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Provider 1578520045

NPI: 1578520045Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$13,028,587

Total Claims

144K

Beneficiaries

133K

1.1 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$956K
+73%
2019
$1.7M
-30%
2020
$1.2M
+70%
2021
$2.0M
+24%
2022
$2.5M
+5%
2023
$2.6M
-13%
2024
$2.2M

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 46% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$5.9M

21K claims · 45.5%

Your Cost: $284.90/claim|Median: $69.51
4.1× median
99283Top 5%

Emergency dept visit, moderate complexity

$4.3M

23K claims · 32.9%

Your Cost: $183.60/claim|Median: $42.48
4.3× median
G0463Normal range

Hospital outpatient clinic visit

$727K

14K claims · 5.6%

Your Cost: $50.46/claim|Median: $26.41
1.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$336K

3,453 claims · 2.6%

Your Cost: $97.43/claim|Median: $21.76
4.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$214K

1,708 claims · 1.6%

Your Cost: $125.11/claim|Median: $91.47
1.4× median
80053Top 10%

Comprehensive metabolic panel

$199K

5,549 claims · 1.5%

Your Cost: $35.95/claim|Median: $7.24
5.0× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$186K

18K claims · 1.4%

Your Cost: $10.16/claim|Median: $4.71
2.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$180K

5,136 claims · 1.4%

Your Cost: $35.03/claim|Median: $7.50
4.7× median
96361Normal range

IV infusion, hydration, each additional hour

$160K

2,342 claims · 1.2%

Your Cost: $68.29/claim|Median: $38.92
1.8× median
80048Top 10%

Basic metabolic panel

$133K

6,816 claims · 1.0%

Your Cost: $19.49/claim|Median: $5.78
3.4× median
71046Top 5%

Chest X-ray, 2 views

$93K

1,640 claims · 0.7%

Your Cost: $56.80/claim|Median: $8.92
6.4× median
36415Top 10%

Collection of venous blood by venipuncture

$90K

14K claims · 0.7%

Your Cost: $6.19/claim|Median: $1.57
3.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$86K

209 claims · 0.7%

Your Cost: $409.20/claim|Median: $85.65
4.8× median
85027Top 5%

Complete blood count (CBC), automated

$71K

4,002 claims · 0.5%

Your Cost: $17.65/claim|Median: $3.72
4.7× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$44K

799 claims · 0.3%

Your Cost: $54.84/claim|Median: $14.92
3.7× median
J7050Top 10%

Normal saline solution infusion, 250 cc

$26K

1,225 claims · 0.2%

Your Cost: $20.82/claim|Median: $0.82
25.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$23K

189 claims · 0.2%

Your Cost: $122.01/claim|Median: $97.61
1.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$23K

330 claims · 0.2%

Your Cost: $68.30/claim|Median: $63.08
1.1× median
71045Top 5%

Chest X-ray, single view

$20K

251 claims · 0.2%

Your Cost: $79.75/claim|Median: $4.93
16.2× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$18K

342 claims · 0.1%

Your Cost: $52.69/claim|Median: $39.70
1.3× median
74177Top 10%

CT abdomen and pelvis with contrast

$17K

39 claims · 0.1%

Your Cost: $434.71/claim|Median: $65.76
6.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$16K

753 claims · 0.1%

Your Cost: $20.64/claim|Median: $28.46
0.7× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$14K

26 claims · 0.1%

Your Cost: $545.07/claim|Median: $120.85
4.5× median
87804Normal range

Influenza virus detection, rapid test

$13K

1,243 claims · 0.1%

Your Cost: $10.82/claim|Median: $12.59
0.9× median
81001Top 10%

Urinalysis, automated, with microscopy

$12K

1,006 claims · 0.1%

Your Cost: $12.14/claim|Median: $2.03
6.0× median
87426Top 5%

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

$11K

208 claims · 0.1%

Your Cost: $51.94/claim|Median: $30.04
1.7× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$11K

2,422 claims · 0.1%

Your Cost: $4.39/claim|Median: $1.53
2.9× median
D2393Top 1%

Resin-based composite, three surfaces, posterior

$10K

12 claims · 0.1%

Your Cost: $807.07/claim|Median: $84.26
9.6× median
83690Top 25%

$7K

1,285 claims · 0.1%

Your Cost: $5.64/claim|Median: $3.35
1.7× median
84484Normal range

Troponin, quantitative

$7K

1,232 claims · 0.1%

Your Cost: $5.76/claim|Median: $4.84
1.2× median
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