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Provider 1477859254

NPI: 1477859254Share
Active Billing Period:2018-01→2024-08(80 months)

Total Paid

$10.9M

$10,896,208

Total Claims

241K

Beneficiaries

199K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-8%
2019
$1.5M
-19%
2020
$1.3M
+41%
2021
$1.8M
+12%
2022
$2.0M
-14%
2023
$1.7M
-47%
2024
$913K

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 15% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$1.7M

11K claims · 15.4%

Your Cost: $152.14/claim|Median: $42.48
3.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.3M

7,959 claims · 11.5%

Your Cost: $158.02/claim|Median: $85.65
1.8× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

7,062 claims · 9.7%

Your Cost: $150.17/claim|Median: $69.51
2.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.1M

15K claims · 9.7%

Your Cost: $68.90/claim|Median: $24.49
2.8× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.0M

3,084 claims · 9.2%

Your Cost: $326.74/claim|Median: $38.92
8.4× median
43239Top 5%

Upper GI endoscopy with biopsy

$1.0M

1,293 claims · 9.2%

Your Cost: $773.76/claim|Median: $151.68
5.1× median
99214Top 5%

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

$440K

2,762 claims · 4.0%

Your Cost: $159.31/claim|Median: $53.41
3.0× median
99211Top 5%

Office/outpatient visit, minimal complexity

$260K

1,845 claims · 2.4%

Your Cost: $140.78/claim|Median: $12.93
10.9× median
G0463Normal range

Hospital outpatient clinic visit

$221K

7,473 claims · 2.0%

Your Cost: $29.51/claim|Median: $26.41
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$210K

1,513 claims · 1.9%

Your Cost: $138.92/claim|Median: $65.76
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$205K

3,963 claims · 1.9%

Your Cost: $51.71/claim|Median: $63.08
0.8× median
99282Top 25%

Emergency dept visit, low complexity

$185K

1,465 claims · 1.7%

Your Cost: $126.54/claim|Median: $37.72
3.4× median
70450Top 25%

CT head/brain without contrast

$172K

1,615 claims · 1.6%

Your Cost: $106.78/claim|Median: $45.53
2.3× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$156K

1,912 claims · 1.4%

Your Cost: $81.61/claim|Median: $21.41
3.8× median
96365Top 25%

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

$155K

1,267 claims · 1.4%

Your Cost: $122.46/claim|Median: $54.77
2.2× median
45380Top 5%

Colonoscopy with biopsy

$136K

158 claims · 1.3%

Your Cost: $862.57/claim|Median: $200.68
4.3× median
97162Top 25%

PT evaluation, moderate complexity

$130K

1,732 claims · 1.2%

Your Cost: $74.83/claim|Median: $46.10
1.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$86K

3,981 claims · 0.8%

Your Cost: $21.62/claim|Median: $16.79
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$69K

2,071 claims · 0.6%

Your Cost: $33.50/claim|Median: $35.43
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$68K

3,898 claims · 0.6%

Your Cost: $17.40/claim|Median: $15.76
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$66K

15K claims · 0.6%

Your Cost: $4.32/claim|Median: $4.71
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$60K

1,155 claims · 0.6%

Your Cost: $52.20/claim|Median: $65.64
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$60K

1,299 claims · 0.5%

Your Cost: $46.02/claim|Median: $39.70
1.2× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$59K

2,497 claims · 0.5%

Your Cost: $23.77/claim|Median: $30.04
0.8× median
71046Normal range

Chest X-ray, 2 views

$54K

4,326 claims · 0.5%

Your Cost: $12.57/claim|Median: $8.92
1.4× median
45378Top 5%

Colonoscopy, diagnostic

$51K

35 claims · 0.5%

Your Cost: $1,470.02/claim|Median: $225.49
6.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$46K

2,018 claims · 0.4%

Your Cost: $22.96/claim|Median: $39.33
0.6× median
ATP14Normal range

$41K

5,474 claims · 0.4%

Your Cost: $7.49/claim|Median: $6.69
1.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$41K

196 claims · 0.4%

Your Cost: $207.09/claim|Median: $54.68
3.8× median
99213Top 5%

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

$39K

283 claims · 0.4%

Your Cost: $136.14/claim|Median: $37.81
3.6× median
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