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Provider 1568739423

NPI: 1568739423Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.4M

$13,415,219

Total Claims

408K

Beneficiaries

363K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+7%
2019
$2.1M
-27%
2020
$1.5M
+40%
2021
$2.2M
-6%
2022
$2.0M
+5%
2023
$2.1M
-32%
2024
$1.5M

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 33% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$4.4M

24K claims · 32.8%

Your Cost: $182.01/claim|Median: $69.51
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

13K claims · 12.3%

Your Cost: $124.46/claim|Median: $42.48
2.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.2M

3,543 claims · 9.2%

Your Cost: $346.77/claim|Median: $85.65
4.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$616K

6,342 claims · 4.6%

Your Cost: $97.20/claim|Median: $21.76
4.5× median
G0463Top 25%

Hospital outpatient clinic visit

$460K

7,679 claims · 3.4%

Your Cost: $59.96/claim|Median: $26.41
2.3× median
74177Normal range

CT abdomen and pelvis with contrast

$405K

2,661 claims · 3.0%

Your Cost: $152.15/claim|Median: $65.76
2.3× median
97110Normal range

Therapeutic exercises, each 15 min

$404K

17K claims · 3.0%

Your Cost: $23.15/claim|Median: $24.49
0.9× median
96365Normal range

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

$238K

2,704 claims · 1.8%

Your Cost: $88.11/claim|Median: $54.77
1.6× median
99282Normal range

Emergency dept visit, low complexity

$201K

2,718 claims · 1.5%

Your Cost: $73.90/claim|Median: $37.72
2.0× median
71046Top 10%

Chest X-ray, 2 views

$200K

5,343 claims · 1.5%

Your Cost: $37.39/claim|Median: $8.92
4.2× median
96361Normal range

IV infusion, hydration, each additional hour

$193K

6,076 claims · 1.4%

Your Cost: $31.73/claim|Median: $38.92
0.8× median
59409Normal range

Vaginal delivery only

$172K

233 claims · 1.3%

Your Cost: $740.11/claim|Median: $619.91
1.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$168K

5,844 claims · 1.3%

Your Cost: $28.73/claim|Median: $14.92
1.9× median
59025Top 25%

Fetal non-stress test

$141K

1,537 claims · 1.0%

Your Cost: $91.60/claim|Median: $26.45
3.5× median
80061Top 10%

Lipid panel

$131K

7,421 claims · 1.0%

Your Cost: $17.60/claim|Median: $8.41
2.1× median
70450Top 25%

CT head/brain without contrast

$123K

1,444 claims · 0.9%

Your Cost: $85.30/claim|Median: $45.53
1.9× median
96360Normal range

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

$96K

1,005 claims · 0.7%

Your Cost: $95.25/claim|Median: $61.57
1.5× median
99220Top 25%

$83K

823 claims · 0.6%

Your Cost: $101.15/claim|Median: $73.56
1.4× median
99281Normal range

Emergency dept visit, minimal complexity

$82K

1,950 claims · 0.6%

Your Cost: $41.94/claim|Median: $52.03
0.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$77K

5,867 claims · 0.6%

Your Cost: $13.14/claim|Median: $23.39
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$76K

5,882 claims · 0.6%

Your Cost: $12.98/claim|Median: $24.95
0.5× median
86900Top 10%

$76K

2,024 claims · 0.6%

Your Cost: $37.62/claim|Median: $2.55
14.8× median
G0378Normal range

Hospital observation service, per hour

$76K

415 claims · 0.6%

Your Cost: $183.39/claim|Median: $99.39
1.8× median
76856Normal range

Ultrasound, pelvic, complete

$75K

1,391 claims · 0.6%

Your Cost: $54.10/claim|Median: $47.58
1.1× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$74K

3,613 claims · 0.6%

Your Cost: $20.45/claim|Median: $26.72
0.8× median
76830Normal range

Ultrasound, transvaginal

$71K

1,208 claims · 0.5%

Your Cost: $58.71/claim|Median: $57.47
1.0× median
99213Normal range

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

$69K

2,205 claims · 0.5%

Your Cost: $31.28/claim|Median: $37.81
0.8× median
71045Top 10%

Chest X-ray, single view

$68K

1,724 claims · 0.5%

Your Cost: $39.70/claim|Median: $4.93
8.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$68K

9,878 claims · 0.5%

Your Cost: $6.90/claim|Median: $9.87
0.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$68K

1,395 claims · 0.5%

Your Cost: $48.40/claim|Median: $39.33
1.2× median
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