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Provider 1487697215

NPI: 1487697215Share
Active Billing Period:2018-012021-01(37 months)
Billing appears to have stoppedLast active: 2021-01

Total Paid

$12.9M

$12,911,061

Total Claims

547K

Beneficiaries

475K

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$4.5M
+28%
2019
$5.8M
-56%
2020
$2.6M
-100%
2021
$495

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 19% of total spending.

0450Normal range

Emergency room visit

$2.4M

55K claims · 18.7%

Your Cost: $43.84/claim|Median: $44.95
1.0× median
99281Normal range

Emergency dept visit, minimal complexity

$807K

8,244 claims · 6.3%

Your Cost: $97.91/claim|Median: $52.03
1.9× median
70450Top 25%

CT head/brain without contrast

$621K

3,966 claims · 4.8%

Your Cost: $156.67/claim|Median: $45.53
3.4× median
Z7502Top 25%

$604K

16K claims · 4.7%

Your Cost: $37.80/claim|Median: $37.17
1.0× median
99284Top 25%

Emergency dept visit, high complexity

$486K

3,550 claims · 3.8%

Your Cost: $136.99/claim|Median: $69.51
2.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$415K

1,983 claims · 3.2%

Your Cost: $209.48/claim|Median: $85.65
2.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$399K

2,230 claims · 3.1%

Your Cost: $178.88/claim|Median: $65.76
2.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$314K

2,496 claims · 2.4%

Your Cost: $125.85/claim|Median: $42.48
3.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$272K

14K claims · 2.1%

Your Cost: $19.42/claim|Median: $7.50
2.6× median
80053Top 25%

Comprehensive metabolic panel

$259K

20K claims · 2.0%

Your Cost: $12.73/claim|Median: $7.24
1.8× median
0111Normal range

$250K

632 claims · 1.9%

Your Cost: $395.18/claim|Median: $862.89
0.5× median
71046Top 25%

Chest X-ray, 2 views

$236K

13K claims · 1.8%

Your Cost: $17.70/claim|Median: $8.92
2.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$209K

5,265 claims · 1.6%

Your Cost: $39.76/claim|Median: $21.76
1.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$197K

30K claims · 1.5%

Your Cost: $6.59/claim|Median: $4.71
1.4× median
72125Top 10%

CT cervical spine without contrast

$194K

1,108 claims · 1.5%

Your Cost: $174.75/claim|Median: $32.30
5.4× median
76377Top 5%

$173K

1,357 claims · 1.3%

Your Cost: $127.47/claim|Median: $20.27
6.3× median
0682Normal range

$171K

70 claims · 1.3%

Your Cost: $2,448.25/claim|Median: $1,381.88
1.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$168K

9,747 claims · 1.3%

Your Cost: $17.22/claim|Median: $9.56
1.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$159K

885 claims · 1.2%

Your Cost: $179.43/claim|Median: $60.19
3.0× median
Z9725Top 1%

$145K

3,374 claims · 1.1%

Your Cost: $43.03/claim|Median: $42.99
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$141K

5,180 claims · 1.1%

Your Cost: $27.26/claim|Median: $38.92
0.7× median
93976Top 25%

$141K

1,240 claims · 1.1%

Your Cost: $113.56/claim|Median: $42.06
2.7× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$117K

2,615 claims · 0.9%

Your Cost: $44.76/claim|Median: $61.57
0.7× median
0206Normal range

$114K

289 claims · 0.9%

Your Cost: $393.58/claim|Median: $2,282.75
0.2× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$106K

2,129 claims · 0.8%

Your Cost: $49.91/claim|Median: $37.56
1.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$106K

1,830 claims · 0.8%

Your Cost: $57.93/claim|Median: $58.16
1.0× median
99282Normal range

Emergency dept visit, low complexity

$102K

1,357 claims · 0.8%

Your Cost: $75.34/claim|Median: $37.72
2.0× median
76856Normal range

Ultrasound, pelvic, complete

$102K

1,752 claims · 0.8%

Your Cost: $58.23/claim|Median: $47.58
1.2× median
76705Normal range

Ultrasound, abdominal, limited

$97K

1,816 claims · 0.7%

Your Cost: $53.14/claim|Median: $23.81
2.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$95K

1,210 claims · 0.7%

Your Cost: $78.18/claim|Median: $106.79
0.7× median