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Provider 1588629968

NPI: 1588629968Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,872,920

Total Claims

491K

Beneficiaries

387K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+18%
2019
$2.5M
-17%
2020
$2.1M
+25%
2021
$2.6M
+8%
2022
$2.8M
-2%
2023
$2.8M
-31%
2024
$1.9M

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 19% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$3.2M

18K claims · 18.9%

Your Cost: $181.08/claim|Median: $69.51
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

17K claims · 13.0%

Your Cost: $130.54/claim|Median: $42.48
3.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.5M

7,129 claims · 9.1%

Your Cost: $216.36/claim|Median: $85.65
2.5× median
99213Normal range

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

$705K

18K claims · 4.2%

Your Cost: $39.59/claim|Median: $37.81
1.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$560K

6,130 claims · 3.3%

Your Cost: $91.44/claim|Median: $21.76
4.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$424K

6,396 claims · 2.5%

Your Cost: $66.25/claim|Median: $65.64
1.0× median
99214Normal range

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

$411K

6,850 claims · 2.4%

Your Cost: $60.04/claim|Median: $53.41
1.1× median
G0378Top 25%

Hospital observation service, per hour

$393K

1,113 claims · 2.3%

Your Cost: $353.45/claim|Median: $99.39
3.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$387K

9,815 claims · 2.3%

Your Cost: $39.40/claim|Median: $9.56
4.1× median
99282Normal range

Emergency dept visit, low complexity

$341K

4,207 claims · 2.0%

Your Cost: $80.99/claim|Median: $37.72
2.1× median
30140Top 25%

$326K

251 claims · 1.9%

Your Cost: $1,300.66/claim|Median: $240.99
5.4× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$306K

3,231 claims · 1.8%

Your Cost: $94.74/claim|Median: $10.88
8.7× median
96365Normal range

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

$304K

3,870 claims · 1.8%

Your Cost: $78.55/claim|Median: $54.77
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$284K

9,032 claims · 1.7%

Your Cost: $31.49/claim|Median: $24.49
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$271K

7,709 claims · 1.6%

Your Cost: $35.17/claim|Median: $39.70
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$250K

1,677 claims · 1.5%

Your Cost: $149.35/claim|Median: $65.76
2.3× median
99215Normal range

Office/outpatient visit, high complexity

$244K

2,852 claims · 1.4%

Your Cost: $85.47/claim|Median: $74.09
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$242K

6,222 claims · 1.4%

Your Cost: $38.90/claim|Median: $35.43
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$224K

5,076 claims · 1.3%

Your Cost: $44.14/claim|Median: $38.92
1.1× median
71046Top 10%

Chest X-ray, 2 views

$199K

5,185 claims · 1.2%

Your Cost: $38.37/claim|Median: $8.92
4.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$183K

7,906 claims · 1.1%

Your Cost: $23.20/claim|Median: $7.50
3.1× median
74176Normal range

CT abdomen and pelvis without contrast

$171K

1,764 claims · 1.0%

Your Cost: $97.22/claim|Median: $60.19
1.6× median
80053Normal range

Comprehensive metabolic panel

$171K

27K claims · 1.0%

Your Cost: $6.44/claim|Median: $7.24
0.9× median
71045Top 10%

Chest X-ray, single view

$158K

5,194 claims · 0.9%

Your Cost: $30.47/claim|Median: $4.93
6.2× median
30130Top 1%

$151K

68 claims · 0.9%

Your Cost: $2,218.99/claim|Median: $546.42
4.1× median
96360Normal range

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

$144K

1,521 claims · 0.9%

Your Cost: $94.84/claim|Median: $61.57
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$137K

30K claims · 0.8%

Your Cost: $4.54/claim|Median: $4.71
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$129K

2,134 claims · 0.8%

Your Cost: $60.35/claim|Median: $63.08
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$127K

5,069 claims · 0.8%

Your Cost: $25.07/claim|Median: $14.92
1.7× median
86900Top 5%

$127K

2,162 claims · 0.8%

Your Cost: $58.68/claim|Median: $2.55
23.0× median
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