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Provider 1588667281

NPI: 1588667281Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.9M

$9,865,411

Total Claims

215K

Beneficiaries

163K

1.3 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+30%
2019
$1.6M
-31%
2020
$1.1M
+37%
2021
$1.5M
+17%
2022
$1.7M
-0%
2023
$1.7M
-32%
2024
$1.2M

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 25% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.4M

12K claims · 24.6%

Your Cost: $195.41/claim|Median: $69.51
2.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.5M

6,342 claims · 15.3%

Your Cost: $237.52/claim|Median: $85.65
2.8× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.5M

10K claims · 14.9%

Your Cost: $145.02/claim|Median: $42.48
3.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$356K

4,644 claims · 3.6%

Your Cost: $76.66/claim|Median: $21.76
3.5× median
99282Normal range

Emergency dept visit, low complexity

$344K

4,200 claims · 3.5%

Your Cost: $81.79/claim|Median: $37.72
2.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$327K

8,116 claims · 3.3%

Your Cost: $40.35/claim|Median: $9.56
4.2× median
96365Normal range

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

$284K

3,247 claims · 2.9%

Your Cost: $87.55/claim|Median: $54.77
1.6× median
71045Top 10%

Chest X-ray, single view

$250K

6,369 claims · 2.5%

Your Cost: $39.27/claim|Median: $4.93
8.0× median
96360Normal range

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

$244K

2,794 claims · 2.5%

Your Cost: $87.15/claim|Median: $61.57
1.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$231K

2,810 claims · 2.3%

Your Cost: $82.32/claim|Median: $10.88
7.6× median
70450Top 25%

CT head/brain without contrast

$210K

2,675 claims · 2.1%

Your Cost: $78.63/claim|Median: $45.53
1.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$193K

756 claims · 2.0%

Your Cost: $254.99/claim|Median: $65.76
3.9× median
G0378Top 25%

Hospital observation service, per hour

$175K

438 claims · 1.8%

Your Cost: $399.55/claim|Median: $99.39
4.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$126K

5,550 claims · 1.3%

Your Cost: $22.79/claim|Median: $7.50
3.0× median
97110Normal range

Therapeutic exercises, each 15 min

$119K

3,169 claims · 1.2%

Your Cost: $37.63/claim|Median: $24.49
1.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$114K

771 claims · 1.2%

Your Cost: $147.70/claim|Median: $60.19
2.5× median
87426Normal range

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

$112K

3,782 claims · 1.1%

Your Cost: $29.50/claim|Median: $30.04
1.0× median
93041Top 10%

$108K

4,264 claims · 1.1%

Your Cost: $25.40/claim|Median: $4.36
5.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$105K

8,827 claims · 1.1%

Your Cost: $11.84/claim|Median: $11.48
1.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$97K

2,931 claims · 1.0%

Your Cost: $33.06/claim|Median: $14.92
2.2× median
87804Normal range

Influenza virus detection, rapid test

$96K

8,068 claims · 1.0%

Your Cost: $11.89/claim|Median: $12.59
0.9× median
80053Normal range

Comprehensive metabolic panel

$89K

11K claims · 0.9%

Your Cost: $7.92/claim|Median: $7.24
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$83K

2,598 claims · 0.8%

Your Cost: $32.03/claim|Median: $39.70
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$65K

13K claims · 0.7%

Your Cost: $4.90/claim|Median: $4.71
1.0× median
92507Normal range

Speech/hearing/language treatment

$58K

1,118 claims · 0.6%

Your Cost: $52.19/claim|Median: $49.45
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$58K

1,115 claims · 0.6%

Your Cost: $52.26/claim|Median: $38.92
1.3× median
71046Top 10%

Chest X-ray, 2 views

$52K

1,257 claims · 0.5%

Your Cost: $41.65/claim|Median: $8.92
4.7× median
83880Normal range

$43K

2,280 claims · 0.4%

Your Cost: $18.66/claim|Median: $11.81
1.6× median
80306Normal range

$35K

3,254 claims · 0.4%

Your Cost: $10.81/claim|Median: $10.29
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$35K

15K claims · 0.4%

Your Cost: $2.26/claim|Median: $1.57
1.4× median