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Provider 1568727048

NPI: 1568727048Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,293,885

Total Claims

656K

Beneficiaries

565K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-10%
2019
$2.3M
-7%
2020
$2.1M
+31%
2021
$2.7M
-8%
2022
$2.5M
-4%
2023
$2.4M
-26%
2024
$1.8M

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

$2.6M

13K claims · 16.2%

Your Cost: $196.13/claim|Median: $69.51
2.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.2M

6,365 claims · 13.6%

Your Cost: $348.85/claim|Median: $85.65
4.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

12K claims · 8.9%

Your Cost: $122.85/claim|Median: $42.48
2.9× median
97110Normal range

Therapeutic exercises, each 15 min

$962K

27K claims · 5.9%

Your Cost: $35.78/claim|Median: $24.49
1.5× median
G0463Top 25%

Hospital outpatient clinic visit

$725K

12K claims · 4.4%

Your Cost: $62.38/claim|Median: $26.41
2.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$641K

9,126 claims · 3.9%

Your Cost: $70.29/claim|Median: $21.76
3.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$408K

9,079 claims · 2.5%

Your Cost: $44.89/claim|Median: $63.08
0.7× median
97530Normal range

Therapeutic activities, each 15 min

$331K

9,091 claims · 2.0%

Your Cost: $36.38/claim|Median: $33.11
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$309K

2,051 claims · 1.9%

Your Cost: $150.44/claim|Median: $65.76
2.3× median
92507Normal range

Speech/hearing/language treatment

$302K

7,376 claims · 1.9%

Your Cost: $40.95/claim|Median: $49.45
0.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$298K

915 claims · 1.8%

Your Cost: $325.21/claim|Median: $151.68
2.1× median
99282Normal range

Emergency dept visit, low complexity

$289K

4,192 claims · 1.8%

Your Cost: $68.93/claim|Median: $37.72
1.8× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$270K

1,169 claims · 1.7%

Your Cost: $231.37/claim|Median: $54.68
4.2× median
96365Normal range

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

$252K

2,705 claims · 1.5%

Your Cost: $93.25/claim|Median: $54.77
1.7× median
70553Normal range

MRI brain without contrast, then with contrast

$225K

895 claims · 1.4%

Your Cost: $250.95/claim|Median: $133.68
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$214K

5,980 claims · 1.3%

Your Cost: $35.78/claim|Median: $38.92
0.9× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$204K

1,028 claims · 1.3%

Your Cost: $198.70/claim|Median: $36.13
5.5× median
70450Top 25%

CT head/brain without contrast

$190K

2,192 claims · 1.2%

Your Cost: $86.45/claim|Median: $45.53
1.9× median
80061Top 10%

Lipid panel

$189K

10K claims · 1.2%

Your Cost: $18.19/claim|Median: $8.41
2.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$183K

6,553 claims · 1.1%

Your Cost: $27.87/claim|Median: $14.92
1.9× median
96360Normal range

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

$164K

1,696 claims · 1.0%

Your Cost: $96.48/claim|Median: $61.57
1.6× median
97161Normal range

Physical therapy evaluation, low complexity

$156K

3,005 claims · 1.0%

Your Cost: $51.78/claim|Median: $47.89
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$148K

10K claims · 0.9%

Your Cost: $14.70/claim|Median: $16.79
0.9× median
71045Top 10%

Chest X-ray, single view

$144K

3,525 claims · 0.9%

Your Cost: $40.76/claim|Median: $4.93
8.3× median
93303Top 25%

Echocardiography, transthoracic, limited

$137K

527 claims · 0.8%

Your Cost: $259.23/claim|Median: $112.83
2.3× median
71046Top 10%

Chest X-ray, 2 views

$129K

3,485 claims · 0.8%

Your Cost: $37.06/claim|Median: $8.92
4.2× median
80053Normal range

Comprehensive metabolic panel

$125K

33K claims · 0.8%

Your Cost: $3.74/claim|Median: $7.24
0.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$122K

6,557 claims · 0.7%

Your Cost: $18.58/claim|Median: $24.95
0.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$114K

2,350 claims · 0.7%

Your Cost: $48.46/claim|Median: $39.33
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$113K

15K claims · 0.7%

Your Cost: $7.48/claim|Median: $9.87
0.8× median
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