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Provider 1568462034

NPI: 1568462034Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.3M

$14,279,928

Total Claims

190K

Beneficiaries

178K

1.1 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$232K
+631%
2019
$1.7M
+14%
2020
$1.9M
+26%
2021
$2.4M
+24%
2022
$3.0M
+17%
2023
$3.5M
-59%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (77067 (Screening mammography, bilateral, including CAD)) accounts for 18% of total spending.

77067Top 10%

Screening mammography, bilateral, including CAD

$2.6M

24K claims · 18.3%

Your Cost: $108.15/claim|Median: $39.33
2.7× median
78815Top 25%

PET imaging for limited area

$1.8M

2,246 claims · 12.7%

Your Cost: $809.56/claim|Median: $325.10
2.5× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$1.1M

24K claims · 7.5%

Your Cost: $45.19/claim|Median: $21.41
2.1× median
70553Normal range

MRI brain without contrast, then with contrast

$794K

9,493 claims · 5.6%

Your Cost: $83.67/claim|Median: $133.68
0.6× median
76641Top 25%

Ultrasound imaging of one breast, complete

$786K

7,904 claims · 5.5%

Your Cost: $99.49/claim|Median: $49.03
2.0× median
72148Normal range

MRI lumbar spine without contrast

$714K

17K claims · 5.0%

Your Cost: $43.19/claim|Median: $101.03
0.4× median
76700Top 25%

Ultrasound, abdominal, complete

$677K

5,292 claims · 4.7%

Your Cost: $128.01/claim|Median: $50.69
2.5× median
76536Top 10%

$623K

5,694 claims · 4.4%

Your Cost: $109.38/claim|Median: $44.06
2.5× median
73721Normal range

MRI joint of lower extremity without contrast

$611K

15K claims · 4.3%

Your Cost: $41.79/claim|Median: $127.34
0.3× median
71046Top 25%

Chest X-ray, 2 views

$453K

18K claims · 3.2%

Your Cost: $24.94/claim|Median: $8.92
2.8× median
70551Normal range

MRI brain without contrast

$435K

7,901 claims · 3.0%

Your Cost: $55.11/claim|Median: $85.39
0.6× median
72141Normal range

MRI of cervical spine without contrast

$387K

9,353 claims · 2.7%

Your Cost: $41.36/claim|Median: $112.68
0.4× median
77066Top 10%

$366K

2,620 claims · 2.6%

Your Cost: $139.80/claim|Median: $43.94
3.2× median
75574Top 5%

$362K

935 claims · 2.5%

Your Cost: $386.94/claim|Median: $102.06
3.8× median
73221Normal range

MRI of upper extremity joint with contrast

$331K

7,824 claims · 2.3%

Your Cost: $42.24/claim|Median: $122.11
0.3× median
72100Top 25%

$199K

6,010 claims · 1.4%

Your Cost: $33.15/claim|Median: $15.14
2.2× median
71250Top 10%

CT scan of chest without contrast

$199K

1,322 claims · 1.4%

Your Cost: $150.21/claim|Median: $39.11
3.8× median
A9552Normal range

$169K

2,007 claims · 1.2%

Your Cost: $83.99/claim|Median: $89.01
0.9× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$143K

1,300 claims · 1.0%

Your Cost: $109.72/claim|Median: $37.35
2.9× median
76856Top 25%

Ultrasound, pelvic, complete

$137K

1,229 claims · 1.0%

Your Cost: $111.12/claim|Median: $47.58
2.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$117K

453 claims · 0.8%

Your Cost: $259.36/claim|Median: $65.76
3.9× median
76830Top 5%

Ultrasound, transvaginal

$93K

771 claims · 0.6%

Your Cost: $120.16/claim|Median: $57.47
2.1× median
77065Top 10%

$89K

812 claims · 0.6%

Your Cost: $110.21/claim|Median: $35.39
3.1× median
73564Top 25%

$87K

2,205 claims · 0.6%

Your Cost: $39.52/claim|Median: $15.00
2.6× median
74183Normal range

$85K

810 claims · 0.6%

Your Cost: $104.84/claim|Median: $151.91
0.7× median
72197Normal range

$78K

616 claims · 0.5%

Your Cost: $127.23/claim|Median: $201.67
0.6× median
G0279Top 5%

$77K

1,484 claims · 0.5%

Your Cost: $51.73/claim|Median: $17.77
2.9× median
73718Normal range

$67K

1,213 claims · 0.5%

Your Cost: $55.41/claim|Median: $95.31
0.6× median
72040Top 25%

$63K

1,844 claims · 0.4%

Your Cost: $34.38/claim|Median: $16.49
2.1× median
70450Top 25%

CT head/brain without contrast

$55K

513 claims · 0.4%

Your Cost: $106.53/claim|Median: $45.53
2.3× median
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