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Provider 1548260284

NPI: 1548260284Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.5M

$8,454,343

Total Claims

227K

Beneficiaries

188K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$430K
+49%
2019
$640K
+4%
2020
$665K
+58%
2021
$1.0M
+105%
2022
$2.1M
+10%
2023
$2.4M
-51%
2024
$1.2M

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

$1.8M

12K claims · 20.9%

Your Cost: $150.70/claim|Median: $42.48
3.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

12K claims · 15.8%

Your Cost: $113.37/claim|Median: $85.65
1.3× median
99284Top 25%

Emergency dept visit, high complexity

$1.2M

8,157 claims · 14.0%

Your Cost: $144.61/claim|Median: $69.51
2.1× median
71045Top 1%

Chest X-ray, single view

$611K

5,085 claims · 7.2%

Your Cost: $120.15/claim|Median: $4.93
24.4× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$469K

7,476 claims · 5.5%

Your Cost: $62.69/claim|Median: $7.50
8.4× median
43239Top 1%

Upper GI endoscopy with biopsy

$441K

361 claims · 5.2%

Your Cost: $1,220.60/claim|Median: $151.68
8.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$343K

7,234 claims · 4.1%

Your Cost: $47.37/claim|Median: $21.76
2.2× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$326K

34K claims · 3.9%

Your Cost: $9.63/claim|Median: $4.71
2.0× median
80053Top 25%

Comprehensive metabolic panel

$279K

25K claims · 3.3%

Your Cost: $11.29/claim|Median: $7.24
1.6× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$176K

681 claims · 2.1%

Your Cost: $257.97/claim|Median: $75.28
3.4× median
96361Normal range

IV infusion, hydration, each additional hour

$160K

3,856 claims · 1.9%

Your Cost: $41.41/claim|Median: $38.92
1.1× median
36415Top 25%

Collection of venous blood by venipuncture

$145K

40K claims · 1.7%

Your Cost: $3.66/claim|Median: $1.57
2.3× median
45385Top 1%

Colonoscopy with polyp removal, snare technique

$135K

71 claims · 1.6%

Your Cost: $1,897.02/claim|Median: $255.17
7.4× median
80050Top 10%

General health panel

$122K

1,362 claims · 1.4%

Your Cost: $89.88/claim|Median: $25.59
3.5× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$102K

1,625 claims · 1.2%

Your Cost: $62.73/claim|Median: $60.05
1.0× median
74177Top 10%

CT abdomen and pelvis with contrast

$84K

274 claims · 1.0%

Your Cost: $307.09/claim|Median: $65.76
4.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$79K

1,079 claims · 0.9%

Your Cost: $73.17/claim|Median: $65.64
1.1× median
U0002Normal range

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

$74K

2,091 claims · 0.9%

Your Cost: $35.60/claim|Median: $34.62
1.0× median
99211Top 5%

Office/outpatient visit, minimal complexity

$57K

740 claims · 0.7%

Your Cost: $77.20/claim|Median: $12.93
6.0× median
80061Normal range

Lipid panel

$51K

7,184 claims · 0.6%

Your Cost: $7.10/claim|Median: $8.41
0.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$42K

8,762 claims · 0.5%

Your Cost: $4.75/claim|Median: $5.50
0.9× median
84484Top 25%

Troponin, quantitative

$36K

4,125 claims · 0.4%

Your Cost: $8.73/claim|Median: $4.84
1.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$35K

1,196 claims · 0.4%

Your Cost: $29.59/claim|Median: $28.46
1.0× median
80048Normal range

Basic metabolic panel

$31K

6,846 claims · 0.4%

Your Cost: $4.59/claim|Median: $5.78
0.8× median
G0463Normal range

Hospital outpatient clinic visit

$30K

684 claims · 0.4%

Your Cost: $43.81/claim|Median: $26.41
1.7× median
83605Top 25%

$29K

3,544 claims · 0.3%

Your Cost: $8.04/claim|Median: $4.66
1.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$27K

3,704 claims · 0.3%

Your Cost: $7.30/claim|Median: $14.92
0.5× median
87503Top 25%

$27K

1,079 claims · 0.3%

Your Cost: $24.68/claim|Median: $9.26
2.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$26K

3,128 claims · 0.3%

Your Cost: $8.18/claim|Median: $9.87
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$23K

678 claims · 0.3%

Your Cost: $34.54/claim|Median: $39.70
0.9× median
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