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Provider 1497050470

NPI: 1497050470Share
Active Billing Period:2018-01→2024-12(79 months)

Total Paid

$8.5M

$8,474,102

Total Claims

204K

Beneficiaries

182K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$37K
+457%
2019
$208K
+363%
2020
$966K
+257%
2021
$3.4M
-59%
2022
$1.4M
+11%
2023
$1.5M
-43%
2024
$878K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 23% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.9M

15K claims · 22.8%

Your Cost: $129.53/claim|Median: $42.48
3.0× median
99284Top 25%

Emergency dept visit, high complexity

$1.7M

11K claims · 20.2%

Your Cost: $148.69/claim|Median: $69.51
2.1× median
G0378Top 10%

Hospital observation service, per hour

$755K

841 claims · 8.9%

Your Cost: $897.47/claim|Median: $99.39
9.0× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$588K

7,296 claims · 6.9%

Your Cost: $80.57/claim|Median: $37.81
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$544K

3,315 claims · 6.4%

Your Cost: $163.97/claim|Median: $85.65
1.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$237K

2,272 claims · 2.8%

Your Cost: $104.36/claim|Median: $97.61
1.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$204K

1,206 claims · 2.4%

Your Cost: $169.56/claim|Median: $65.76
2.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$164K

4,400 claims · 1.9%

Your Cost: $37.20/claim|Median: $121.16
0.3× median
X0620Normal range

$159K

781 claims · 1.9%

Your Cost: $203.24/claim|Median: $191.98
1.1× median
80053Normal range

Comprehensive metabolic panel

$147K

15K claims · 1.7%

Your Cost: $9.64/claim|Median: $7.24
1.3× median
99050Top 1%

$146K

1,471 claims · 1.7%

Your Cost: $99.18/claim|Median: $11.81
8.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$136K

1,797 claims · 1.6%

Your Cost: $75.66/claim|Median: $63.08
1.2× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$129K

1,167 claims · 1.5%

Your Cost: $110.85/claim|Median: $57.85
1.9× median
80050Top 25%

General health panel

$90K

2,125 claims · 1.1%

Your Cost: $42.26/claim|Median: $25.59
1.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$84K

17K claims · 1.0%

Your Cost: $4.97/claim|Median: $4.71
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$56K

1,679 claims · 0.7%

Your Cost: $33.35/claim|Median: $39.70
0.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$50K

6,307 claims · 0.6%

Your Cost: $7.90/claim|Median: $7.50
1.1× median
99282Normal range

Emergency dept visit, low complexity

$46K

946 claims · 0.5%

Your Cost: $49.05/claim|Median: $37.72
1.3× median
80061Top 25%

Lipid panel

$44K

3,299 claims · 0.5%

Your Cost: $13.21/claim|Median: $8.41
1.6× median
77067Top 25%

Screening mammography, bilateral, including CAD

$43K

502 claims · 0.5%

Your Cost: $85.93/claim|Median: $39.33
2.2× median
X0616Normal range

$42K

231 claims · 0.5%

Your Cost: $182.04/claim|Median: $182.02
1.0× median
70450Normal range

CT head/brain without contrast

$39K

678 claims · 0.5%

Your Cost: $58.24/claim|Median: $45.53
1.3× median
82306Top 25%

Vitamin D, 25 hydroxy

$37K

1,107 claims · 0.4%

Your Cost: $33.53/claim|Median: $18.18
1.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$36K

475 claims · 0.4%

Your Cost: $75.28/claim|Median: $75.28
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$34K

471 claims · 0.4%

Your Cost: $72.78/claim|Median: $54.68
1.3× median
X0621Normal range

$34K

150 claims · 0.4%

Your Cost: $223.45/claim|Median: $212.75
1.1× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$31K

592 claims · 0.4%

Your Cost: $52.39/claim|Median: $35.43
1.5× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$30K

1,499 claims · 0.4%

Your Cost: $19.93/claim|Median: $9.87
2.0× median
71275Top 25%

CT angiography, chest, with contrast

$27K

148 claims · 0.3%

Your Cost: $184.64/claim|Median: $92.96
2.0× median
96365Normal range

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

$26K

770 claims · 0.3%

Your Cost: $33.90/claim|Median: $54.77
0.6× median
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