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Provider 1568528594

NPI: 1568528594Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.2M

$9,225,301

Total Claims

153K

Beneficiaries

117K

1.3 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+11%
2019
$1.2M
-18%
2020
$994K
+42%
2021
$1.4M
+21%
2022
$1.7M
-6%
2023
$1.6M
-25%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (74176 (CT abdomen and pelvis without contrast)) accounts for 21% of total spending.

74176Top 1%

CT abdomen and pelvis without contrast

$2.0M

2,418 claims · 21.4%

Your Cost: $815.93/claim|Median: $60.19
13.6× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.5M

6,789 claims · 16.4%

Your Cost: $223.50/claim|Median: $42.48
5.3× median
99282Top 10%

Emergency dept visit, low complexity

$1.4M

9,122 claims · 15.1%

Your Cost: $153.01/claim|Median: $37.72
4.1× median
70450Top 1%

CT head/brain without contrast

$877K

2,039 claims · 9.5%

Your Cost: $430.19/claim|Median: $45.53
9.4× median
99284Top 5%

Emergency dept visit, high complexity

$646K

2,440 claims · 7.0%

Your Cost: $264.80/claim|Median: $69.51
3.8× median
80053Top 25%

Comprehensive metabolic panel

$242K

13K claims · 2.6%

Your Cost: $18.25/claim|Median: $7.24
2.5× median
71045Top 5%

Chest X-ray, single view

$208K

2,742 claims · 2.3%

Your Cost: $75.88/claim|Median: $4.93
15.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$195K

3,506 claims · 2.1%

Your Cost: $55.58/claim|Median: $24.49
2.3× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$189K

1,519 claims · 2.1%

Your Cost: $124.56/claim|Median: $169.17
0.7× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$178K

3,295 claims · 1.9%

Your Cost: $53.99/claim|Median: $7.50
7.2× median
36415Top 10%

Collection of venous blood by venipuncture

$167K

25K claims · 1.8%

Your Cost: $6.79/claim|Median: $1.57
4.3× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$146K

11K claims · 1.6%

Your Cost: $12.68/claim|Median: $4.71
2.7× median
71046Top 5%

Chest X-ray, 2 views

$109K

1,354 claims · 1.2%

Your Cost: $80.16/claim|Median: $8.92
9.0× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$101K

311 claims · 1.1%

Your Cost: $326.02/claim|Median: $85.65
3.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$62K

977 claims · 0.7%

Your Cost: $63.84/claim|Median: $65.64
1.0× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$59K

1,121 claims · 0.6%

Your Cost: $52.63/claim|Median: $39.70
1.3× median
87486Top 25%

$59K

1,820 claims · 0.6%

Your Cost: $32.19/claim|Median: $19.16
1.7× median
87581Top 25%

$57K

1,788 claims · 0.6%

Your Cost: $32.03/claim|Median: $17.13
1.9× median
80061Top 5%

Lipid panel

$56K

2,101 claims · 0.6%

Your Cost: $26.83/claim|Median: $8.41
3.2× median
84484Top 25%

Troponin, quantitative

$40K

2,930 claims · 0.4%

Your Cost: $13.82/claim|Median: $4.84
2.9× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$40K

3,647 claims · 0.4%

Your Cost: $10.98/claim|Median: $1.53
7.2× median
96361Normal range

IV infusion, hydration, each additional hour

$39K

561 claims · 0.4%

Your Cost: $69.63/claim|Median: $38.92
1.8× median
83735Top 10%

Magnesium blood level test

$37K

3,270 claims · 0.4%

Your Cost: $11.41/claim|Median: $2.77
4.1× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$35K

446 claims · 0.4%

Your Cost: $78.28/claim|Median: $14.92
5.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$34K

2,256 claims · 0.4%

Your Cost: $15.12/claim|Median: $9.87
1.5× median
J3490Normal range

Unclassified drugs

$32K

2,556 claims · 0.4%

Your Cost: $12.69/claim|Median: $5.70
2.2× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$32K

1,532 claims · 0.3%

Your Cost: $20.62/claim|Median: $5.50
3.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$31K

1,092 claims · 0.3%

Your Cost: $28.19/claim|Median: $28.46
1.0× median
83690Top 10%

$28K

2,595 claims · 0.3%

Your Cost: $10.89/claim|Median: $3.35
3.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$28K

523 claims · 0.3%

Your Cost: $53.89/claim|Median: $21.76
2.5× median
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