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Provider 1518993880

NPI: 1518993880Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,232,714

Total Claims

1.1M

Beneficiaries

870K

1.2 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-6%
2019
$2.5M
-10%
2020
$2.2M
+5%
2021
$2.3M
+1%
2022
$2.4M
+9%
2023
$2.6M
+38%
2024
$3.6M

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 5% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$960K

17K claims · 5.3%

Your Cost: $55.14/claim|Median: $42.48
1.3× median
80048Top 25%

Basic metabolic panel

$879K

55K claims · 4.8%

Your Cost: $15.93/claim|Median: $5.78
2.8× median
99284Normal range

Emergency dept visit, high complexity

$808K

18K claims · 4.4%

Your Cost: $44.51/claim|Median: $69.51
0.6× median
96361Top 25%

IV infusion, hydration, each additional hour

$798K

6,919 claims · 4.4%

Your Cost: $115.35/claim|Median: $38.92
3.0× median
99282Normal range

Emergency dept visit, low complexity

$560K

8,860 claims · 3.1%

Your Cost: $63.15/claim|Median: $37.72
1.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$516K

38K claims · 2.8%

Your Cost: $13.68/claim|Median: $9.87
1.4× median
96365Normal range

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

$442K

6,625 claims · 2.4%

Your Cost: $66.71/claim|Median: $54.77
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$440K

18K claims · 2.4%

Your Cost: $24.87/claim|Median: $18.18
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$432K

2,278 claims · 2.4%

Your Cost: $189.82/claim|Median: $151.68
1.3× median
A0431Normal range

Ambulance service, conventional air, transport, one way

$404K

271 claims · 2.2%

Your Cost: $1,489.60/claim|Median: $1,650.68
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$393K

8,979 claims · 2.2%

Your Cost: $43.82/claim|Median: $39.70
1.1× median
87507Top 25%

$373K

1,269 claims · 2.0%

Your Cost: $293.92/claim|Median: $157.44
1.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$343K

9,911 claims · 1.9%

Your Cost: $34.60/claim|Median: $37.56
0.9× median
87086Top 25%

Urine culture, colony count, with identification

$325K

28K claims · 1.8%

Your Cost: $11.52/claim|Median: $5.31
2.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$323K

51K claims · 1.8%

Your Cost: $6.28/claim|Median: $4.71
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$310K

4,912 claims · 1.7%

Your Cost: $63.01/claim|Median: $65.76
1.0× median
G0378Normal range

Hospital observation service, per hour

$308K

8,031 claims · 1.7%

Your Cost: $38.31/claim|Median: $99.39
0.4× median
93303Top 25%

Echocardiography, transthoracic, limited

$307K

1,648 claims · 1.7%

Your Cost: $186.36/claim|Median: $112.83
1.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$303K

9,684 claims · 1.7%

Your Cost: $31.30/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$277K

9,662 claims · 1.5%

Your Cost: $28.64/claim|Median: $23.39
1.2× median
70450Normal range

CT head/brain without contrast

$261K

4,358 claims · 1.4%

Your Cost: $59.91/claim|Median: $45.53
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$234K

5,017 claims · 1.3%

Your Cost: $46.62/claim|Median: $35.43
1.3× median
80076Top 25%

Hepatic function panel

$233K

31K claims · 1.3%

Your Cost: $7.50/claim|Median: $4.59
1.6× median
99281Normal range

Emergency dept visit, minimal complexity

$229K

3,352 claims · 1.3%

Your Cost: $68.30/claim|Median: $52.03
1.3× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$194K

1,797 claims · 1.1%

Your Cost: $108.07/claim|Median: $65.45
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$193K

4,307 claims · 1.1%

Your Cost: $44.76/claim|Median: $85.65
0.5× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$189K

2,420 claims · 1.0%

Your Cost: $78.26/claim|Median: $36.13
2.2× median
93320Top 10%

$176K

1,682 claims · 1.0%

Your Cost: $104.39/claim|Median: $28.68
3.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$175K

1,438 claims · 1.0%

Your Cost: $121.60/claim|Median: $54.68
2.2× median
80061Normal range

Lipid panel

$173K

15K claims · 1.0%

Your Cost: $11.80/claim|Median: $8.41
1.4× median
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