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Provider 1538522412

NPI: 1538522412Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,145,209

Total Claims

269K

Beneficiaries

246K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$4.3M
-68%
2019
$1.3M
-35%
2020
$875K
+159%
2021
$2.3M
+47%
2022
$3.3M
-15%
2023
$2.8M
-22%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 29% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$5.0M

17K claims · 29.0%

Your Cost: $285.57/claim|Median: $69.51
4.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.1M

19K claims · 18.0%

Your Cost: $161.30/claim|Median: $42.48
3.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.6M

8,744 claims · 15.2%

Your Cost: $298.70/claim|Median: $85.65
3.5× median
80053Top 10%

Comprehensive metabolic panel

$718K

22K claims · 4.2%

Your Cost: $33.31/claim|Median: $7.24
4.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$555K

1,677 claims · 3.2%

Your Cost: $330.97/claim|Median: $65.76
5.0× median
70450Top 10%

CT head/brain without contrast

$494K

2,026 claims · 2.9%

Your Cost: $243.73/claim|Median: $45.53
5.4× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$375K

22K claims · 2.2%

Your Cost: $16.83/claim|Median: $4.71
3.6× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$305K

8,833 claims · 1.8%

Your Cost: $34.58/claim|Median: $34.62
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$289K

10K claims · 1.7%

Your Cost: $28.58/claim|Median: $21.76
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$283K

9,131 claims · 1.7%

Your Cost: $31.04/claim|Median: $38.92
0.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$266K

6,554 claims · 1.6%

Your Cost: $40.56/claim|Median: $7.50
5.4× median
99282Top 25%

Emergency dept visit, low complexity

$252K

1,795 claims · 1.5%

Your Cost: $140.63/claim|Median: $37.72
3.7× median
74176Top 5%

CT abdomen and pelvis without contrast

$182K

248 claims · 1.1%

Your Cost: $732.26/claim|Median: $60.19
12.2× median
71046Top 5%

Chest X-ray, 2 views

$166K

2,824 claims · 1.0%

Your Cost: $58.80/claim|Median: $8.92
6.6× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$162K

1,784 claims · 0.9%

Your Cost: $90.64/claim|Median: $35.43
2.6× median
87804Normal range

Influenza virus detection, rapid test

$159K

9,278 claims · 0.9%

Your Cost: $17.18/claim|Median: $12.59
1.4× median
71045Top 5%

Chest X-ray, single view

$156K

3,438 claims · 0.9%

Your Cost: $45.23/claim|Median: $4.93
9.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$151K

5,915 claims · 0.9%

Your Cost: $25.53/claim|Median: $14.92
1.7× median
81000Top 5%

Urinalysis with microscopy, non-automated

$144K

12K claims · 0.8%

Your Cost: $12.09/claim|Median: $2.51
4.8× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$138K

9,014 claims · 0.8%

Your Cost: $15.30/claim|Median: $1.53
10.0× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$115K

1,070 claims · 0.7%

Your Cost: $107.54/claim|Median: $65.45
1.6× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$90K

4,962 claims · 0.5%

Your Cost: $18.15/claim|Median: $0.58
31.3× median
76705Top 5%

Ultrasound, abdominal, limited

$88K

752 claims · 0.5%

Your Cost: $117.15/claim|Median: $23.81
4.9× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$85K

1,879 claims · 0.5%

Your Cost: $45.36/claim|Median: $61.57
0.7× median
84484Top 10%

Troponin, quantitative

$80K

3,906 claims · 0.5%

Your Cost: $20.60/claim|Median: $4.84
4.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$80K

3,574 claims · 0.5%

Your Cost: $22.50/claim|Median: $9.56
2.4× median
Q9967Top 25%

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

$76K

2,440 claims · 0.4%

Your Cost: $31.04/claim|Median: $3.42
9.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$74K

1,103 claims · 0.4%

Your Cost: $67.38/claim|Median: $65.64
1.0× median
96365Normal range

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

$67K

947 claims · 0.4%

Your Cost: $70.46/claim|Median: $54.77
1.3× median
87088Normal range

$63K

9,421 claims · 0.4%

Your Cost: $6.69/claim|Median: $5.45
1.2× median
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