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Provider 1497770424

NPI: 1497770424Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,627,980

Total Claims

575K

Beneficiaries

466K

1.2 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+11%
2019
$1.2M
+5%
2020
$1.3M
+38%
2021
$1.7M
+10%
2022
$1.9M
+4%
2023
$2.0M
-28%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 7% of total spending.

U0003Top 25%

Infectious disease detection (COVID-19)

$729K

8,340 claims · 6.9%

Your Cost: $87.40/claim|Median: $63.08
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$659K

17K claims · 6.2%

Your Cost: $39.82/claim|Median: $24.49
1.6× median
80053Top 25%

Comprehensive metabolic panel

$486K

39K claims · 4.6%

Your Cost: $12.41/claim|Median: $7.24
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$464K

3,550 claims · 4.4%

Your Cost: $130.69/claim|Median: $65.76
2.0× median
70450Top 25%

CT head/brain without contrast

$378K

3,905 claims · 3.6%

Your Cost: $96.83/claim|Median: $45.53
2.1× median
80050Top 25%

General health panel

$367K

7,782 claims · 3.5%

Your Cost: $47.20/claim|Median: $25.59
1.8× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$328K

5,018 claims · 3.1%

Your Cost: $65.27/claim|Median: $35.43
1.8× median
69436Normal range

Tympanostomy, general anesthesia

$258K

1,052 claims · 2.4%

Your Cost: $245.41/claim|Median: $205.50
1.2× median
96365Normal range

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

$245K

3,478 claims · 2.3%

Your Cost: $70.40/claim|Median: $54.77
1.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$207K

3,410 claims · 2.0%

Your Cost: $60.78/claim|Median: $21.76
2.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$204K

6,338 claims · 1.9%

Your Cost: $32.15/claim|Median: $28.46
1.1× median
82306Normal range

Vitamin D, 25 hydroxy

$202K

8,279 claims · 1.9%

Your Cost: $24.41/claim|Median: $18.18
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$200K

34K claims · 1.9%

Your Cost: $5.92/claim|Median: $4.71
1.3× median
G0463Normal range

Hospital outpatient clinic visit

$198K

11K claims · 1.9%

Your Cost: $17.59/claim|Median: $26.41
0.7× median
72148Top 25%

MRI lumbar spine without contrast

$185K

690 claims · 1.7%

Your Cost: $268.77/claim|Median: $101.03
2.7× median
86008Top 5%

$182K

789 claims · 1.7%

Your Cost: $230.07/claim|Median: $19.63
11.7× median
80061Normal range

Lipid panel

$163K

15K claims · 1.5%

Your Cost: $10.87/claim|Median: $8.41
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$158K

2,947 claims · 1.5%

Your Cost: $53.66/claim|Median: $35.80
1.5× median
43239Normal range

Upper GI endoscopy with biopsy

$154K

1,006 claims · 1.5%

Your Cost: $153.29/claim|Median: $151.68
1.0× median
U0002Normal range

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

$151K

5,032 claims · 1.4%

Your Cost: $30.00/claim|Median: $34.62
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$149K

16K claims · 1.4%

Your Cost: $9.39/claim|Median: $9.87
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$144K

1,316 claims · 1.4%

Your Cost: $109.08/claim|Median: $54.68
2.0× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$135K

3,385 claims · 1.3%

Your Cost: $39.94/claim|Median: $24.95
1.6× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$134K

1,032 claims · 1.3%

Your Cost: $129.98/claim|Median: $36.13
3.6× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$134K

3,380 claims · 1.3%

Your Cost: $39.66/claim|Median: $23.39
1.7× median
72125Top 25%

CT cervical spine without contrast

$107K

948 claims · 1.0%

Your Cost: $113.25/claim|Median: $32.30
3.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$106K

11K claims · 1.0%

Your Cost: $9.73/claim|Median: $7.50
1.3× median
73721Top 25%

MRI joint of lower extremity without contrast

$102K

336 claims · 1.0%

Your Cost: $303.81/claim|Median: $127.34
2.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$94K

580 claims · 0.9%

Your Cost: $161.26/claim|Median: $169.17
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$92K

3,546 claims · 0.9%

Your Cost: $26.07/claim|Median: $33.11
0.8× median
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