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Provider 1538127220

NPI: 1538127220Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,185,714

Total Claims

219K

Beneficiaries

172K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$924K
+26%
2019
$1.2M
-4%
2020
$1.1M
+30%
2021
$1.4M
-6%
2022
$1.4M
+16%
2023
$1.6M
-0%
2024
$1.6M

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 23% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$2.1M

14K claims · 22.5%

Your Cost: $144.11/claim|Median: $42.48
3.4× median
99282Top 10%

Emergency dept visit, low complexity

$1.3M

7,658 claims · 14.3%

Your Cost: $171.30/claim|Median: $37.72
4.5× median
99284Top 10%

Emergency dept visit, high complexity

$1.2M

7,053 claims · 13.0%

Your Cost: $168.95/claim|Median: $69.51
2.4× median
96365Top 5%

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

$667K

3,263 claims · 7.3%

Your Cost: $204.34/claim|Median: $54.77
3.7× median
96361Top 5%

IV infusion, hydration, each additional hour

$573K

1,380 claims · 6.2%

Your Cost: $415.15/claim|Median: $38.92
10.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$531K

1,971 claims · 5.8%

Your Cost: $269.41/claim|Median: $65.76
4.1× median
70450Top 10%

CT head/brain without contrast

$402K

1,713 claims · 4.4%

Your Cost: $234.52/claim|Median: $45.53
5.2× median
96366Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$361K

1,234 claims · 3.9%

Your Cost: $292.15/claim|Median: $40.12
7.3× median
99281Top 25%

Emergency dept visit, minimal complexity

$358K

2,345 claims · 3.9%

Your Cost: $152.48/claim|Median: $52.03
2.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$205K

1,178 claims · 2.2%

Your Cost: $174.07/claim|Median: $85.65
2.0× median
80048Normal range

Basic metabolic panel

$133K

18K claims · 1.4%

Your Cost: $7.22/claim|Median: $5.78
1.2× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$127K

1,037 claims · 1.4%

Your Cost: $122.48/claim|Median: $10.88
11.3× median
97110Normal range

Therapeutic exercises, each 15 min

$119K

4,881 claims · 1.3%

Your Cost: $24.28/claim|Median: $24.49
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$88K

16K claims · 1.0%

Your Cost: $5.49/claim|Median: $4.71
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$76K

1,977 claims · 0.8%

Your Cost: $38.59/claim|Median: $39.70
1.0× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$76K

825 claims · 0.8%

Your Cost: $92.01/claim|Median: $65.45
1.4× median
74176Top 10%

CT abdomen and pelvis without contrast

$61K

220 claims · 0.7%

Your Cost: $275.04/claim|Median: $60.19
4.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$54K

4,207 claims · 0.6%

Your Cost: $12.84/claim|Median: $9.87
1.3× median
80076Normal range

Hepatic function panel

$50K

8,979 claims · 0.5%

Your Cost: $5.59/claim|Median: $4.59
1.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$47K

745 claims · 0.5%

Your Cost: $63.56/claim|Median: $39.33
1.6× median
80061Normal range

Lipid panel

$41K

3,675 claims · 0.5%

Your Cost: $11.25/claim|Median: $8.41
1.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$33K

836 claims · 0.4%

Your Cost: $39.65/claim|Median: $37.56
1.1× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$26K

1,173 claims · 0.3%

Your Cost: $22.46/claim|Median: $144.30
0.2× median
G0378Normal range

Hospital observation service, per hour

$26K

842 claims · 0.3%

Your Cost: $31.19/claim|Median: $99.39
0.3× median
81025Top 5%

Urine pregnancy test

$25K

2,201 claims · 0.3%

Your Cost: $11.32/claim|Median: $4.81
2.4× median
84484Normal range

Troponin, quantitative

$25K

4,060 claims · 0.3%

Your Cost: $6.04/claim|Median: $4.84
1.2× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$24K

2,776 claims · 0.3%

Your Cost: $8.68/claim|Median: $5.50
1.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$23K

54 claims · 0.2%

Your Cost: $423.23/claim|Median: $54.68
7.7× median
71275Top 25%

CT angiography, chest, with contrast

$20K

85 claims · 0.2%

Your Cost: $237.58/claim|Median: $92.96
2.6× median
80306Normal range

$20K

1,486 claims · 0.2%

Your Cost: $13.32/claim|Median: $10.29
1.3× median
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