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Provider 1568643005

NPI: 1568643005Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,818,552

Total Claims

250K

Beneficiaries

210K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-21%
2019
$2.5M
-49%
2020
$1.3M
-28%
2021
$933K
+16%
2022
$1.1M
+15%
2023
$1.2M
-60%
2024
$502K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (X4003) accounts for 31% of total spending.

X4003Top 25%

$3.3M

26K claims · 30.7%

Your Cost: $129.93/claim|Median: $74.03
1.8× median
99213Top 25%

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

$1.9M

31K claims · 17.6%

Your Cost: $61.19/claim|Median: $37.81
1.6× median
G0463Top 25%

Hospital outpatient clinic visit

$1.4M

16K claims · 12.6%

Your Cost: $85.14/claim|Median: $26.41
3.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$937K

50K claims · 8.7%

Your Cost: $18.81/claim|Median: $121.16
0.2× median
00170Top 25%

Anesthesia for intraoral procedures

$416K

1,910 claims · 3.8%

Your Cost: $217.89/claim|Median: $132.89
1.6× median
99214Normal range

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

$246K

3,905 claims · 2.3%

Your Cost: $62.94/claim|Median: $53.41
1.2× median
D9999Top 1%

Unspecified adjunctive procedure, by report

$212K

212 claims · 2.0%

Your Cost: $999.67/claim|Median: $37.60
26.6× median
X4006Normal range

$210K

207 claims · 1.9%

Your Cost: $1,012.28/claim|Median: $668.05
1.5× median
Y7506Normal range

Healthcare procedure, code Y7506

$191K

2,027 claims · 1.8%

Your Cost: $94.44/claim|Median: $146.80
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$179K

3,715 claims · 1.7%

Your Cost: $48.28/claim|Median: $35.43
1.4× median
80053Top 25%

Comprehensive metabolic panel

$161K

15K claims · 1.5%

Your Cost: $10.51/claim|Median: $7.24
1.5× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$158K

1,345 claims · 1.5%

Your Cost: $117.27/claim|Median: $11.48
10.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$113K

16K claims · 1.0%

Your Cost: $7.09/claim|Median: $4.71
1.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$111K

9,064 claims · 1.0%

Your Cost: $12.26/claim|Median: $9.87
1.2× median
80061Normal range

Lipid panel

$98K

7,981 claims · 0.9%

Your Cost: $12.32/claim|Median: $8.41
1.5× median
94060Top 10%

$72K

567 claims · 0.7%

Your Cost: $127.54/claim|Median: $25.18
5.1× median
71046Top 10%

Chest X-ray, 2 views

$71K

1,866 claims · 0.7%

Your Cost: $37.89/claim|Median: $8.92
4.2× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$64K

6,698 claims · 0.6%

Your Cost: $9.59/claim|Median: $5.50
1.7× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$63K

651 claims · 0.6%

Your Cost: $97.44/claim|Median: $65.64
1.5× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$54K

1,562 claims · 0.5%

Your Cost: $34.36/claim|Median: $34.62
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$51K

790 claims · 0.5%

Your Cost: $64.07/claim|Median: $74.82
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$50K

632 claims · 0.5%

Your Cost: $78.67/claim|Median: $42.48
1.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$49K

1,060 claims · 0.5%

Your Cost: $46.23/claim|Median: $24.49
1.9× median
80050Top 25%

General health panel

$42K

883 claims · 0.4%

Your Cost: $47.11/claim|Median: $25.59
1.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$41K

1,268 claims · 0.4%

Your Cost: $32.40/claim|Median: $30.04
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$41K

571 claims · 0.4%

Your Cost: $71.20/claim|Median: $63.65
1.1× median
36415Top 25%

Collection of venous blood by venipuncture

$40K

15K claims · 0.4%

Your Cost: $2.67/claim|Median: $1.57
1.7× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$40K

984 claims · 0.4%

Your Cost: $40.30/claim|Median: $28.46
1.4× median
87804Top 1%

Influenza virus detection, rapid test

$37K

305 claims · 0.3%

Your Cost: $120.57/claim|Median: $12.59
9.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$36K

510 claims · 0.3%

Your Cost: $69.80/claim|Median: $75.18
0.9× median
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