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Provider 1578568481

NPI: 1578568481Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,851,695

Total Claims

433K

Beneficiaries

357K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-4%
2019
$1.2M
-41%
2020
$720K
+149%
2021
$1.8M
+35%
2022
$2.4M
+7%
2023
$2.6M
-30%
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 23% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.8M

34K claims · 23.5%

Your Cost: $81.32/claim|Median: $69.51
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.5M

25K claims · 20.9%

Your Cost: $99.01/claim|Median: $85.65
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$1.3M

22K claims · 11.1%

Your Cost: $60.81/claim|Median: $42.48
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$589K

16K claims · 5.0%

Your Cost: $36.97/claim|Median: $39.70
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$522K

7,400 claims · 4.4%

Your Cost: $70.60/claim|Median: $65.64
1.1× median
80053Normal range

Comprehensive metabolic panel

$359K

50K claims · 3.0%

Your Cost: $7.13/claim|Median: $7.24
1.0× median
99214Normal range

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

$302K

5,851 claims · 2.6%

Your Cost: $51.66/claim|Median: $53.41
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$270K

5,612 claims · 2.3%

Your Cost: $48.15/claim|Median: $38.92
1.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$263K

15K claims · 2.2%

Your Cost: $17.09/claim|Median: $7.50
2.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$263K

51K claims · 2.2%

Your Cost: $5.14/claim|Median: $4.71
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$255K

5,868 claims · 2.2%

Your Cost: $43.51/claim|Median: $74.09
0.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$224K

11K claims · 1.9%

Your Cost: $19.97/claim|Median: $21.76
0.9× median
71045Top 25%

Chest X-ray, single view

$160K

8,278 claims · 1.3%

Your Cost: $19.29/claim|Median: $4.93
3.9× median
70450Top 25%

CT head/brain without contrast

$153K

1,438 claims · 1.3%

Your Cost: $106.28/claim|Median: $45.53
2.3× median
G0378Normal range

Hospital observation service, per hour

$141K

1,475 claims · 1.2%

Your Cost: $95.86/claim|Median: $99.39
1.0× median
81025Normal range

Urine pregnancy test

$137K

22K claims · 1.2%

Your Cost: $6.23/claim|Median: $4.81
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$134K

2,841 claims · 1.1%

Your Cost: $47.11/claim|Median: $35.43
1.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$133K

470 claims · 1.1%

Your Cost: $283.42/claim|Median: $65.76
4.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$124K

6,909 claims · 1.0%

Your Cost: $17.93/claim|Median: $14.92
1.2× median
71046Top 25%

Chest X-ray, 2 views

$119K

4,274 claims · 1.0%

Your Cost: $27.91/claim|Median: $8.92
3.1× median
99282Normal range

Emergency dept visit, low complexity

$119K

3,083 claims · 1.0%

Your Cost: $38.66/claim|Median: $37.72
1.0× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$112K

3,140 claims · 0.9%

Your Cost: $35.65/claim|Median: $3.42
10.4× median
96365Normal range

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

$83K

1,892 claims · 0.7%

Your Cost: $44.02/claim|Median: $54.77
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$72K

34K claims · 0.6%

Your Cost: $2.11/claim|Median: $1.57
1.3× median
84484Normal range

Troponin, quantitative

$69K

9,555 claims · 0.6%

Your Cost: $7.18/claim|Median: $4.84
1.5× median
83880Normal range

$67K

3,345 claims · 0.6%

Your Cost: $20.03/claim|Median: $11.81
1.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$63K

2,312 claims · 0.5%

Your Cost: $27.37/claim|Median: $28.46
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$49K

4,208 claims · 0.4%

Your Cost: $11.67/claim|Median: $9.56
1.2× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$36K

600 claims · 0.3%

Your Cost: $59.23/claim|Median: $37.56
1.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$31K

62 claims · 0.3%

Your Cost: $508.02/claim|Median: $763.43
0.7× median
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