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Provider 1487759858

NPI: 1487759858Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,358,234

Total Claims

245K

Beneficiaries

228K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+18%
2019
$1.9M
-8%
2020
$1.8M
+32%
2021
$2.3M
-5%
2022
$2.2M
-20%
2023
$1.8M
-60%
2024
$715K

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 30% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$3.7M

17K claims · 29.9%

Your Cost: $222.98/claim|Median: $69.51
3.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.9M

20K claims · 23.8%

Your Cost: $148.90/claim|Median: $42.48
3.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.6M

5,580 claims · 13.2%

Your Cost: $291.38/claim|Median: $85.65
3.4× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$923K

7,877 claims · 7.5%

Your Cost: $117.23/claim|Median: $21.76
5.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$548K

45K claims · 4.4%

Your Cost: $12.27/claim|Median: $12.93
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$381K

6,302 claims · 3.1%

Your Cost: $60.40/claim|Median: $38.92
1.6× median
69436Top 25%

Tympanostomy, general anesthesia

$290K

356 claims · 2.3%

Your Cost: $814.32/claim|Median: $205.50
4.0× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$204K

624 claims · 1.7%

Your Cost: $327.22/claim|Median: $144.30
2.3× median
87428Normal range

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

$195K

5,649 claims · 1.6%

Your Cost: $34.43/claim|Median: $39.63
0.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$176K

4,446 claims · 1.4%

Your Cost: $39.53/claim|Median: $14.92
2.6× median
43239Top 25%

Upper GI endoscopy with biopsy

$143K

415 claims · 1.2%

Your Cost: $345.69/claim|Median: $151.68
2.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$142K

10K claims · 1.1%

Your Cost: $14.12/claim|Median: $11.48
1.2× median
71046Top 10%

Chest X-ray, 2 views

$128K

2,740 claims · 1.0%

Your Cost: $46.89/claim|Median: $8.92
5.3× median
43249Top 5%

Upper GI endoscopy with balloon dilation of esophagus

$109K

112 claims · 0.9%

Your Cost: $968.75/claim|Median: $153.37
6.3× median
87804Top 10%

Influenza virus detection, rapid test

$87K

3,084 claims · 0.7%

Your Cost: $28.24/claim|Median: $12.59
2.2× median
94060Top 5%

$77K

416 claims · 0.6%

Your Cost: $185.90/claim|Median: $25.18
7.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$60K

26K claims · 0.5%

Your Cost: $2.28/claim|Median: $4.71
0.5× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$58K

13 claims · 0.5%

Your Cost: $4,437.17/claim|Median: $331.68
13.4× median
G0463Top 25%

Hospital outpatient clinic visit

$47K

580 claims · 0.4%

Your Cost: $81.23/claim|Median: $26.41
3.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$42K

648 claims · 0.3%

Your Cost: $65.47/claim|Median: $63.08
1.0× median
71045Top 5%

Chest X-ray, single view

$35K

726 claims · 0.3%

Your Cost: $48.88/claim|Median: $4.93
9.9× median
99282Normal range

Emergency dept visit, low complexity

$35K

402 claims · 0.3%

Your Cost: $86.20/claim|Median: $37.72
2.3× median
80053Normal range

Comprehensive metabolic panel

$33K

20K claims · 0.3%

Your Cost: $1.63/claim|Median: $7.24
0.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$32K

313 claims · 0.3%

Your Cost: $103.19/claim|Median: $91.47
1.1× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$29K

231 claims · 0.2%

Your Cost: $125.82/claim|Median: $36.13
3.5× median
G0379Top 5%

Direct admission to hospital observation

$25K

12 claims · 0.2%

Your Cost: $2,076.57/claim|Median: $48.25
43.0× median
99281Normal range

Emergency dept visit, minimal complexity

$23K

3,435 claims · 0.2%

Your Cost: $6.60/claim|Median: $52.03
0.1× median
87426Top 10%

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

$22K

509 claims · 0.2%

Your Cost: $42.77/claim|Median: $30.04
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$19K

609 claims · 0.2%

Your Cost: $30.89/claim|Median: $24.95
1.2× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$16K

44 claims · 0.1%

Your Cost: $360.89/claim|Median: $111.02
3.3× median
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