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Provider 1538112230

NPI: 1538112230Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.6M

$15,592,788

Total Claims

824K

Beneficiaries

652K

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-8%
2019
$2.3M
-8%
2020
$2.1M
+26%
2021
$2.7M
-29%
2022
$1.9M
+4%
2023
$2.0M
-4%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 8% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.2M

31K claims · 7.8%

Your Cost: $39.52/claim|Median: $53.41
0.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$1000K

9,000 claims · 6.4%

Your Cost: $111.09/claim|Median: $38.92
2.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$861K

11K claims · 5.5%

Your Cost: $76.20/claim|Median: $63.08
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$846K

25K claims · 5.4%

Your Cost: $33.18/claim|Median: $37.81
0.9× median
99284Normal range

Emergency dept visit, high complexity

$780K

19K claims · 5.0%

Your Cost: $40.49/claim|Median: $69.51
0.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$590K

16K claims · 3.8%

Your Cost: $35.85/claim|Median: $85.65
0.4× median
80053Top 25%

Comprehensive metabolic panel

$568K

33K claims · 3.6%

Your Cost: $17.37/claim|Median: $7.24
2.4× median
99283Normal range

Emergency dept visit, moderate complexity

$497K

11K claims · 3.2%

Your Cost: $43.45/claim|Median: $42.48
1.0× median
99211Top 10%

Office/outpatient visit, minimal complexity

$392K

6,569 claims · 2.5%

Your Cost: $59.68/claim|Median: $12.93
4.6× median
96365Normal range

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

$356K

6,129 claims · 2.3%

Your Cost: $58.09/claim|Median: $54.77
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$323K

2,869 claims · 2.1%

Your Cost: $112.74/claim|Median: $100.62
1.1× median
99212Top 10%

Office/outpatient visit, low complexity

$293K

5,171 claims · 1.9%

Your Cost: $56.69/claim|Median: $25.06
2.3× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$281K

2,969 claims · 1.8%

Your Cost: $94.66/claim|Median: $65.64
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$238K

3,948 claims · 1.5%

Your Cost: $60.21/claim|Median: $65.76
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$230K

6,976 claims · 1.5%

Your Cost: $32.99/claim|Median: $24.95
1.3× median
99282Normal range

Emergency dept visit, low complexity

$228K

3,833 claims · 1.5%

Your Cost: $59.51/claim|Median: $37.72
1.6× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$220K

6,929 claims · 1.4%

Your Cost: $31.79/claim|Median: $23.39
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$210K

7,494 claims · 1.3%

Your Cost: $28.03/claim|Median: $35.80
0.8× median
96360Normal range

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

$206K

2,814 claims · 1.3%

Your Cost: $73.04/claim|Median: $61.57
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$192K

32K claims · 1.2%

Your Cost: $5.93/claim|Median: $4.71
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$182K

13K claims · 1.2%

Your Cost: $14.14/claim|Median: $9.87
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$181K

33K claims · 1.2%

Your Cost: $5.44/claim|Median: $26.41
0.2× median
80048Top 25%

Basic metabolic panel

$163K

12K claims · 1.0%

Your Cost: $13.80/claim|Median: $5.78
2.4× median
70450Normal range

CT head/brain without contrast

$152K

3,241 claims · 1.0%

Your Cost: $46.82/claim|Median: $45.53
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$147K

3,601 claims · 0.9%

Your Cost: $40.84/claim|Median: $37.56
1.1× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$146K

6,174 claims · 0.9%

Your Cost: $23.73/claim|Median: $19.06
1.2× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$140K

4,570 claims · 0.9%

Your Cost: $30.55/claim|Median: $25.57
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$136K

2,638 claims · 0.9%

Your Cost: $51.48/claim|Median: $74.09
0.7× median
82306Normal range

Vitamin D, 25 hydroxy

$129K

5,207 claims · 0.8%

Your Cost: $24.80/claim|Median: $18.18
1.4× median
80061Top 25%

Lipid panel

$125K

10K claims · 0.8%

Your Cost: $12.51/claim|Median: $8.41
1.5× median
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