39K

9,420 claims · 0.3%

Your Cost: $4.14/claim|Median: $7.24
0.6× median
0710Normal range

$36K

1,580 claims · 0.3%

Your Cost: $22.96/claim|Median: $18.49
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$36K

759 claims · 0.3%

Your Cost: $47.79/claim|Median: $39.70
1.2× median
0480Normal range

$33K

419 claims · 0.2%

Your Cost: $78.59/claim|Median: $62.79
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$31K

1,451 claims · 0.2%

Your Cost: $21.49/claim|Median: $21.76
1.0× median
77067Top 25%

Screening mammography, bilateral, including CAD

$29K

299 claims · 0.2%

Your Cost: $98.39/claim|Median: $39.33
2.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$29K

872 claims · 0.2%

Your Cost: $33.40/claim|Median: $85.65
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$29K

9,528 claims · 0.2%

Your Cost: $3.01/claim|Median: $4.71
0.6× median
93303Normal range

Echocardiography, transthoracic, limited

$23K

148 claims · 0.2%

Your Cost: $154.30/claim|Median: $112.83
1.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$17K

575 claims · 0.1%

Your Cost: $29.38/claim|Median: $35.43
0.8× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$16K

591 claims · 0.1%

Your Cost: $26.83/claim|Median: $37.56
0.7× median
0403Top 25%

$15K

154 claims · 0.1%

Your Cost: $96.48/claim|Median: $66.37
1.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$14K

1,683 claims · 0.1%

Your Cost: $8.18/claim|Median: $7.50
1.1× median
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