Provider 1487697215
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
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.
Emergency room visit
$2.4M
55K claims · 18.7%
$807K
8,244 claims
$97.91
$52.03
Emergency dept visit, minimal complexity
$807K
8,244 claims · 6.3%
CT head/brain without contrast
$621K
3,966 claims · 4.8%
$604K
16K claims · 4.7%
$486K
3,550 claims
$136.99
$69.51
Emergency dept visit, high complexity
$486K
3,550 claims · 3.8%
$415K
1,983 claims
$209.48
$85.65
Emergency dept visit, high/urgent complexity
$415K
1,983 claims · 3.2%
$399K
2,230 claims
$178.88
$65.76
CT abdomen and pelvis with contrast
$399K
2,230 claims · 3.1%
$314K
2,496 claims
$125.85
$42.48
Emergency dept visit, moderate complexity
$314K
2,496 claims · 2.4%
$272K
14K claims
$19.42
$7.50
Electrocardiogram, tracing only, without interpretation
$272K
14K claims · 2.1%
Comprehensive metabolic panel
$259K
20K claims · 2.0%
$250K
632 claims · 1.9%
Chest X-ray, 2 views
$236K
13K claims · 1.8%
$209K
5,265 claims
$39.76
$21.76
Therapeutic/prophylactic/diagnostic IV push, single substance
$209K
5,265 claims · 1.6%
$197K
30K claims
$6.59
$4.71
Complete blood count (CBC) with differential, automated
$197K
30K claims · 1.5%
CT cervical spine without contrast
$194K
1,108 claims · 1.5%
$173K
1,357 claims · 1.3%
$171K
70 claims · 1.3%
$168K
9,747 claims
$17.22
$9.56
Therapeutic injection, subcutaneous/intramuscular
$168K
9,747 claims · 1.3%
$159K
885 claims
$179.43
$60.19
CT abdomen and pelvis without contrast
$159K
885 claims · 1.2%
$145K
3,374 claims · 1.1%
$141K
5,180 claims
$27.26
$38.92
IV infusion, hydration, each additional hour
$141K
5,180 claims · 1.1%
$141K
1,240 claims · 1.1%
$117K
2,615 claims
$44.76
$61.57
IV infusion, hydration, initial, 31 minutes to 1 hour
$117K
2,615 claims · 0.9%
$114K
289 claims · 0.9%
$106K
2,129 claims
$49.91
$37.56
Drug test, definitive, 1-7 drug classes
$106K
2,129 claims · 0.8%
$106K
1,830 claims
$57.93
$58.16
Ultrasound, pregnant uterus, single fetus, first trimester
$106K
1,830 claims · 0.8%
$102K
1,357 claims
$75.34
$37.72
Emergency dept visit, low complexity
$102K
1,357 claims · 0.8%
Ultrasound, pelvic, complete
$102K
1,752 claims · 0.8%
Ultrasound, abdominal, limited
$97K
1,816 claims · 0.7%
$95K
1,210 claims
$78.18
$106.79
Ultrasound, pregnant uterus, detailed, single fetus
$95K
1,210 claims · 0.7%