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Provider 1497003610

NPI: 1497003610Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,305,587

Total Claims

190K

Beneficiaries

87K

2.2 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+26%
2019
$2.3M
-41%
2020
$1.4M
-19%
2021
$1.1M
-22%
2022
$862K
+25%
2023
$1.1M
-32%
2024
$729K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0176 (Activity therapy (group), per session)) accounts for 43% of total spending.

G0176Normal range

Activity therapy (group), per session

$4.0M

36K claims · 42.6%

Your Cost: $109.11/claim|Median: $85.09
1.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

14K claims · 14.6%

Your Cost: $97.94/claim|Median: $42.48
2.3× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

9,626 claims · 14.1%

Your Cost: $136.46/claim|Median: $69.51
2.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$380K

2,141 claims · 4.1%

Your Cost: $177.41/claim|Median: $85.65
2.1× median
G0410Normal range

$286K

35K claims · 3.1%

Your Cost: $8.06/claim|Median: $24.14
0.3× median
99282Normal range

Emergency dept visit, low complexity

$215K

2,936 claims · 2.3%

Your Cost: $73.37/claim|Median: $37.72
1.9× median
G0378Top 25%

Hospital observation service, per hour

$195K

357 claims · 2.1%

Your Cost: $546.94/claim|Median: $99.39
5.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$195K

2,038 claims · 2.1%

Your Cost: $95.48/claim|Median: $21.76
4.4× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$165K

1,744 claims · 1.8%

Your Cost: $94.39/claim|Median: $54.77
1.7× median
71045Top 10%

Chest X-ray, single view

$162K

5,457 claims · 1.7%

Your Cost: $29.68/claim|Median: $4.93
6.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$160K

4,575 claims · 1.7%

Your Cost: $34.89/claim|Median: $9.56
3.7× median
70450Normal range

CT head/brain without contrast

$91K

1,575 claims · 1.0%

Your Cost: $57.94/claim|Median: $45.53
1.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$86K

3,876 claims · 0.9%

Your Cost: $22.30/claim|Median: $7.50
3.0× median
74176Normal range

CT abdomen and pelvis without contrast

$59K

464 claims · 0.6%

Your Cost: $126.73/claim|Median: $60.19
2.1× median
87426Normal range

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

$58K

2,398 claims · 0.6%

Your Cost: $24.13/claim|Median: $30.04
0.8× median
80053Normal range

Comprehensive metabolic panel

$54K

7,775 claims · 0.6%

Your Cost: $6.90/claim|Median: $7.24
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$53K

1,245 claims · 0.6%

Your Cost: $42.26/claim|Median: $35.43
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$46K

8,562 claims · 0.5%

Your Cost: $5.41/claim|Median: $4.71
1.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$46K

1,107 claims · 0.5%

Your Cost: $41.28/claim|Median: $34.62
1.2× median
96360Normal range

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

$45K

489 claims · 0.5%

Your Cost: $91.70/claim|Median: $61.57
1.5× median
96361Normal range

IV infusion, hydration, each additional hour

$36K

493 claims · 0.4%

Your Cost: $72.29/claim|Median: $38.92
1.9× median
86710Normal range

$32K

3,458 claims · 0.3%

Your Cost: $9.38/claim|Median: $12.47
0.8× median
71046Top 10%

Chest X-ray, 2 views

$32K

859 claims · 0.3%

Your Cost: $37.18/claim|Median: $8.92
4.2× median
74018Top 10%

$25K

692 claims · 0.3%

Your Cost: $35.87/claim|Median: $7.00
5.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$24K

813 claims · 0.3%

Your Cost: $29.12/claim|Median: $14.92
2.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$24K

774 claims · 0.3%

Your Cost: $30.40/claim|Median: $30.53
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$23K

10K claims · 0.2%

Your Cost: $2.27/claim|Median: $1.57
1.4× median
84484Normal range

Troponin, quantitative

$22K

3,235 claims · 0.2%

Your Cost: $6.89/claim|Median: $4.84
1.4× median
99281Normal range

Emergency dept visit, minimal complexity

$21K

474 claims · 0.2%

Your Cost: $43.44/claim|Median: $52.03
0.8× median
81025Top 25%

Urine pregnancy test

$19K

2,814 claims · 0.2%

Your Cost: $6.73/claim|Median: $4.81
1.4× median
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