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Provider 1487696985

NPI: 1487696985Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.3M

$13,281,079

Total Claims

184K

Beneficiaries

106K

1.7 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-2%
2019
$1.7M
-18%
2020
$1.4M
+65%
2021
$2.3M
+15%
2022
$2.6M
-26%
2023
$2.0M
-20%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 20% of total spending.

99214Normal range

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

$2.7M

42K claims · 20.0%

Your Cost: $63.00/claim|Median: $53.41
1.2× median
99213Normal range

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

$2.6M

51K claims · 19.5%

Your Cost: $50.55/claim|Median: $37.81
1.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.2M

8,170 claims · 16.4%

Your Cost: $267.36/claim|Median: $42.48
6.3× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$1.1M

1,815 claims · 8.1%

Your Cost: $592.68/claim|Median: $85.65
6.9× median
99282Top 5%

Emergency dept visit, low complexity

$949K

5,119 claims · 7.1%

Your Cost: $185.40/claim|Median: $37.72
4.9× median
99284Top 5%

Emergency dept visit, high complexity

$361K

847 claims · 2.7%

Your Cost: $426.59/claim|Median: $69.51
6.1× median
80053Top 10%

Comprehensive metabolic panel

$351K

9,758 claims · 2.6%

Your Cost: $35.94/claim|Median: $7.24
5.0× median
97530Top 1%

Therapeutic activities, each 15 min

$267K

1,036 claims · 2.0%

Your Cost: $257.38/claim|Median: $33.11
7.8× median
99215Normal range

Office/outpatient visit, high complexity

$257K

3,068 claims · 1.9%

Your Cost: $83.89/claim|Median: $74.09
1.1× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$229K

10K claims · 1.7%

Your Cost: $22.76/claim|Median: $4.71
4.8× median
99212Top 25%

Office/outpatient visit, low complexity

$214K

5,441 claims · 1.6%

Your Cost: $39.29/claim|Median: $25.06
1.6× median
97110Top 1%

Therapeutic exercises, each 15 min

$184K

1,384 claims · 1.4%

Your Cost: $133.25/claim|Median: $24.49
5.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$158K

1,653 claims · 1.2%

Your Cost: $95.35/claim|Median: $75.18
1.3× median
45380Top 25%

Colonoscopy with biopsy

$155K

284 claims · 1.2%

Your Cost: $547.35/claim|Median: $200.68
2.7× median
36415Top 5%

Collection of venous blood by venipuncture

$146K

11K claims · 1.1%

Your Cost: $13.60/claim|Median: $1.57
8.7× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$109K

493 claims · 0.8%

Your Cost: $220.44/claim|Median: $35.80
6.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$106K

1,273 claims · 0.8%

Your Cost: $83.65/claim|Median: $69.35
1.2× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$86K

1,482 claims · 0.6%

Your Cost: $57.82/claim|Median: $7.50
7.7× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$83K

706 claims · 0.6%

Your Cost: $118.11/claim|Median: $39.70
3.0× median
92507Top 1%

Speech/hearing/language treatment

$72K

477 claims · 0.5%

Your Cost: $151.31/claim|Median: $49.45
3.1× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$69K

654 claims · 0.5%

Your Cost: $105.16/claim|Median: $28.46
3.7× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$61K

679 claims · 0.5%

Your Cost: $90.15/claim|Median: $35.43
2.5× median
C9803Top 25%

$52K

1,960 claims · 0.4%

Your Cost: $26.63/claim|Median: $13.20
2.0× median
71046Top 5%

Chest X-ray, 2 views

$48K

471 claims · 0.4%

Your Cost: $102.90/claim|Median: $8.92
11.5× median
0241UTop 1%

Proprietary lab analysis, genomic sequencing

$48K

179 claims · 0.4%

Your Cost: $269.02/claim|Median: $91.47
2.9× median
81001Top 5%

Urinalysis, automated, with microscopy

$47K

2,286 claims · 0.4%

Your Cost: $20.63/claim|Median: $2.03
10.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$43K

474 claims · 0.3%

Your Cost: $90.73/claim|Median: $74.82
1.2× median
90837Top 5%

Psychotherapy, 60 minutes

$39K

237 claims · 0.3%

Your Cost: $165.39/claim|Median: $85.66
1.9× median
80061Top 5%

Lipid panel

$38K

1,002 claims · 0.3%

Your Cost: $37.60/claim|Median: $8.41
4.5× median
99281Normal range

Emergency dept visit, minimal complexity

$33K

435 claims · 0.3%

Your Cost: $76.44/claim|Median: $52.03
1.5× median
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