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Provider 1538115696

NPI: 1538115696Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,431,492

Total Claims

489K

Beneficiaries

398K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$362K
+207%
2019
$1.1M
-20%
2020
$889K
+159%
2021
$2.3M
+42%
2022
$3.3M
-32%
2023
$2.2M
-43%
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 33% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.8M

45K claims · 33.4%

Your Cost: $85.35/claim|Median: $42.48
2.0× median
99284Normal range

Emergency dept visit, high complexity

$1.8M

28K claims · 16.1%

Your Cost: $65.22/claim|Median: $69.51
0.9× median
99282Normal range

Emergency dept visit, low complexity

$691K

8,784 claims · 6.0%

Your Cost: $78.62/claim|Median: $37.72
2.1× median
80053Top 10%

Comprehensive metabolic panel

$546K

22K claims · 4.8%

Your Cost: $25.30/claim|Median: $7.24
3.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$427K

2,729 claims · 3.7%

Your Cost: $156.33/claim|Median: $60.19
2.6× median
74177Normal range

CT abdomen and pelvis with contrast

$426K

2,855 claims · 3.7%

Your Cost: $149.35/claim|Median: $65.76
2.3× median
70450Top 25%

CT head/brain without contrast

$416K

4,871 claims · 3.6%

Your Cost: $85.42/claim|Median: $45.53
1.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$330K

5,868 claims · 2.9%

Your Cost: $56.27/claim|Median: $85.65
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$298K

4,057 claims · 2.6%

Your Cost: $73.39/claim|Median: $36.13
2.0× median
99281Normal range

Emergency dept visit, minimal complexity

$277K

2,887 claims · 2.4%

Your Cost: $95.94/claim|Median: $52.03
1.8× median
80048Top 10%

Basic metabolic panel

$224K

8,733 claims · 2.0%

Your Cost: $25.62/claim|Median: $5.78
4.4× median
71275Top 25%

CT angiography, chest, with contrast

$193K

1,203 claims · 1.7%

Your Cost: $160.05/claim|Median: $92.96
1.7× median
97110Normal range

Therapeutic exercises, each 15 min

$122K

3,123 claims · 1.1%

Your Cost: $39.19/claim|Median: $24.49
1.6× median
87070Top 25%

Bacterial culture, any source except blood or urine

$121K

10K claims · 1.1%

Your Cost: $12.04/claim|Median: $5.89
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$118K

4,276 claims · 1.0%

Your Cost: $27.53/claim|Median: $63.08
0.4× median
72125Top 25%

CT cervical spine without contrast

$109K

1,848 claims · 1.0%

Your Cost: $58.80/claim|Median: $32.30
1.8× median
87275Normal range

$104K

10K claims · 0.9%

Your Cost: $10.09/claim|Median: $10.59
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$102K

1,462 claims · 0.9%

Your Cost: $69.73/claim|Median: $38.92
1.8× median
G0378Normal range

Hospital observation service, per hour

$81K

5,755 claims · 0.7%

Your Cost: $14.06/claim|Median: $99.39
0.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$71K

1,352 claims · 0.6%

Your Cost: $52.76/claim|Median: $74.78
0.7× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$69K

1,778 claims · 0.6%

Your Cost: $38.75/claim|Median: $16.79
2.3× median
81001Top 25%

Urinalysis, automated, with microscopy

$53K

13K claims · 0.5%

Your Cost: $4.16/claim|Median: $2.03
2.0× median
81003Top 5%

Urinalysis, automated without microscopy

$50K

7,653 claims · 0.4%

Your Cost: $6.53/claim|Median: $1.48
4.4× median
G0283Top 1%

$47K

206 claims · 0.4%

Your Cost: $227.50/claim|Median: $3.52
64.6× median
71046Normal range

Chest X-ray, 2 views

$44K

5,877 claims · 0.4%

Your Cost: $7.55/claim|Median: $8.92
0.8× median
A9270Top 25%

$42K

11K claims · 0.4%

Your Cost: $3.92/claim|Median: $0.20
19.6× median
76830Normal range

Ultrasound, transvaginal

$41K

593 claims · 0.4%

Your Cost: $69.92/claim|Median: $57.47
1.2× median
71045Normal range

Chest X-ray, single view

$41K

14K claims · 0.4%

Your Cost: $3.03/claim|Median: $4.93
0.6× median
76856Normal range

Ultrasound, pelvic, complete

$29K

877 claims · 0.3%

Your Cost: $33.58/claim|Median: $47.58
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$28K

13K claims · 0.2%

Your Cost: $2.22/claim|Median: $39.70
0.1× median
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