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Provider 1558363986

NPI: 1558363986Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,307,660

Total Claims

967K

Beneficiaries

757K

1.3 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+3%
2019
$2.3M
-10%
2020
$2.0M
-6%
2021
$1.9M
+37%
2022
$2.6M
+7%
2023
$2.8M
-9%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 11% of total spending.

96361Normal range

IV infusion, hydration, each additional hour

$1.8M

18K claims · 11.1%

Your Cost: $102.17/claim|Median: $38.92
2.6× median
99284Normal range

Emergency dept visit, high complexity

$1.0M

20K claims · 6.2%

Your Cost: $51.25/claim|Median: $69.51
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$992K

16K claims · 6.1%

Your Cost: $60.82/claim|Median: $42.48
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$981K

22K claims · 6.0%

Your Cost: $44.00/claim|Median: $85.65
0.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$845K

8,607 claims · 5.2%

Your Cost: $98.19/claim|Median: $100.62
1.0× median
80053Top 25%

Comprehensive metabolic panel

$783K

48K claims · 4.8%

Your Cost: $16.47/claim|Median: $7.24
2.3× median
99282Normal range

Emergency dept visit, low complexity

$734K

12K claims · 4.5%

Your Cost: $62.08/claim|Median: $37.72
1.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$397K

1,330 claims · 2.4%

Your Cost: $298.28/claim|Median: $763.43
0.4× median
96360Normal range

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

$385K

5,338 claims · 2.4%

Your Cost: $72.15/claim|Median: $61.57
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$313K

5,818 claims · 1.9%

Your Cost: $53.88/claim|Median: $65.76
0.8× median
96365Normal range

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

$313K

5,978 claims · 1.9%

Your Cost: $52.28/claim|Median: $54.77
1.0× median
70450Normal range

CT head/brain without contrast

$287K

5,954 claims · 1.8%

Your Cost: $48.15/claim|Median: $45.53
1.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$279K

7,158 claims · 1.7%

Your Cost: $38.92/claim|Median: $37.56
1.0× median
99214Normal range

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

$270K

6,464 claims · 1.7%

Your Cost: $41.74/claim|Median: $53.41
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$247K

48K claims · 1.5%

Your Cost: $5.16/claim|Median: $4.71
1.1× median
99211Top 10%

Office/outpatient visit, minimal complexity

$235K

4,250 claims · 1.4%

Your Cost: $55.26/claim|Median: $12.93
4.3× median
C9803Top 25%

$235K

9,962 claims · 1.4%

Your Cost: $23.55/claim|Median: $13.20
1.8× median
G0463Normal range

Hospital outpatient clinic visit

$231K

27K claims · 1.4%

Your Cost: $8.52/claim|Median: $26.41
0.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$216K

2,438 claims · 1.3%

Your Cost: $88.64/claim|Median: $97.61
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$190K

1,566 claims · 1.2%

Your Cost: $121.03/claim|Median: $54.68
2.2× median
87070Top 10%

Bacterial culture, any source except blood or urine

$184K

9,494 claims · 1.1%

Your Cost: $19.37/claim|Median: $5.89
3.3× median
99213Normal range

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

$181K

3,990 claims · 1.1%

Your Cost: $45.39/claim|Median: $37.81
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$164K

3,110 claims · 1.0%

Your Cost: $52.64/claim|Median: $25.06
2.1× median
43239Normal range

Upper GI endoscopy with biopsy

$162K

1,173 claims · 1.0%

Your Cost: $137.95/claim|Median: $151.68
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$157K

2,148 claims · 1.0%

Your Cost: $73.09/claim|Median: $74.78
1.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$155K

4,219 claims · 1.0%

Your Cost: $36.81/claim|Median: $75.28
0.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$140K

2,239 claims · 0.9%

Your Cost: $62.43/claim|Median: $58.16
1.1× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$134K

2,160 claims · 0.8%

Your Cost: $61.85/claim|Median: $40.12
1.5× median
80048Top 25%

Basic metabolic panel

$125K

9,068 claims · 0.8%

Your Cost: $13.83/claim|Median: $5.78
2.4× median
71275Normal range

CT angiography, chest, with contrast

$124K

2,162 claims · 0.8%

Your Cost: $57.29/claim|Median: $92.96
0.6× median
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