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Provider 1518969419

NPI: 1518969419Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,257,711

Total Claims

323K

Beneficiaries

226K

1.4 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-0%
2019
$1.4M
+31%
2020
$1.8M
+30%
2021
$2.4M
+29%
2022
$3.1M
+4%
2023
$3.2M
-11%
2024
$2.9M

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 17% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.8M

11K claims · 16.9%

Your Cost: $249.71/claim|Median: $42.48
5.9× median
99284Top 5%

Emergency dept visit, high complexity

$2.3M

7,972 claims · 13.9%

Your Cost: $284.14/claim|Median: $69.51
4.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.5M

5,040 claims · 9.2%

Your Cost: $296.53/claim|Median: $85.65
3.5× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.2M

2,327 claims · 7.1%

Your Cost: $495.55/claim|Median: $65.76
7.5× median
G0378Top 25%

Hospital observation service, per hour

$792K

1,816 claims · 4.9%

Your Cost: $435.98/claim|Median: $99.39
4.4× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$713K

5,055 claims · 4.4%

Your Cost: $141.05/claim|Median: $144.30
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$645K

19K claims · 4.0%

Your Cost: $33.15/claim|Median: $24.49
1.4× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$602K

543 claims · 3.7%

Your Cost: $1,109.09/claim|Median: $54.68
20.3× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$595K

13K claims · 3.7%

Your Cost: $47.51/claim|Median: $16.79
2.8× median
96365Top 25%

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

$424K

4,115 claims · 2.6%

Your Cost: $102.98/claim|Median: $54.77
1.9× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$411K

4,719 claims · 2.5%

Your Cost: $87.12/claim|Median: $14.92
5.8× median
99282Top 25%

Emergency dept visit, low complexity

$375K

3,700 claims · 2.3%

Your Cost: $101.25/claim|Median: $37.72
2.7× median
70450Top 25%

CT head/brain without contrast

$357K

2,650 claims · 2.2%

Your Cost: $134.88/claim|Median: $45.53
3.0× median
74176Top 10%

CT abdomen and pelvis without contrast

$346K

969 claims · 2.1%

Your Cost: $356.96/claim|Median: $60.19
5.9× median
97530Top 10%

Therapeutic activities, each 15 min

$257K

2,904 claims · 1.6%

Your Cost: $88.65/claim|Median: $33.11
2.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$242K

8,692 claims · 1.5%

Your Cost: $27.85/claim|Median: $7.50
3.7× median
90853Normal range

Group psychotherapy

$183K

7,534 claims · 1.1%

Your Cost: $24.30/claim|Median: $25.02
1.0× median
96360Normal range

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

$149K

1,767 claims · 0.9%

Your Cost: $84.38/claim|Median: $61.57
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$135K

15K claims · 0.8%

Your Cost: $8.94/claim|Median: $4.71
1.9× median
80053Normal range

Comprehensive metabolic panel

$127K

13K claims · 0.8%

Your Cost: $10.04/claim|Median: $7.24
1.4× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$117K

3,594 claims · 0.7%

Your Cost: $32.50/claim|Median: $20.04
1.6× median
77067Top 25%

Screening mammography, bilateral, including CAD

$113K

1,122 claims · 0.7%

Your Cost: $100.86/claim|Median: $39.33
2.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$104K

4,992 claims · 0.6%

Your Cost: $20.89/claim|Median: $21.76
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$104K

3,252 claims · 0.6%

Your Cost: $31.90/claim|Median: $35.43
0.9× median
71046Top 25%

Chest X-ray, 2 views

$94K

3,348 claims · 0.6%

Your Cost: $28.21/claim|Median: $8.92
3.2× median
71045Top 25%

Chest X-ray, single view

$94K

4,089 claims · 0.6%

Your Cost: $23.04/claim|Median: $4.93
4.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$87K

2,218 claims · 0.5%

Your Cost: $39.13/claim|Median: $37.56
1.0× median
76700Top 10%

Ultrasound, abdominal, complete

$77K

463 claims · 0.5%

Your Cost: $166.90/claim|Median: $50.69
3.3× median
96361Normal range

IV infusion, hydration, each additional hour

$74K

3,651 claims · 0.5%

Your Cost: $20.34/claim|Median: $38.92
0.5× median
72125Top 25%

CT cervical spine without contrast

$68K

477 claims · 0.4%

Your Cost: $142.00/claim|Median: $32.30
4.4× median
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