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Provider 1548322720

NPI: 1548322720Share
Active Billing Period:2018-01→2024-12(74 months)

Total Paid

$11.7M

$11,685,516

Total Claims

282K

Beneficiaries

243K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$6K
+603%
2019
$42K
+2095%
2020
$931K
+333%
2021
$4.0M
-41%
2022
$2.4M
-1%
2023
$2.4M
-21%
2024
$1.9M

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 25%

Emergency dept visit, high complexity

$3.4M

22K claims · 29.3%

Your Cost: $152.82/claim|Median: $69.51
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

17K claims · 17.0%

Your Cost: $117.36/claim|Median: $42.48
2.8× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.3M

32K claims · 11.2%

Your Cost: $41.34/claim|Median: $121.16
0.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$496K

3,357 claims · 4.2%

Your Cost: $147.70/claim|Median: $85.65
1.7× median
99213Top 25%

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

$346K

4,977 claims · 3.0%

Your Cost: $69.47/claim|Median: $37.81
1.8× median
G0378Top 10%

Hospital observation service, per hour

$345K

433 claims · 3.0%

Your Cost: $797.16/claim|Median: $99.39
8.0× median
X0621Top 25%

$292K

1,277 claims · 2.5%

Your Cost: $228.81/claim|Median: $212.75
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$229K

2,354 claims · 2.0%

Your Cost: $97.16/claim|Median: $100.62
1.0× median
80053Normal range

Comprehensive metabolic panel

$198K

20K claims · 1.7%

Your Cost: $10.11/claim|Median: $7.24
1.4× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$178K

465 claims · 1.5%

Your Cost: $381.83/claim|Median: $72.71
5.3× median
T1001Top 10%

Nursing assessment/evaluation, per visit

$167K

1,017 claims · 1.4%

Your Cost: $164.54/claim|Median: $49.05
3.4× median
74177Normal range

CT abdomen and pelvis with contrast

$152K

1,103 claims · 1.3%

Your Cost: $137.99/claim|Median: $65.76
2.1× median
99282Normal range

Emergency dept visit, low complexity

$137K

2,728 claims · 1.2%

Your Cost: $50.27/claim|Median: $37.72
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$125K

3,412 claims · 1.1%

Your Cost: $36.73/claim|Median: $74.63
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$106K

21K claims · 0.9%

Your Cost: $5.05/claim|Median: $4.71
1.1× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$103K

1,933 claims · 0.9%

Your Cost: $53.37/claim|Median: $35.43
1.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$70K

827 claims · 0.6%

Your Cost: $85.11/claim|Median: $39.33
2.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$68K

3,426 claims · 0.6%

Your Cost: $19.81/claim|Median: $21.76
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$61K

1,314 claims · 0.5%

Your Cost: $46.42/claim|Median: $58.55
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$59K

807 claims · 0.5%

Your Cost: $73.27/claim|Median: $63.08
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$59K

1,149 claims · 0.5%

Your Cost: $51.13/claim|Median: $25.06
2.0× median
99429Top 5%

$57K

252 claims · 0.5%

Your Cost: $226.45/claim|Median: $28.58
7.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$51K

969 claims · 0.4%

Your Cost: $52.65/claim|Median: $37.56
1.4× median
80061Top 25%

Lipid panel

$51K

3,611 claims · 0.4%

Your Cost: $14.12/claim|Median: $8.41
1.7× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$50K

2,087 claims · 0.4%

Your Cost: $24.19/claim|Median: $9.87
2.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$50K

6,215 claims · 0.4%

Your Cost: $8.03/claim|Median: $7.50
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$50K

626 claims · 0.4%

Your Cost: $79.08/claim|Median: $54.68
1.4× median
99211Top 10%

Office/outpatient visit, minimal complexity

$48K

796 claims · 0.4%

Your Cost: $60.65/claim|Median: $12.93
4.7× median
70450Normal range

CT head/brain without contrast

$47K

942 claims · 0.4%

Your Cost: $50.05/claim|Median: $45.53
1.1× median
S9470Normal range

Nutritional counseling

$47K

2,667 claims · 0.4%

Your Cost: $17.49/claim|Median: $16.62
1.1× median
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