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Provider 1477559433

NPI: 1477559433Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,973,344

Total Claims

322K

Beneficiaries

253K

1.3 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$3.5M
-29%
2019
$2.5M
+34%
2020
$3.4M
-62%
2021
$1.3M
-39%
2022
$785K
+9%
2023
$854K
-20%
2024
$682K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 18% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.3M

13K claims · 18.0%

Your Cost: $181.68/claim|Median: $69.51
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.9M

17K claims · 14.4%

Your Cost: $107.50/claim|Median: $42.48
2.5× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$804K

2,058 claims · 6.2%

Your Cost: $390.56/claim|Median: $85.65
4.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$449K

8,342 claims · 3.5%

Your Cost: $53.79/claim|Median: $24.49
2.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$364K

7,221 claims · 2.8%

Your Cost: $50.36/claim|Median: $9.56
5.3× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$356K

26K claims · 2.7%

Your Cost: $13.52/claim|Median: $4.71
2.9× median
80053Top 25%

Comprehensive metabolic panel

$332K

21K claims · 2.6%

Your Cost: $15.65/claim|Median: $7.24
2.2× median
99282Normal range

Emergency dept visit, low complexity

$321K

4,550 claims · 2.5%

Your Cost: $70.59/claim|Median: $37.72
1.9× median
74176Normal range

CT abdomen and pelvis without contrast

$276K

2,613 claims · 2.1%

Your Cost: $105.71/claim|Median: $60.19
1.8× median
G0378Normal range

Hospital observation service, per hour

$222K

2,620 claims · 1.7%

Your Cost: $84.75/claim|Median: $99.39
0.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$195K

4,619 claims · 1.5%

Your Cost: $42.12/claim|Median: $21.76
1.9× median
96365Normal range

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

$185K

2,161 claims · 1.4%

Your Cost: $85.57/claim|Median: $54.77
1.6× median
36415Top 5%

Collection of venous blood by venipuncture

$184K

21K claims · 1.4%

Your Cost: $8.91/claim|Median: $1.57
5.7× median
59025Top 25%

Fetal non-stress test

$176K

2,789 claims · 1.4%

Your Cost: $63.01/claim|Median: $26.45
2.4× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$167K

1,928 claims · 1.3%

Your Cost: $86.36/claim|Median: $36.79
2.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$162K

554 claims · 1.2%

Your Cost: $292.33/claim|Median: $65.76
4.4× median
J7040Top 5%

Normal saline solution infusion, 500 cc

$150K

5,060 claims · 1.2%

Your Cost: $29.69/claim|Median: $1.11
26.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$133K

3,707 claims · 1.0%

Your Cost: $35.82/claim|Median: $14.92
2.4× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$131K

3,928 claims · 1.0%

Your Cost: $33.38/claim|Median: $9.87
3.4× median
96361Normal range

IV infusion, hydration, each additional hour

$125K

3,644 claims · 1.0%

Your Cost: $34.23/claim|Median: $38.92
0.9× median
71046Top 10%

Chest X-ray, 2 views

$123K

3,130 claims · 0.9%

Your Cost: $39.29/claim|Median: $8.92
4.4× median
J0702Top 1%

$111K

1,000 claims · 0.9%

Your Cost: $110.53/claim|Median: $7.64
14.5× median
70450Normal range

CT head/brain without contrast

$108K

2,529 claims · 0.8%

Your Cost: $42.88/claim|Median: $45.53
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$107K

5,864 claims · 0.8%

Your Cost: $18.24/claim|Median: $7.50
2.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$93K

2,208 claims · 0.7%

Your Cost: $42.28/claim|Median: $39.70
1.1× median
71045Top 25%

Chest X-ray, single view

$93K

4,404 claims · 0.7%

Your Cost: $21.18/claim|Median: $4.93
4.3× median
84484Top 10%

Troponin, quantitative

$93K

6,288 claims · 0.7%

Your Cost: $14.80/claim|Median: $4.84
3.1× median
83735Top 5%

Magnesium blood level test

$92K

3,391 claims · 0.7%

Your Cost: $27.11/claim|Median: $2.77
9.8× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$88K

1,940 claims · 0.7%

Your Cost: $45.30/claim|Median: $24.95
1.8× median
87591Top 10%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$88K

1,935 claims · 0.7%

Your Cost: $45.40/claim|Median: $23.39
1.9× median
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