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Provider 1548205883

NPI: 1548205883Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.8M

$12,833,815

Total Claims

427K

Beneficiaries

304K

1.4 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$490K
+454%
2019
$2.7M
-26%
2020
$2.0M
+16%
2021
$2.3M
+19%
2022
$2.8M
-39%
2023
$1.7M
-54%
2024
$782K

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 17% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.1M

23K claims · 16.6%

Your Cost: $93.62/claim|Median: $42.48
2.2× median
99284Normal range

Emergency dept visit, high complexity

$1.7M

23K claims · 13.5%

Your Cost: $75.05/claim|Median: $69.51
1.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.6M

21K claims · 12.7%

Your Cost: $79.22/claim|Median: $24.49
3.2× median
92507Top 25%

Speech/hearing/language treatment

$938K

12K claims · 7.3%

Your Cost: $80.63/claim|Median: $49.45
1.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$730K

11K claims · 5.7%

Your Cost: $66.43/claim|Median: $85.65
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$644K

11K claims · 5.0%

Your Cost: $56.99/claim|Median: $33.11
1.7× median
80053Top 10%

Comprehensive metabolic panel

$553K

20K claims · 4.3%

Your Cost: $28.35/claim|Median: $7.24
3.9× median
74177Normal range

CT abdomen and pelvis with contrast

$479K

3,096 claims · 3.7%

Your Cost: $154.87/claim|Median: $65.76
2.4× median
99282Normal range

Emergency dept visit, low complexity

$303K

3,394 claims · 2.4%

Your Cost: $89.35/claim|Median: $37.72
2.4× median
70450Normal range

CT head/brain without contrast

$251K

3,370 claims · 2.0%

Your Cost: $74.59/claim|Median: $45.53
1.6× median
96361Normal range

IV infusion, hydration, each additional hour

$239K

3,846 claims · 1.9%

Your Cost: $62.25/claim|Median: $38.92
1.6× median
Q9967Top 10%

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

$213K

4,280 claims · 1.7%

Your Cost: $49.68/claim|Median: $3.42
14.5× median
59899Normal range

$182K

1,242 claims · 1.4%

Your Cost: $146.50/claim|Median: $86.86
1.7× median
80048Top 10%

Basic metabolic panel

$173K

8,967 claims · 1.3%

Your Cost: $19.25/claim|Median: $5.78
3.3× median
96365Normal range

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

$149K

2,711 claims · 1.2%

Your Cost: $55.10/claim|Median: $54.77
1.0× median
81003Top 5%

Urinalysis, automated without microscopy

$130K

16K claims · 1.0%

Your Cost: $7.92/claim|Median: $1.48
5.3× median
97803Top 5%

Medical nutrition therapy, reassessment, group, thirty minutes

$121K

1,047 claims · 0.9%

Your Cost: $115.96/claim|Median: $24.33
4.8× median
74176Normal range

CT abdomen and pelvis without contrast

$109K

1,183 claims · 0.8%

Your Cost: $91.88/claim|Median: $60.19
1.5× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$96K

1,568 claims · 0.7%

Your Cost: $61.32/claim|Median: $65.45
0.9× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$94K

149 claims · 0.7%

Your Cost: $633.83/claim|Median: $123.40
5.1× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$89K

239 claims · 0.7%

Your Cost: $371.18/claim|Median: $763.43
0.5× median
59025Top 25%

Fetal non-stress test

$85K

811 claims · 0.7%

Your Cost: $105.24/claim|Median: $26.45
4.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$83K

2,606 claims · 0.6%

Your Cost: $31.90/claim|Median: $39.70
0.8× median
96360Normal range

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

$83K

1,899 claims · 0.6%

Your Cost: $43.75/claim|Median: $61.57
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$82K

2,589 claims · 0.6%

Your Cost: $31.68/claim|Median: $63.08
0.5× median
J0696Top 5%

$71K

1,632 claims · 0.6%

Your Cost: $43.61/claim|Median: $1.34
32.5× median
G0463Normal range

Hospital outpatient clinic visit

$70K

2,371 claims · 0.5%

Your Cost: $29.49/claim|Median: $26.41
1.1× median
99281Normal range

Emergency dept visit, minimal complexity

$69K

727 claims · 0.5%

Your Cost: $94.55/claim|Median: $52.03
1.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$63K

5,172 claims · 0.5%

Your Cost: $12.17/claim|Median: $91.47
0.1× median
36415Normal range

Collection of venous blood by venipuncture

$61K

28K claims · 0.5%

Your Cost: $2.20/claim|Median: $1.57
1.4× median