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Provider 1528014669

NPI: 1528014669Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,918,693

Total Claims

622K

Beneficiaries

511K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$489K
+319%
2019
$2.0M
-29%
2020
$1.5M
+102%
2021
$2.9M
+41%
2022
$4.1M
-28%
2023
$3.0M
-37%
2024
$1.9M

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 26% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.2M

45K claims · 26.4%

Your Cost: $93.12/claim|Median: $42.48
2.2× median
99284Normal range

Emergency dept visit, high complexity

$1.9M

30K claims · 12.2%

Your Cost: $64.29/claim|Median: $69.51
0.9× median
99282Normal range

Emergency dept visit, low complexity

$1.3M

15K claims · 8.2%

Your Cost: $85.80/claim|Median: $37.72
2.3× median
80053Top 5%

Comprehensive metabolic panel

$1.0M

20K claims · 6.6%

Your Cost: $52.18/claim|Median: $7.24
7.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.0M

11K claims · 6.4%

Your Cost: $96.58/claim|Median: $85.65
1.1× median
92507Top 10%

Speech/hearing/language treatment

$587K

6,212 claims · 3.7%

Your Cost: $94.48/claim|Median: $49.45
1.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$576K

3,113 claims · 3.6%

Your Cost: $185.17/claim|Median: $65.76
2.8× median
70450Top 25%

CT head/brain without contrast

$536K

4,255 claims · 3.4%

Your Cost: $125.91/claim|Median: $45.53
2.8× median
97530Top 5%

Therapeutic activities, each 15 min

$494K

4,834 claims · 3.1%

Your Cost: $102.22/claim|Median: $33.11
3.1× median
97110Top 5%

Therapeutic exercises, each 15 min

$436K

4,215 claims · 2.7%

Your Cost: $103.38/claim|Median: $24.49
4.2× median
99281Top 25%

Emergency dept visit, minimal complexity

$375K

3,137 claims · 2.4%

Your Cost: $119.58/claim|Median: $52.03
2.3× median
80048Top 10%

Basic metabolic panel

$358K

15K claims · 2.2%

Your Cost: $24.30/claim|Median: $5.78
4.2× median
87275Normal range

$219K

23K claims · 1.4%

Your Cost: $9.36/claim|Median: $10.59
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$203K

1,750 claims · 1.3%

Your Cost: $115.92/claim|Median: $60.19
1.9× median
76705Top 25%

Ultrasound, abdominal, limited

$171K

2,288 claims · 1.1%

Your Cost: $74.75/claim|Median: $23.81
3.1× median
G0378Normal range

Hospital observation service, per hour

$159K

16K claims · 1.0%

Your Cost: $9.92/claim|Median: $99.39
0.1× median
71275Top 25%

CT angiography, chest, with contrast

$159K

806 claims · 1.0%

Your Cost: $197.22/claim|Median: $92.96
2.1× median
87070Top 25%

Bacterial culture, any source except blood or urine

$154K

10K claims · 1.0%

Your Cost: $14.71/claim|Median: $5.89
2.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$126K

17K claims · 0.8%

Your Cost: $7.25/claim|Median: $39.70
0.2× median
87088Top 25%

$85K

11K claims · 0.5%

Your Cost: $8.01/claim|Median: $5.45
1.5× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$83K

3,773 claims · 0.5%

Your Cost: $22.09/claim|Median: $79.28
0.3× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$76K

2,310 claims · 0.5%

Your Cost: $32.69/claim|Median: $30.04
1.1× median
71046Normal range

Chest X-ray, 2 views

$70K

11K claims · 0.4%

Your Cost: $6.36/claim|Median: $8.92
0.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$66K

1,519 claims · 0.4%

Your Cost: $43.20/claim|Median: $35.43
1.2× median
85027Normal range

Complete blood count (CBC), automated

$64K

40K claims · 0.4%

Your Cost: $1.60/claim|Median: $3.72
0.4× median
70553Normal range

MRI brain without contrast, then with contrast

$62K

470 claims · 0.4%

Your Cost: $132.41/claim|Median: $133.68
1.0× median
76856Top 10%

Ultrasound, pelvic, complete

$61K

433 claims · 0.4%

Your Cost: $139.78/claim|Median: $47.58
2.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$55K

1,194 claims · 0.3%

Your Cost: $46.43/claim|Median: $49.45
0.9× median
81001Normal range

Urinalysis, automated, with microscopy

$53K

17K claims · 0.3%

Your Cost: $3.13/claim|Median: $2.03
1.5× median
96361Normal range

IV infusion, hydration, each additional hour

$50K

1,219 claims · 0.3%

Your Cost: $41.32/claim|Median: $38.92
1.1× median
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