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Provider 1578560504

NPI: 1578560504Share
Active Billing Period:2018-01→2024-12(66 months)

Total Paid

$12.7M

$12,734,310

Total Claims

385K

Beneficiaries

324K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$3K
+119%
2019
$8K
+11049%
2020
$841K
+436%
2021
$4.5M
-46%
2022
$2.4M
+11%
2023
$2.7M
-17%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0378 (Hospital observation service, per hour)) accounts for 28% of total spending.

G0378Top 10%

Hospital observation service, per hour

$3.5M

4,027 claims · 27.7%

Your Cost: $874.58/claim|Median: $99.39
8.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.0M

20K claims · 23.4%

Your Cost: $146.04/claim|Median: $85.65
1.7× median
99284Top 25%

Emergency dept visit, high complexity

$1.7M

12K claims · 13.0%

Your Cost: $135.97/claim|Median: $69.51
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

12K claims · 11.0%

Your Cost: $115.64/claim|Median: $42.48
2.7× median
74177Normal range

CT abdomen and pelvis with contrast

$371K

3,129 claims · 2.9%

Your Cost: $118.61/claim|Median: $65.76
1.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$213K

12K claims · 1.7%

Your Cost: $17.97/claim|Median: $21.76
0.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$208K

2,538 claims · 1.6%

Your Cost: $82.04/claim|Median: $100.62
0.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$154K

2,341 claims · 1.2%

Your Cost: $65.81/claim|Median: $91.47
0.7× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$148K

3,095 claims · 1.2%

Your Cost: $47.93/claim|Median: $121.16
0.4× median
80053Normal range

Comprehensive metabolic panel

$134K

18K claims · 1.1%

Your Cost: $7.39/claim|Median: $7.24
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$107K

30K claims · 0.8%

Your Cost: $3.58/claim|Median: $4.71
0.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$97K

15K claims · 0.8%

Your Cost: $6.24/claim|Median: $7.50
0.8× median
70450Normal range

CT head/brain without contrast

$85K

2,146 claims · 0.7%

Your Cost: $39.43/claim|Median: $45.53
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$69K

6,804 claims · 0.5%

Your Cost: $10.18/claim|Median: $14.92
0.7× median
84484Normal range

Troponin, quantitative

$66K

9,220 claims · 0.5%

Your Cost: $7.19/claim|Median: $4.84
1.5× median
71275Normal range

CT angiography, chest, with contrast

$62K

577 claims · 0.5%

Your Cost: $106.64/claim|Median: $92.96
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$61K

1,521 claims · 0.5%

Your Cost: $40.31/claim|Median: $35.43
1.1× median
80048Normal range

Basic metabolic panel

$58K

11K claims · 0.5%

Your Cost: $5.04/claim|Median: $5.78
0.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$55K

993 claims · 0.4%

Your Cost: $54.92/claim|Median: $63.08
0.9× median
80050Normal range

General health panel

$45K

1,184 claims · 0.4%

Your Cost: $38.25/claim|Median: $25.59
1.5× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$39K

2,202 claims · 0.3%

Your Cost: $17.75/claim|Median: $9.87
1.8× median
71046Normal range

Chest X-ray, 2 views

$39K

3,669 claims · 0.3%

Your Cost: $10.64/claim|Median: $8.92
1.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$37K

473 claims · 0.3%

Your Cost: $78.44/claim|Median: $97.61
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$37K

652 claims · 0.3%

Your Cost: $56.15/claim|Median: $60.19
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$36K

312 claims · 0.3%

Your Cost: $116.64/claim|Median: $151.68
0.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$33K

497 claims · 0.3%

Your Cost: $67.21/claim|Median: $36.13
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$33K

3,544 claims · 0.3%

Your Cost: $9.23/claim|Median: $38.92
0.2× median
99282Normal range

Emergency dept visit, low complexity

$32K

392 claims · 0.3%

Your Cost: $82.75/claim|Median: $37.72
2.2× median
80061Top 25%

Lipid panel

$32K

2,507 claims · 0.2%

Your Cost: $12.58/claim|Median: $8.41
1.5× median
71045Normal range

Chest X-ray, single view

$28K

5,885 claims · 0.2%

Your Cost: $4.84/claim|Median: $4.93
1.0× median
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