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Provider 1538113725

NPI: 1538113725Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.5M

$12,532,832

Total Claims

211K

Beneficiaries

171K

1.2 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+25%
2019
$2.0M
+0%
2020
$2.0M
-2%
2021
$2.0M
-11%
2022
$1.8M
+1%
2023
$1.8M
-29%
2024
$1.3M

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 37% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$4.6M

27K claims · 36.5%

Your Cost: $170.97/claim|Median: $42.48
4.0× median
99281Top 25%

Emergency dept visit, minimal complexity

$1.8M

12K claims · 14.1%

Your Cost: $142.31/claim|Median: $52.03
2.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$526K

8,462 claims · 4.2%

Your Cost: $62.17/claim|Median: $24.49
2.5× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$413K

3,314 claims · 3.3%

Your Cost: $124.69/claim|Median: $21.76
5.7× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$389K

1,777 claims · 3.1%

Your Cost: $219.07/claim|Median: $27.38
8.0× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$375K

1,497 claims · 3.0%

Your Cost: $250.41/claim|Median: $40.11
6.2× median
74177Top 5%

CT abdomen and pelvis with contrast

$304K

536 claims · 2.4%

Your Cost: $567.64/claim|Median: $65.76
8.6× median
77067Top 1%

Screening mammography, bilateral, including CAD

$301K

1,379 claims · 2.4%

Your Cost: $218.11/claim|Median: $39.33
5.5× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$296K

2,887 claims · 2.4%

Your Cost: $102.52/claim|Median: $14.92
6.9× median
96365Top 10%

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

$201K

1,172 claims · 1.6%

Your Cost: $171.49/claim|Median: $54.77
3.1× median
97139Normal range

$184K

4,372 claims · 1.5%

Your Cost: $42.13/claim|Median: $28.71
1.5× median
J3490Normal range

Unclassified drugs

$184K

15K claims · 1.5%

Your Cost: $12.65/claim|Median: $5.70
2.2× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$176K

2,672 claims · 1.4%

Your Cost: $65.81/claim|Median: $7.50
8.8× median
70450Top 5%

CT head/brain without contrast

$170K

531 claims · 1.4%

Your Cost: $320.12/claim|Median: $45.53
7.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$162K

2,496 claims · 1.3%

Your Cost: $64.77/claim|Median: $9.56
6.8× median
80053Normal range

Comprehensive metabolic panel

$153K

16K claims · 1.2%

Your Cost: $9.63/claim|Median: $7.24
1.3× median
97750Top 5%

$138K

1,407 claims · 1.1%

Your Cost: $97.85/claim|Median: $30.89
3.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$114K

1,548 claims · 0.9%

Your Cost: $73.86/claim|Median: $63.08
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$114K

2,148 claims · 0.9%

Your Cost: $52.85/claim|Median: $38.92
1.4× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$105K

6,866 claims · 0.8%

Your Cost: $15.23/claim|Median: $9.87
1.5× median
87633Top 5%

Respiratory virus detection, 12-25 targets, nucleic acid

$94K

168 claims · 0.8%

Your Cost: $561.36/claim|Median: $169.17
3.3× median
93010Top 1%

Electrocardiogram, interpretation and report only

$94K

2,489 claims · 0.7%

Your Cost: $37.57/claim|Median: $5.60
6.7× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$92K

364 claims · 0.7%

Your Cost: $253.19/claim|Median: $164.22
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$91K

13K claims · 0.7%

Your Cost: $6.90/claim|Median: $4.71
1.5× median
G0659Top 1%

$80K

959 claims · 0.6%

Your Cost: $83.15/claim|Median: $32.24
2.6× median
71046Top 10%

Chest X-ray, 2 views

$70K

1,720 claims · 0.6%

Your Cost: $40.89/claim|Median: $8.92
4.6× median
82306Top 10%

Vitamin D, 25 hydroxy

$68K

1,857 claims · 0.5%

Your Cost: $36.60/claim|Median: $18.18
2.0× median
80061Normal range

Lipid panel

$64K

5,261 claims · 0.5%

Your Cost: $12.08/claim|Median: $8.41
1.4× median
99070Normal range

$63K

3,013 claims · 0.5%

Your Cost: $20.94/claim|Median: $8.08
2.6× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$46K

327 claims · 0.4%

Your Cost: $139.21/claim|Median: $100.62
1.4× median
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