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Provider 1568461440

NPI: 1568461440Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,333,186

Total Claims

554K

Beneficiaries

435K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$6.0M
-54%
2019
$2.7M
+49%
2020
$4.1M
-55%
2021
$1.8M
-31%
2022
$1.3M
+6%
2023
$1.3M
-15%
2024
$1.1M

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 10% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$1.8M

16K claims · 9.6%

Your Cost: $111.98/claim|Median: $69.51
1.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.6M

1,566 claims · 8.8%

Your Cost: $1,029.19/claim|Median: $763.43
1.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.3M

5,289 claims · 7.0%

Your Cost: $244.26/claim|Median: $85.65
2.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

15K claims · 6.2%

Your Cost: $74.40/claim|Median: $42.48
1.8× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$628K

53K claims · 3.4%

Your Cost: $11.91/claim|Median: $4.71
2.5× median
80053Top 25%

Comprehensive metabolic panel

$595K

42K claims · 3.2%

Your Cost: $14.19/claim|Median: $7.24
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$525K

12K claims · 2.9%

Your Cost: $45.38/claim|Median: $35.43
1.3× median
G0378Top 25%

Hospital observation service, per hour

$448K

1,042 claims · 2.4%

Your Cost: $429.56/claim|Median: $99.39
4.3× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$444K

7,110 claims · 2.4%

Your Cost: $62.49/claim|Median: $37.56
1.7× median
36415Top 5%

Collection of venous blood by venipuncture

$444K

35K claims · 2.4%

Your Cost: $12.76/claim|Median: $1.57
8.1× median
43239Top 25%

Upper GI endoscopy with biopsy

$417K

1,220 claims · 2.3%

Your Cost: $341.53/claim|Median: $151.68
2.3× median
74176Normal range

CT abdomen and pelvis without contrast

$355K

3,181 claims · 1.9%

Your Cost: $111.65/claim|Median: $60.19
1.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$333K

7,855 claims · 1.8%

Your Cost: $42.45/claim|Median: $63.08
0.7× median
70450Normal range

CT head/brain without contrast

$278K

4,103 claims · 1.5%

Your Cost: $67.77/claim|Median: $45.53
1.5× median
97110Normal range

Therapeutic exercises, each 15 min

$263K

6,605 claims · 1.4%

Your Cost: $39.88/claim|Median: $24.49
1.6× median
96361Normal range

IV infusion, hydration, each additional hour

$222K

3,506 claims · 1.2%

Your Cost: $63.21/claim|Median: $38.92
1.6× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$217K

12K claims · 1.2%

Your Cost: $17.71/claim|Median: $9.87
1.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$207K

15K claims · 1.1%

Your Cost: $13.64/claim|Median: $7.50
1.8× median
81001Top 10%

Urinalysis, automated, with microscopy

$202K

18K claims · 1.1%

Your Cost: $11.54/claim|Median: $2.03
5.7× median
96365Normal range

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

$199K

5,523 claims · 1.1%

Your Cost: $36.04/claim|Median: $54.77
0.7× median
99291Top 25%

Critical care, first 30-74 minutes

$195K

1,008 claims · 1.1%

Your Cost: $193.38/claim|Median: $101.24
1.9× median
84484Top 10%

Troponin, quantitative

$169K

11K claims · 0.9%

Your Cost: $15.81/claim|Median: $4.84
3.3× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$168K

417 claims · 0.9%

Your Cost: $401.80/claim|Median: $106.14
3.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$165K

7,053 claims · 0.9%

Your Cost: $23.40/claim|Median: $9.56
2.4× median
80061Top 10%

Lipid panel

$146K

9,251 claims · 0.8%

Your Cost: $15.80/claim|Median: $8.41
1.9× median
Q9967Top 10%

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

$144K

3,014 claims · 0.8%

Your Cost: $47.67/claim|Median: $3.42
13.9× median
71045Top 25%

Chest X-ray, single view

$144K

9,917 claims · 0.8%

Your Cost: $14.49/claim|Median: $4.93
2.9× median
83735Top 10%

Magnesium blood level test

$136K

12K claims · 0.7%

Your Cost: $11.34/claim|Median: $2.77
4.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$132K

4,834 claims · 0.7%

Your Cost: $27.34/claim|Median: $21.76
1.3× median
87040Top 10%

$127K

5,502 claims · 0.7%

Your Cost: $23.16/claim|Median: $5.54
4.2× median
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