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Provider 1487647590

NPI: 1487647590Share
Active Billing Period:2018-01→2024-12(75 months)

Total Paid

$18.1M

$18,057,117

Total Claims

631K

Beneficiaries

541K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$28K
+17%
2019
$33K
+4754%
2020
$1.6M
+409%
2021
$8.0M
-61%
2022
$3.1M
-6%
2023
$2.9M
-19%
2024
$2.4M

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 29% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$5.3M

46K claims · 29.3%

Your Cost: $115.07/claim|Median: $69.51
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

28K claims · 12.0%

Your Cost: $78.96/claim|Median: $42.48
1.9× median
G0378Top 25%

Hospital observation service, per hour

$1.7M

5,487 claims · 9.6%

Your Cost: $314.28/claim|Median: $99.39
3.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.4M

10K claims · 7.8%

Your Cost: $136.46/claim|Median: $85.65
1.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$438K

5,151 claims · 2.4%

Your Cost: $84.95/claim|Median: $91.47
0.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$413K

14K claims · 2.3%

Your Cost: $28.66/claim|Median: $121.16
0.2× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$382K

3,428 claims · 2.1%

Your Cost: $111.55/claim|Median: $51.67
2.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$340K

15K claims · 1.9%

Your Cost: $21.98/claim|Median: $21.76
1.0× median
80048Normal range

Basic metabolic panel

$331K

44K claims · 1.8%

Your Cost: $7.54/claim|Median: $5.78
1.3× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$291K

395 claims · 1.6%

Your Cost: $737.06/claim|Median: $5,391.55
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$261K

55K claims · 1.4%

Your Cost: $4.74/claim|Median: $4.71
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$222K

1,735 claims · 1.2%

Your Cost: $128.13/claim|Median: $65.76
1.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$208K

2,632 claims · 1.2%

Your Cost: $79.16/claim|Median: $75.28
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$182K

23K claims · 1.0%

Your Cost: $7.90/claim|Median: $7.50
1.1× median
G0151Top 25%

Physical therapy services, home health, per visit

$162K

1,455 claims · 0.9%

Your Cost: $111.49/claim|Median: $67.94
1.6× median
70450Normal range

CT head/brain without contrast

$155K

2,958 claims · 0.9%

Your Cost: $52.32/claim|Median: $45.53
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$136K

669 claims · 0.8%

Your Cost: $203.29/claim|Median: $151.68
1.3× median
71046Normal range

Chest X-ray, 2 views

$130K

9,067 claims · 0.7%

Your Cost: $14.35/claim|Median: $8.92
1.6× median
70553Normal range

MRI brain without contrast, then with contrast

$103K

502 claims · 0.6%

Your Cost: $205.79/claim|Median: $133.68
1.5× median
73721Top 25%

MRI joint of lower extremity without contrast

$99K

412 claims · 0.5%

Your Cost: $240.32/claim|Median: $127.34
1.9× median
80053Normal range

Comprehensive metabolic panel

$98K

9,703 claims · 0.5%

Your Cost: $10.07/claim|Median: $7.24
1.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$95K

7,245 claims · 0.5%

Your Cost: $13.14/claim|Median: $14.92
0.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$94K

1,463 claims · 0.5%

Your Cost: $64.08/claim|Median: $63.08
1.0× median
88342Top 25%

$90K

2,279 claims · 0.5%

Your Cost: $39.45/claim|Median: $23.66
1.7× median
74176Normal range

CT abdomen and pelvis without contrast

$89K

1,376 claims · 0.5%

Your Cost: $64.83/claim|Median: $60.19
1.1× median
J3490Normal range

Unclassified drugs

$87K

11K claims · 0.5%

Your Cost: $8.07/claim|Median: $5.70
1.4× median
72148Normal range

MRI lumbar spine without contrast

$82K

523 claims · 0.5%

Your Cost: $156.05/claim|Median: $101.03
1.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$79K

5,845 claims · 0.4%

Your Cost: $13.57/claim|Median: $35.80
0.4× median
99502Normal range

$79K

818 claims · 0.4%

Your Cost: $96.75/claim|Median: $59.00
1.6× median
80076Normal range

Hepatic function panel

$77K

11K claims · 0.4%

Your Cost: $7.04/claim|Median: $4.59
1.5× median
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