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Provider 1538199617

NPI: 1538199617Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,532,449

Total Claims

304K

Beneficiaries

252K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-5%
2019
$2.1M
-23%
2020
$1.6M
+57%
2021
$2.5M
+8%
2022
$2.7M
+0%
2023
$2.7M
-36%
2024
$1.7M

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 21% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$3.2M

22K claims · 20.8%

Your Cost: $146.12/claim|Median: $42.48
3.4× median
99284Top 10%

Emergency dept visit, high complexity

$3.0M

14K claims · 19.1%

Your Cost: $212.54/claim|Median: $69.51
3.1× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.5M

5,100 claims · 15.9%

Your Cost: $483.49/claim|Median: $85.65
5.6× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

8,323 claims · 6.9%

Your Cost: $129.28/claim|Median: $21.76
5.9× median
G0463Top 25%

Hospital outpatient clinic visit

$919K

13K claims · 5.9%

Your Cost: $70.75/claim|Median: $26.41
2.7× median
99282Normal range

Emergency dept visit, low complexity

$801K

8,949 claims · 5.2%

Your Cost: $89.46/claim|Median: $37.72
2.4× median
99001Top 5%

$690K

17K claims · 4.4%

Your Cost: $40.16/claim|Median: $2.31
17.4× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$382K

2,067 claims · 2.5%

Your Cost: $184.67/claim|Median: $144.30
1.3× median
70450Top 25%

CT head/brain without contrast

$334K

1,908 claims · 2.1%

Your Cost: $174.83/claim|Median: $45.53
3.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$322K

740 claims · 2.1%

Your Cost: $434.52/claim|Median: $151.68
2.9× median
71045Top 10%

Chest X-ray, single view

$268K

6,229 claims · 1.7%

Your Cost: $42.98/claim|Median: $4.93
8.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$260K

2,254 claims · 1.7%

Your Cost: $115.55/claim|Median: $38.92
3.0× median
97597Top 10%

$244K

2,864 claims · 1.6%

Your Cost: $85.36/claim|Median: $21.22
4.0× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$240K

1,412 claims · 1.5%

Your Cost: $169.64/claim|Median: $36.13
4.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$199K

1,975 claims · 1.3%

Your Cost: $100.95/claim|Median: $91.47
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$197K

1,350 claims · 1.3%

Your Cost: $145.85/claim|Median: $65.76
2.2× median
71046Top 5%

Chest X-ray, 2 views

$177K

2,763 claims · 1.1%

Your Cost: $64.14/claim|Median: $8.92
7.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$150K

4,975 claims · 1.0%

Your Cost: $30.23/claim|Median: $14.92
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$98K

1,583 claims · 0.6%

Your Cost: $62.03/claim|Median: $63.08
1.0× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$88K

1,608 claims · 0.6%

Your Cost: $54.87/claim|Median: $39.70
1.4× median
96365Top 10%

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

$85K

544 claims · 0.5%

Your Cost: $156.39/claim|Median: $54.77
2.9× median
71275Normal range

CT angiography, chest, with contrast

$56K

431 claims · 0.4%

Your Cost: $130.01/claim|Median: $92.96
1.4× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$36K

968 claims · 0.2%

Your Cost: $37.36/claim|Median: $30.53
1.2× median
80050Top 10%

General health panel

$33K

452 claims · 0.2%

Your Cost: $74.09/claim|Median: $25.59
2.9× median
36415Normal range

Collection of venous blood by venipuncture

$22K

13K claims · 0.1%

Your Cost: $1.73/claim|Median: $1.57
1.1× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$20K

7,541 claims · 0.1%

Your Cost: $2.65/claim|Median: $1.53
1.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$17K

8,540 claims · 0.1%

Your Cost: $1.96/claim|Median: $7.50
0.3× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$15K

1,119 claims · 0.1%

Your Cost: $13.38/claim|Median: $15.76
0.8× median
80053Normal range

Comprehensive metabolic panel

$14K

18K claims · 0.1%

Your Cost: $0.77/claim|Median: $7.24
0.1× median
U0001Normal range

$12K

508 claims · 0.1%

Your Cost: $23.97/claim|Median: $24.79
1.0× median
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