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Provider 1538218680

NPI: 1538218680Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.0M

$7,955,383

Total Claims

159K

Beneficiaries

108K

1.5 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-11%
2019
$1.1M
-11%
2020
$1.0M
+21%
2021
$1.2M
+5%
2022
$1.3M
-6%
2023
$1.2M
-26%
2024
$884K

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 10% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$817K

8,397 claims · 10.3%

Your Cost: $97.26/claim|Median: $42.48
2.3× median
99282Normal range

Emergency dept visit, low complexity

$770K

11K claims · 9.7%

Your Cost: $72.14/claim|Median: $37.72
1.9× median
74177Top 1%

CT abdomen and pelvis with contrast

$733K

493 claims · 9.2%

Your Cost: $1,486.79/claim|Median: $65.76
22.6× median
80053Top 5%

Comprehensive metabolic panel

$618K

11K claims · 7.8%

Your Cost: $56.38/claim|Median: $7.24
7.8× median
97110Top 10%

Therapeutic exercises, each 15 min

$462K

6,760 claims · 5.8%

Your Cost: $68.29/claim|Median: $24.49
2.8× median
74176Top 5%

CT abdomen and pelvis without contrast

$447K

617 claims · 5.6%

Your Cost: $724.95/claim|Median: $60.19
12.0× median
70450Top 5%

CT head/brain without contrast

$353K

1,129 claims · 4.4%

Your Cost: $313.00/claim|Median: $45.53
6.9× median
96365Top 25%

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

$269K

1,916 claims · 3.4%

Your Cost: $140.20/claim|Median: $54.77
2.6× median
90853Normal range

Group psychotherapy

$258K

10K claims · 3.2%

Your Cost: $25.18/claim|Median: $25.02
1.0× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$212K

10K claims · 2.7%

Your Cost: $20.70/claim|Median: $4.71
4.4× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$204K

2,684 claims · 2.6%

Your Cost: $76.07/claim|Median: $14.92
5.1× median
71046Top 5%

Chest X-ray, 2 views

$187K

2,442 claims · 2.4%

Your Cost: $76.75/claim|Median: $8.92
8.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$179K

3,344 claims · 2.3%

Your Cost: $53.54/claim|Median: $7.50
7.1× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$167K

2,436 claims · 2.1%

Your Cost: $68.40/claim|Median: $39.70
1.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$152K

2,420 claims · 1.9%

Your Cost: $62.67/claim|Median: $21.76
2.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$151K

2,492 claims · 1.9%

Your Cost: $60.76/claim|Median: $9.56
6.4× median
36415Top 10%

Collection of venous blood by venipuncture

$134K

19K claims · 1.7%

Your Cost: $7.19/claim|Median: $1.57
4.6× median
96361Normal range

IV infusion, hydration, each additional hour

$125K

2,573 claims · 1.6%

Your Cost: $48.44/claim|Median: $38.92
1.2× median
U0003Top 10%

Infectious disease detection (COVID-19)

$124K

1,205 claims · 1.6%

Your Cost: $102.60/claim|Median: $63.08
1.6× median
71045Top 5%

Chest X-ray, single view

$115K

2,249 claims · 1.4%

Your Cost: $51.25/claim|Median: $4.93
10.4× median
80061Top 5%

Lipid panel

$113K

3,230 claims · 1.4%

Your Cost: $34.99/claim|Median: $8.41
4.2× median
77067Top 5%

Screening mammography, bilateral, including CAD

$104K

730 claims · 1.3%

Your Cost: $142.93/claim|Median: $39.33
3.6× median
90837Normal range

Psychotherapy, 60 minutes

$85K

2,382 claims · 1.1%

Your Cost: $35.55/claim|Median: $85.66
0.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$75K

486 claims · 0.9%

Your Cost: $154.62/claim|Median: $85.65
1.8× median
80306Top 10%

$72K

2,036 claims · 0.9%

Your Cost: $35.34/claim|Median: $10.29
3.4× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$72K

1,107 claims · 0.9%

Your Cost: $64.68/claim|Median: $3.42
18.9× median
84484Top 5%

Troponin, quantitative

$71K

2,279 claims · 0.9%

Your Cost: $31.30/claim|Median: $4.84
6.5× median
99284Normal range

Emergency dept visit, high complexity

$70K

821 claims · 0.9%

Your Cost: $85.49/claim|Median: $69.51
1.2× median
87088Top 5%

$70K

2,597 claims · 0.9%

Your Cost: $26.78/claim|Median: $5.45
4.9× median
99213Normal range

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

$59K

2,946 claims · 0.7%

Your Cost: $20.02/claim|Median: $37.81
0.5× median
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