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Provider 1497759260

NPI: 1497759260Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.2M

$10,248,835

Total Claims

294K

Beneficiaries

196K

1.5 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$311K
+159%
2019
$804K
-8%
2020
$738K
+127%
2021
$1.7M
+52%
2022
$2.5M
-5%
2023
$2.4M
-28%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 14% of total spending.

99214Normal range

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

$1.4M

23K claims · 13.8%

Your Cost: $62.29/claim|Median: $53.41
1.2× median
99213Normal range

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

$1.4M

32K claims · 13.3%

Your Cost: $42.09/claim|Median: $37.81
1.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

9,465 claims · 12.8%

Your Cost: $138.88/claim|Median: $42.48
3.3× median
99284Normal range

Emergency dept visit, high complexity

$907K

12K claims · 8.9%

Your Cost: $76.06/claim|Median: $69.51
1.1× median
64493Top 10%

$559K

1,055 claims · 5.5%

Your Cost: $530.25/claim|Median: $103.44
5.1× median
64635Top 5%

$511K

524 claims · 5.0%

Your Cost: $974.97/claim|Median: $207.78
4.7× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$226K

591 claims · 2.2%

Your Cost: $382.24/claim|Median: $36.13
10.6× median
71045Top 1%

Chest X-ray, single view

$209K

1,682 claims · 2.0%

Your Cost: $124.32/claim|Median: $4.93
25.2× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$205K

2,238 claims · 2.0%

Your Cost: $91.82/claim|Median: $29.03
3.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$186K

1,931 claims · 1.8%

Your Cost: $96.53/claim|Median: $91.47
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$184K

5,901 claims · 1.8%

Your Cost: $31.20/claim|Median: $35.43
0.9× median
64494Top 5%

$173K

625 claims · 1.7%

Your Cost: $276.23/claim|Median: $34.70
8.0× median
64483Top 25%

$157K

400 claims · 1.5%

Your Cost: $392.83/claim|Median: $124.24
3.2× median
90837Normal range

Psychotherapy, 60 minutes

$157K

1,697 claims · 1.5%

Your Cost: $92.30/claim|Median: $85.66
1.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$156K

3,041 claims · 1.5%

Your Cost: $51.17/claim|Median: $7.50
6.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$139K

2,095 claims · 1.4%

Your Cost: $66.23/claim|Median: $63.08
1.0× median
36000Top 5%

$136K

2,474 claims · 1.3%

Your Cost: $54.83/claim|Median: $6.65
8.2× median
20553Top 25%

$135K

1,687 claims · 1.3%

Your Cost: $79.77/claim|Median: $29.47
2.7× median
80053Normal range

Comprehensive metabolic panel

$129K

23K claims · 1.3%

Your Cost: $5.63/claim|Median: $7.24
0.8× median
64636Top 5%

$128K

261 claims · 1.3%

Your Cost: $492.09/claim|Median: $63.60
7.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$128K

629 claims · 1.3%

Your Cost: $203.84/claim|Median: $60.19
3.4× median
96360Normal range

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

$117K

1,950 claims · 1.1%

Your Cost: $60.01/claim|Median: $61.57
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$101K

48K claims · 1.0%

Your Cost: $2.09/claim|Median: $1.57
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$101K

3,827 claims · 1.0%

Your Cost: $26.32/claim|Median: $21.76
1.2× median
11721Top 5%

$91K

2,469 claims · 0.9%

Your Cost: $36.96/claim|Median: $8.56
4.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$91K

21K claims · 0.9%

Your Cost: $4.26/claim|Median: $4.71
0.9× median
99282Top 10%

Emergency dept visit, low complexity

$88K

538 claims · 0.9%

Your Cost: $163.17/claim|Median: $37.72
4.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$87K

2,059 claims · 0.8%

Your Cost: $42.29/claim|Median: $9.56
4.4× median
99204Normal range

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

$72K

1,076 claims · 0.7%

Your Cost: $67.01/claim|Median: $84.03
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$72K

2,664 claims · 0.7%

Your Cost: $26.95/claim|Median: $28.46
0.9× median
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