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Provider 1538101688

NPI: 1538101688Share
Active Billing Period:2018-01→2022-01(49 months)
Billing appears to have stoppedLast active: 2022-01

Total Paid

$15.5M

$15,457,492

Total Claims

444K

Beneficiaries

322K

1.4 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$4.4M
-8%
2019
$4.1M
-15%
2020
$3.5M
-7%
2021
$3.3M
-96%
2022
$117K

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 25%

Emergency dept visit, moderate complexity

$2.6M

21K claims · 16.9%

Your Cost: $124.92/claim|Median: $42.48
2.9× median
99284Top 10%

Emergency dept visit, high complexity

$2.2M

11K claims · 14.2%

Your Cost: $203.84/claim|Median: $69.51
2.9× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.2M

7,497 claims · 14.0%

Your Cost: $289.08/claim|Median: $85.65
3.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.4M

6,607 claims · 8.8%

Your Cost: $206.89/claim|Median: $60.19
3.4× median
70450Top 25%

CT head/brain without contrast

$509K

5,266 claims · 3.3%

Your Cost: $96.57/claim|Median: $45.53
2.1× median
43239Normal range

Upper GI endoscopy with biopsy

$317K

1,668 claims · 2.0%

Your Cost: $189.96/claim|Median: $151.68
1.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$275K

4,487 claims · 1.8%

Your Cost: $61.25/claim|Median: $21.76
2.8× median
G0378Normal range

Hospital observation service, per hour

$240K

2,960 claims · 1.6%

Your Cost: $81.14/claim|Median: $99.39
0.8× median
71046Top 10%

Chest X-ray, 2 views

$236K

5,666 claims · 1.5%

Your Cost: $41.58/claim|Median: $8.92
4.7× median
71250Top 25%

CT scan of chest without contrast

$221K

2,662 claims · 1.4%

Your Cost: $83.03/claim|Median: $39.11
2.1× median
G0463Normal range

Hospital outpatient clinic visit

$192K

4,802 claims · 1.2%

Your Cost: $39.90/claim|Median: $26.41
1.5× median
96365Normal range

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

$182K

2,660 claims · 1.2%

Your Cost: $68.31/claim|Median: $54.77
1.2× median
72125Top 25%

CT cervical spine without contrast

$177K

1,558 claims · 1.1%

Your Cost: $113.44/claim|Median: $32.30
3.5× median
71045Top 25%

Chest X-ray, single view

$164K

7,935 claims · 1.1%

Your Cost: $20.64/claim|Median: $4.93
4.2× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$159K

1,714 claims · 1.0%

Your Cost: $92.83/claim|Median: $36.13
2.6× median
80053Normal range

Comprehensive metabolic panel

$155K

30K claims · 1.0%

Your Cost: $5.24/claim|Median: $7.24
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$148K

4,103 claims · 1.0%

Your Cost: $36.10/claim|Median: $24.49
1.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$148K

8,080 claims · 1.0%

Your Cost: $18.28/claim|Median: $7.50
2.4× median
99282Normal range

Emergency dept visit, low complexity

$142K

1,823 claims · 0.9%

Your Cost: $77.97/claim|Median: $37.72
2.1× median
72131Top 25%

$142K

1,526 claims · 0.9%

Your Cost: $92.73/claim|Median: $42.82
2.2× median
99281Normal range

Emergency dept visit, minimal complexity

$140K

3,381 claims · 0.9%

Your Cost: $41.39/claim|Median: $52.03
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$139K

2,059 claims · 0.9%

Your Cost: $67.44/claim|Median: $63.08
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$138K

4,013 claims · 0.9%

Your Cost: $34.44/claim|Median: $35.43
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$133K

13K claims · 0.9%

Your Cost: $9.95/claim|Median: $9.56
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$132K

49K claims · 0.9%

Your Cost: $2.69/claim|Median: $1.57
1.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$131K

3,637 claims · 0.9%

Your Cost: $36.15/claim|Median: $14.92
2.4× median
80061Top 25%

Lipid panel

$107K

7,061 claims · 0.7%

Your Cost: $15.20/claim|Median: $8.41
1.8× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$104K

818 claims · 0.7%

Your Cost: $127.65/claim|Median: $90.89
1.4× median
82306Normal range

Vitamin D, 25 hydroxy

$98K

4,369 claims · 0.6%

Your Cost: $22.51/claim|Median: $18.18
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$97K

7,250 claims · 0.6%

Your Cost: $13.38/claim|Median: $9.87
1.4× median
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