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Provider 1538108725

NPI: 1538108725Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.7M

$16,746,032

Total Claims

433K

Beneficiaries

340K

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$360K
+443%
2019
$2.0M
-12%
2020
$1.7M
+63%
2021
$2.8M
+53%
2022
$4.3M
-16%
2023
$3.6M
-44%
2024
$2.0M

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 30% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$5.0M

34K claims · 30.0%

Your Cost: $148.47/claim|Median: $42.48
3.5× median
99284Top 25%

Emergency dept visit, high complexity

$2.4M

17K claims · 14.2%

Your Cost: $138.34/claim|Median: $69.51
2.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.0M

8,819 claims · 11.7%

Your Cost: $221.77/claim|Median: $85.65
2.6× median
99282Top 10%

Emergency dept visit, low complexity

$507K

3,336 claims · 3.0%

Your Cost: $151.96/claim|Median: $37.72
4.0× median
G0378Normal range

Hospital observation service, per hour

$366K

4,381 claims · 2.2%

Your Cost: $83.63/claim|Median: $99.39
0.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$340K

5,391 claims · 2.0%

Your Cost: $63.06/claim|Median: $24.49
2.6× median
99281Top 1%

Emergency dept visit, minimal complexity

$334K

919 claims · 2.0%

Your Cost: $363.65/claim|Median: $52.03
7.0× median
80048Top 10%

Basic metabolic panel

$305K

16K claims · 1.8%

Your Cost: $19.49/claim|Median: $5.78
3.4× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$296K

7,244 claims · 1.8%

Your Cost: $40.87/claim|Median: $65.45
0.6× median
96361Normal range

IV infusion, hydration, each additional hour

$295K

4,253 claims · 1.8%

Your Cost: $69.36/claim|Median: $38.92
1.8× median
70450Top 25%

CT head/brain without contrast

$286K

2,859 claims · 1.7%

Your Cost: $99.97/claim|Median: $45.53
2.2× median
92507Top 5%

Speech/hearing/language treatment

$267K

2,106 claims · 1.6%

Your Cost: $126.62/claim|Median: $49.45
2.6× median
84703Top 5%

Human chorionic gonadotropin (hCG) quantitative blood test

$213K

7,629 claims · 1.3%

Your Cost: $27.91/claim|Median: $4.20
6.6× median
96365Normal range

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

$206K

3,224 claims · 1.2%

Your Cost: $63.83/claim|Median: $54.77
1.2× median
87430Top 5%

$189K

6,568 claims · 1.1%

Your Cost: $28.82/claim|Median: $9.41
3.1× median
Q9967Top 10%

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

$173K

2,256 claims · 1.0%

Your Cost: $76.62/claim|Median: $3.42
22.4× median
U0001Top 5%

$171K

2,289 claims · 1.0%

Your Cost: $74.56/claim|Median: $24.79
3.0× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$161K

714 claims · 1.0%

Your Cost: $226.15/claim|Median: $54.68
4.1× median
74176Normal range

CT abdomen and pelvis without contrast

$154K

1,534 claims · 0.9%

Your Cost: $100.62/claim|Median: $60.19
1.7× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$135K

7,963 claims · 0.8%

Your Cost: $16.93/claim|Median: $0.58
29.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$121K

31K claims · 0.7%

Your Cost: $3.93/claim|Median: $4.71
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$110K

1,247 claims · 0.7%

Your Cost: $87.85/claim|Median: $65.76
1.3× median
71046Top 25%

Chest X-ray, 2 views

$106K

5,433 claims · 0.6%

Your Cost: $19.56/claim|Median: $8.92
2.2× median
81001Top 25%

Urinalysis, automated, with microscopy

$104K

22K claims · 0.6%

Your Cost: $4.61/claim|Median: $2.03
2.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$103K

1,117 claims · 0.6%

Your Cost: $92.55/claim|Median: $74.78
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$100K

5,448 claims · 0.6%

Your Cost: $18.29/claim|Median: $9.56
1.9× median
G0463Normal range

Hospital outpatient clinic visit

$97K

1,738 claims · 0.6%

Your Cost: $55.93/claim|Median: $26.41
2.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$88K

8,551 claims · 0.5%

Your Cost: $10.33/claim|Median: $21.76
0.5× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$85K

3,025 claims · 0.5%

Your Cost: $28.23/claim|Median: $10.88
2.6× median
87449Top 5%

$85K

4,102 claims · 0.5%

Your Cost: $20.69/claim|Median: $6.98
3.0× median
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