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Provider 1487865184

NPI: 1487865184Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,626,457

Total Claims

2.0M

Beneficiaries

1.7M

1.2 claims/patient

Avg Cost/Claim

$4

Monthly Spending Trend

Yearly Spending

2018
$22
+1377274%
2019
$300K
+120%
2020
$660K
+80%
2021
$1.2M
+81%
2022
$2.2M
+3%
2023
$2.2M
-50%
2024
$1.1M

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 56% of total spending.

0450Normal range

Emergency room visit

$4.2M

79K claims · 55.5%

Your Cost: $53.30/claim|Median: $44.95
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$507K

52K claims · 6.6%

Your Cost: $9.82/claim|Median: $42.48
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$316K

4,431 claims · 4.1%

Your Cost: $71.32/claim|Median: $111.09
0.6× median
99199Top 25%

Unlisted special service, procedure, or report

$291K

6,934 claims · 3.8%

Your Cost: $41.91/claim|Median: $5.39
7.8× median
0206Normal range

$208K

1,920 claims · 2.7%

Your Cost: $108.34/claim|Median: $2,282.75
0.0× median
99281Normal range

Emergency dept visit, minimal complexity

$185K

26K claims · 2.4%

Your Cost: $7.14/claim|Median: $52.03
0.1× median
0510Normal range

Revenue code, clinic services

$160K

11K claims · 2.1%

Your Cost: $14.21/claim|Median: $28.38
0.5× median
G0463Normal range

Hospital outpatient clinic visit

$134K

4,526 claims · 1.8%

Your Cost: $29.63/claim|Median: $26.41
1.1× median
99284Normal range

Emergency dept visit, high complexity

$132K

25K claims · 1.7%

Your Cost: $5.36/claim|Median: $69.51
0.1× median
0200Normal range

$122K

815 claims · 1.6%

Your Cost: $149.53/claim|Median: $3,200.11
0.0× median
0131Normal range

$122K

119 claims · 1.6%

Your Cost: $1,022.31/claim|Median: $1,760.95
0.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$95K

12K claims · 1.2%

Your Cost: $7.84/claim|Median: $85.65
0.1× median
G9008Normal range

Coordination of long-term care services, per month

$91K

7,466 claims · 1.2%

Your Cost: $12.18/claim|Median: $66.78
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$79K

12K claims · 1.0%

Your Cost: $6.52/claim|Median: $74.09
0.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$71K

1,679 claims · 0.9%

Your Cost: $42.16/claim|Median: $21.76
1.9× median
0111Normal range

$65K

110 claims · 0.9%

Your Cost: $590.28/claim|Median: $862.89
0.7× median
93010Top 5%

Electrocardiogram, interpretation and report only

$53K

4,695 claims · 0.7%

Your Cost: $11.38/claim|Median: $5.60
2.0× median
0760Normal range

$50K

2,320 claims · 0.6%

Your Cost: $21.37/claim|Median: $22.01
1.0× median
99282Normal range

Emergency dept visit, low complexity

$47K

13K claims · 0.6%

Your Cost: $3.67/claim|Median: $37.72
0.1× median
99221Normal range

Initial hospital care, straightforward/low

$45K

1,741 claims · 0.6%

Your Cost: $25.76/claim|Median: $39.96
0.6× median
71260Normal range

CT chest with contrast

$32K

2,134 claims · 0.4%

Your Cost: $14.83/claim|Median: $48.36
0.3× median
90715Normal range

Tdap vaccine

$30K

4,851 claims · 0.4%

Your Cost: $6.28/claim|Median: $10.32
0.6× median
G0384Top 10%

$25K

78 claims · 0.3%

Your Cost: $317.91/claim|Median: $128.12
2.5× median
74174Normal range

$21K

5,329 claims · 0.3%

Your Cost: $3.86/claim|Median: $89.41
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$19K

1,513 claims · 0.3%

Your Cost: $12.65/claim|Median: $9.56
1.3× median
92100Normal range

$16K

1,818 claims · 0.2%

Your Cost: $8.82/claim|Median: $30.29
0.3× median
92250Normal range

Fundus photography with interpretation and report

$16K

4,413 claims · 0.2%

Your Cost: $3.57/claim|Median: $27.95
0.1× median
70450Normal range

CT head/brain without contrast

$15K

5,128 claims · 0.2%

Your Cost: $2.94/claim|Median: $45.53
0.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$15K

1,184 claims · 0.2%

Your Cost: $12.35/claim|Median: $14.92
0.8× median
0100Normal range

$13K

11K claims · 0.2%

Your Cost: $1.23/claim|Median: $1,532.41
0.0× median
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