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Provider 1568414589

NPI: 1568414589Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,661,470

Total Claims

814K

Beneficiaries

716K

1.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-6%
2019
$1.7M
-11%
2020
$1.5M
+39%
2021
$2.1M
+7%
2022
$2.3M
+85%
2023
$4.2M
-7%
2024
$3.9M

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 16% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.9M

16K claims · 16.5%

Your Cost: $177.29/claim|Median: $69.51
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.3M

20K claims · 13.3%

Your Cost: $117.94/claim|Median: $42.48
2.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.1M

7,487 claims · 11.9%

Your Cost: $280.67/claim|Median: $85.65
3.3× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$874K

8,594 claims · 4.9%

Your Cost: $101.72/claim|Median: $21.76
4.7× median
97110Normal range

Therapeutic exercises, each 15 min

$655K

28K claims · 3.7%

Your Cost: $23.70/claim|Median: $24.49
1.0× median
96365Normal range

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

$617K

6,699 claims · 3.5%

Your Cost: $92.10/claim|Median: $54.77
1.7× median
99282Normal range

Emergency dept visit, low complexity

$594K

7,516 claims · 3.4%

Your Cost: $79.06/claim|Median: $37.72
2.1× median
74177Normal range

CT abdomen and pelvis with contrast

$583K

4,455 claims · 3.3%

Your Cost: $130.95/claim|Median: $65.76
2.0× median
70450Top 25%

CT head/brain without contrast

$432K

4,399 claims · 2.4%

Your Cost: $98.24/claim|Median: $45.53
2.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$344K

13K claims · 1.9%

Your Cost: $27.09/claim|Median: $39.70
0.7× median
G0463Top 25%

Hospital outpatient clinic visit

$325K

5,340 claims · 1.8%

Your Cost: $60.88/claim|Median: $26.41
2.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$300K

8,423 claims · 1.7%

Your Cost: $35.61/claim|Median: $14.92
2.4× median
96361Normal range

IV infusion, hydration, each additional hour

$274K

8,909 claims · 1.6%

Your Cost: $30.79/claim|Median: $38.92
0.8× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$261K

1,411 claims · 1.5%

Your Cost: $185.31/claim|Median: $36.13
5.1× median
71046Top 10%

Chest X-ray, 2 views

$260K

7,225 claims · 1.5%

Your Cost: $36.04/claim|Median: $8.92
4.0× median
96360Normal range

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

$250K

3,139 claims · 1.4%

Your Cost: $79.72/claim|Median: $61.57
1.3× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$226K

1,039 claims · 1.3%

Your Cost: $217.15/claim|Median: $54.68
4.0× median
80061Normal range

Lipid panel

$211K

19K claims · 1.2%

Your Cost: $11.37/claim|Median: $8.41
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$204K

2,183 claims · 1.2%

Your Cost: $93.23/claim|Median: $60.19
1.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$189K

13K claims · 1.1%

Your Cost: $14.92/claim|Median: $16.79
0.9× median
80053Normal range

Comprehensive metabolic panel

$175K

54K claims · 1.0%

Your Cost: $3.22/claim|Median: $7.24
0.4× median
36415Normal range

Collection of venous blood by venipuncture

$170K

75K claims · 1.0%

Your Cost: $2.26/claim|Median: $1.57
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$162K

20K claims · 0.9%

Your Cost: $7.93/claim|Median: $9.87
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$146K

2,901 claims · 0.8%

Your Cost: $50.42/claim|Median: $39.33
1.3× median
71045Top 10%

Chest X-ray, single view

$136K

3,854 claims · 0.8%

Your Cost: $35.42/claim|Median: $4.93
7.2× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$136K

6,451 claims · 0.8%

Your Cost: $21.10/claim|Median: $20.04
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$127K

56K claims · 0.7%

Your Cost: $2.28/claim|Median: $4.71
0.5× median
82306Normal range

Vitamin D, 25 hydroxy

$117K

7,810 claims · 0.7%

Your Cost: $15.02/claim|Median: $18.18
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$114K

4,004 claims · 0.6%

Your Cost: $28.43/claim|Median: $33.11
0.9× median
97162Normal range

PT evaluation, moderate complexity

$101K

2,053 claims · 0.6%

Your Cost: $49.42/claim|Median: $46.10
1.1× median
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