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Provider 1497871628

NPI: 1497871628Share
Active Billing Period:2020-11→2024-11(49 months)

Total Paid

$8.6M

$8,643,644

Total Claims

97K

Beneficiaries

82K

1.2 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2020
$10K
+12188%
2021
$1.2M
+152%
2022
$3.0M
+28%
2023
$3.9M
-86%
2024
$540K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 76% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$6.6M

6,596 claims · 76.0%

Your Cost: $996.59/claim|Median: $69.51
14.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$792K

6,644 claims · 9.2%

Your Cost: $119.15/claim|Median: $42.48
2.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$504K

1,865 claims · 5.8%

Your Cost: $270.07/claim|Median: $85.65
3.2× median
99282Top 25%

Emergency dept visit, low complexity

$159K

1,607 claims · 1.8%

Your Cost: $98.92/claim|Median: $37.72
2.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$86K

2,191 claims · 1.0%

Your Cost: $39.10/claim|Median: $7.50
5.2× median
80053Normal range

Comprehensive metabolic panel

$66K

10K claims · 0.8%

Your Cost: $6.38/claim|Median: $7.24
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$56K

416 claims · 0.7%

Your Cost: $135.65/claim|Median: $65.76
2.1× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$56K

2,169 claims · 0.6%

Your Cost: $25.90/claim|Median: $144.30
0.2× median
C9803Normal range

$45K

3,965 claims · 0.5%

Your Cost: $11.29/claim|Median: $13.20
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$40K

10K claims · 0.5%

Your Cost: $3.87/claim|Median: $4.71
0.8× median
71045Top 25%

Chest X-ray, single view

$32K

2,313 claims · 0.4%

Your Cost: $13.89/claim|Median: $4.93
2.8× median
70450Normal range

CT head/brain without contrast

$29K

772 claims · 0.3%

Your Cost: $37.32/claim|Median: $45.53
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$28K

2,433 claims · 0.3%

Your Cost: $11.31/claim|Median: $24.49
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$19K

1,168 claims · 0.2%

Your Cost: $16.52/claim|Median: $63.08
0.3× median
74176Normal range

CT abdomen and pelvis without contrast

$15K

188 claims · 0.2%

Your Cost: $78.53/claim|Median: $60.19
1.3× median
83880Normal range

$12K

1,526 claims · 0.1%

Your Cost: $7.74/claim|Median: $11.81
0.7× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$12K

900 claims · 0.1%

Your Cost: $12.90/claim|Median: $1.51
8.5× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$9K

1,685 claims · 0.1%

Your Cost: $5.50/claim|Median: $4.20
1.3× median
84484Normal range

Troponin, quantitative

$8K

3,217 claims · 0.1%

Your Cost: $2.58/claim|Median: $4.84
0.5× median
G0378Normal range

Hospital observation service, per hour

$8K

199 claims · 0.1%

Your Cost: $40.21/claim|Median: $99.39
0.4× median
71046Normal range

Chest X-ray, 2 views

$6K

680 claims · 0.1%

Your Cost: $9.52/claim|Median: $8.92
1.1× median
81001Normal range

Urinalysis, automated, with microscopy

$6K

3,336 claims · 0.1%

Your Cost: $1.82/claim|Median: $2.03
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$6K

1,092 claims · 0.1%

Your Cost: $5.33/claim|Median: $15.76
0.3× median
87088Normal range

$6K

1,401 claims · 0.1%

Your Cost: $3.99/claim|Median: $5.45
0.7× median
96361Normal range

IV infusion, hydration, each additional hour

$6K

190 claims · 0.1%

Your Cost: $28.95/claim|Median: $38.92
0.7× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$5K

254 claims · 0.1%

Your Cost: $20.84/claim|Median: $11.48
1.8× median
83605Normal range

$4K

1,422 claims · 0.1%

Your Cost: $3.08/claim|Median: $4.66
0.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$3K

106 claims · 0.0%

Your Cost: $32.44/claim|Median: $28.46
1.1× median
Q9967Normal range

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$3K

1,229 claims · 0.0%

Your Cost: $2.65/claim|Median: $3.42
0.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$3K

1,867 claims · 0.0%

Your Cost: $1.62/claim|Median: $91.47
0.0× median
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