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Provider 1497702195

NPI: 1497702195Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.8M

$7,828,462

Total Claims

125K

Beneficiaries

97K

1.3 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+9%
2019
$1.1M
+30%
2020
$1.5M
+32%
2021
$1.9M
+6%
2022
$2.0M
-92%
2023
$167K
-39%
2024
$102K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (8888888 (Not classified)) accounts for 73% of total spending.

8888888Normal range

Not classified

$5.7M

18K claims · 73.3%

Your Cost: $314.74/claim|Median: $365.77
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$285K

9,010 claims · 3.6%

Your Cost: $31.68/claim|Median: $42.48
0.7× median
80053Top 5%

Comprehensive metabolic panel

$258K

6,050 claims · 3.3%

Your Cost: $42.72/claim|Median: $7.24
5.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$231K

977 claims · 3.0%

Your Cost: $236.73/claim|Median: $38.92
6.1× median
80048Top 5%

Basic metabolic panel

$164K

4,238 claims · 2.1%

Your Cost: $38.66/claim|Median: $5.78
6.7× median
99284Normal range

Emergency dept visit, high complexity

$158K

7,482 claims · 2.0%

Your Cost: $21.06/claim|Median: $69.51
0.3× median
36415Top 1%

Collection of venous blood by venipuncture

$123K

2,119 claims · 1.6%

Your Cost: $57.82/claim|Median: $1.57
36.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$103K

2,712 claims · 1.3%

Your Cost: $37.88/claim|Median: $9.56
4.0× median
99282Normal range

Emergency dept visit, low complexity

$99K

2,192 claims · 1.3%

Your Cost: $45.02/claim|Median: $37.72
1.2× median
71045Top 10%

Chest X-ray, single view

$69K

2,287 claims · 0.9%

Your Cost: $30.02/claim|Median: $4.93
6.1× median
99281Top 25%

Emergency dept visit, minimal complexity

$61K

555 claims · 0.8%

Your Cost: $110.62/claim|Median: $52.03
2.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$61K

5,925 claims · 0.8%

Your Cost: $10.28/claim|Median: $21.76
0.5× median
81001Top 10%

Urinalysis, automated, with microscopy

$56K

5,420 claims · 0.7%

Your Cost: $10.35/claim|Median: $2.03
5.1× median
70450Normal range

CT head/brain without contrast

$54K

793 claims · 0.7%

Your Cost: $67.77/claim|Median: $45.53
1.5× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$50K

583 claims · 0.6%

Your Cost: $85.72/claim|Median: $37.56
2.3× median
86710Top 5%

$29K

406 claims · 0.4%

Your Cost: $70.87/claim|Median: $12.47
5.7× median
71046Top 10%

Chest X-ray, 2 views

$26K

753 claims · 0.3%

Your Cost: $35.03/claim|Median: $8.92
3.9× median
85027Normal range

Complete blood count (CBC), automated

$26K

12K claims · 0.3%

Your Cost: $2.25/claim|Median: $3.72
0.6× median
U0002Normal range

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

$24K

818 claims · 0.3%

Your Cost: $29.79/claim|Median: $34.62
0.9× median
87086Top 10%

Urine culture, colony count, with identification

$23K

1,518 claims · 0.3%

Your Cost: $15.14/claim|Median: $5.31
2.9× median
82247Top 5%

$18K

1,175 claims · 0.2%

Your Cost: $15.59/claim|Median: $2.74
5.7× median
G0383Normal range

$17K

704 claims · 0.2%

Your Cost: $24.41/claim|Median: $108.78
0.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$14K

1,364 claims · 0.2%

Your Cost: $10.61/claim|Median: $85.65
0.1× median
J3490Top 5%

Unclassified drugs

$12K

40 claims · 0.1%

Your Cost: $290.52/claim|Median: $5.70
51.0× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$11K

3,118 claims · 0.1%

Your Cost: $3.37/claim|Median: $1.53
2.2× median
G0463Normal range

Hospital outpatient clinic visit

$10K

267 claims · 0.1%

Your Cost: $37.68/claim|Median: $26.41
1.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$8K

3,015 claims · 0.1%

Your Cost: $2.74/claim|Median: $7.50
0.4× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$8K

243 claims · 0.1%

Your Cost: $32.95/claim|Median: $11.48
2.9× median
J2270Top 25%

Injection, morphine sulfate, up to ten milligrams

$7K

1,489 claims · 0.1%

Your Cost: $5.03/claim|Median: $1.00
5.0× median
87420Top 5%

$7K

123 claims · 0.1%

Your Cost: $58.09/claim|Median: $9.78
5.9× median
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