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Provider 1578568853

NPI: 1578568853Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.6M

$9,563,461

Total Claims

75K

Beneficiaries

62K

1.2 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$898K
+3%
2019
$927K
-32%
2020
$634K
+71%
2021
$1.1M
+62%
2022
$1.8M
+30%
2023
$2.3M
-14%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 24% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.3M

11K claims · 23.8%

Your Cost: $213.75/claim|Median: $42.48
5.0× median
99284Top 5%

Emergency dept visit, high complexity

$2.2M

5,438 claims · 23.0%

Your Cost: $405.35/claim|Median: $69.51
5.8× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$1.4M

2,346 claims · 14.3%

Your Cost: $584.83/claim|Median: $85.65
6.8× median
99282Top 25%

Emergency dept visit, low complexity

$578K

4,408 claims · 6.0%

Your Cost: $131.16/claim|Median: $37.72
3.5× median
97110Top 5%

Therapeutic exercises, each 15 min

$398K

4,226 claims · 4.2%

Your Cost: $94.06/claim|Median: $24.49
3.8× median
80053Top 5%

Comprehensive metabolic panel

$358K

4,192 claims · 3.7%

Your Cost: $85.52/claim|Median: $7.24
11.8× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$236K

1,736 claims · 2.5%

Your Cost: $136.10/claim|Median: $21.76
6.3× median
97530Top 5%

Therapeutic activities, each 15 min

$213K

1,873 claims · 2.2%

Your Cost: $113.46/claim|Median: $33.11
3.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$212K

1,651 claims · 2.2%

Your Cost: $128.66/claim|Median: $38.92
3.3× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$117K

1,753 claims · 1.2%

Your Cost: $66.67/claim|Median: $7.50
8.9× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$114K

4,218 claims · 1.2%

Your Cost: $27.05/claim|Median: $4.71
5.7× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$106K

863 claims · 1.1%

Your Cost: $122.66/claim|Median: $65.64
1.9× median
36415Top 5%

Collection of venous blood by venipuncture

$105K

4,992 claims · 1.1%

Your Cost: $20.97/claim|Median: $1.57
13.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$101K

920 claims · 1.1%

Your Cost: $109.93/claim|Median: $9.56
11.5× median
71046Top 5%

Chest X-ray, 2 views

$92K

1,006 claims · 1.0%

Your Cost: $90.97/claim|Median: $8.92
10.2× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$86K

1,131 claims · 0.9%

Your Cost: $76.24/claim|Median: $14.92
5.1× median
99281Top 25%

Emergency dept visit, minimal complexity

$70K

609 claims · 0.7%

Your Cost: $114.99/claim|Median: $52.03
2.2× median
70450Top 1%

CT head/brain without contrast

$66K

145 claims · 0.7%

Your Cost: $452.27/claim|Median: $45.53
9.9× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$63K

918 claims · 0.7%

Your Cost: $68.83/claim|Median: $39.70
1.7× median
87426Normal range

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

$57K

1,646 claims · 0.6%

Your Cost: $34.36/claim|Median: $30.04
1.1× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$54K

393 claims · 0.6%

Your Cost: $136.58/claim|Median: $35.43
3.9× median
74177Top 5%

CT abdomen and pelvis with contrast

$49K

57 claims · 0.5%

Your Cost: $854.91/claim|Median: $65.76
13.0× median
85007Top 1%

$40K

842 claims · 0.4%

Your Cost: $47.96/claim|Median: $1.77
27.1× median
81001Top 5%

Urinalysis, automated, with microscopy

$36K

2,101 claims · 0.4%

Your Cost: $17.25/claim|Median: $2.03
8.5× median
83690Top 5%

$35K

631 claims · 0.4%

Your Cost: $56.16/claim|Median: $3.35
16.8× median
J7050Top 5%

Normal saline solution infusion, 250 cc

$29K

889 claims · 0.3%

Your Cost: $32.45/claim|Median: $0.82
39.6× median
85027Top 5%

Complete blood count (CBC), automated

$28K

915 claims · 0.3%

Your Cost: $30.55/claim|Median: $3.72
8.2× median
80150Top 1%

$28K

399 claims · 0.3%

Your Cost: $69.23/claim|Median: $9.35
7.4× median
96365Top 10%

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

$25K

152 claims · 0.3%

Your Cost: $163.06/claim|Median: $54.77
3.0× median
84484Top 5%

Troponin, quantitative

$24K

468 claims · 0.3%

Your Cost: $51.31/claim|Median: $4.84
10.6× median
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