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Provider 1588697296

NPI: 1588697296Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,411,211

Total Claims

323K

Beneficiaries

263K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$286K
+422%
2019
$1.5M
-24%
2020
$1.1M
+146%
2021
$2.8M
+90%
2022
$5.3M
-65%
2023
$1.9M
-73%
2024
$512K

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 16% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.2M

15K claims · 16.1%

Your Cost: $144.65/claim|Median: $69.51
2.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.1M

19K claims · 15.4%

Your Cost: $111.13/claim|Median: $42.48
2.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.7M

7,612 claims · 12.8%

Your Cost: $225.00/claim|Median: $85.65
2.6× median
70450Top 5%

CT head/brain without contrast

$956K

2,829 claims · 7.1%

Your Cost: $337.76/claim|Median: $45.53
7.4× median
97530Top 1%

Therapeutic activities, each 15 min

$860K

5,843 claims · 6.4%

Your Cost: $147.14/claim|Median: $33.11
4.4× median
74177Top 5%

CT abdomen and pelvis with contrast

$787K

1,140 claims · 5.9%

Your Cost: $690.36/claim|Median: $65.76
10.5× median
92507Normal range

Speech/hearing/language treatment

$445K

10K claims · 3.3%

Your Cost: $43.62/claim|Median: $49.45
0.9× median
97110Top 5%

Therapeutic exercises, each 15 min

$433K

5,125 claims · 3.2%

Your Cost: $84.50/claim|Median: $24.49
3.5× median
74176Top 5%

CT abdomen and pelvis without contrast

$431K

959 claims · 3.2%

Your Cost: $449.07/claim|Median: $60.19
7.5× median
80053Top 10%

Comprehensive metabolic panel

$379K

15K claims · 2.8%

Your Cost: $24.48/claim|Median: $7.24
3.4× median
A4216Top 1%

$359K

1,876 claims · 2.7%

Your Cost: $191.62/claim|Median: $8.45
22.7× median
99282Top 25%

Emergency dept visit, low complexity

$274K

2,643 claims · 2.0%

Your Cost: $103.73/claim|Median: $37.72
2.8× median
30140Top 10%

$267K

149 claims · 2.0%

Your Cost: $1,792.65/claim|Median: $240.99
7.4× median
69436Normal range

Tympanostomy, general anesthesia

$242K

653 claims · 1.8%

Your Cost: $370.61/claim|Median: $205.50
1.8× median
G0378Normal range

Hospital observation service, per hour

$229K

4,444 claims · 1.7%

Your Cost: $51.44/claim|Median: $99.39
0.5× median
81001Top 5%

Urinalysis, automated, with microscopy

$225K

12K claims · 1.7%

Your Cost: $19.25/claim|Median: $2.03
9.5× median
96361Normal range

IV infusion, hydration, each additional hour

$204K

5,868 claims · 1.5%

Your Cost: $34.72/claim|Median: $38.92
0.9× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$115K

7,810 claims · 0.9%

Your Cost: $14.76/claim|Median: $34.62
0.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$92K

2,539 claims · 0.7%

Your Cost: $36.26/claim|Median: $49.45
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$90K

2,149 claims · 0.7%

Your Cost: $42.07/claim|Median: $63.08
0.7× median
J3490Top 5%

Unclassified drugs

$79K

446 claims · 0.6%

Your Cost: $176.37/claim|Median: $5.70
30.9× median
96360Normal range

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

$73K

3,335 claims · 0.5%

Your Cost: $21.78/claim|Median: $61.57
0.4× median
S0028Top 10%

$68K

1,627 claims · 0.5%

Your Cost: $42.07/claim|Median: $0.83
50.7× median
Q9967Top 25%

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

$64K

2,085 claims · 0.5%

Your Cost: $30.67/claim|Median: $3.42
9.0× median
87070Top 25%

Bacterial culture, any source except blood or urine

$60K

5,393 claims · 0.4%

Your Cost: $11.09/claim|Median: $5.89
1.9× median
59025Normal range

Fetal non-stress test

$52K

2,699 claims · 0.4%

Your Cost: $19.42/claim|Median: $26.45
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$51K

8,263 claims · 0.4%

Your Cost: $6.18/claim|Median: $65.64
0.1× median
71275Top 5%

CT angiography, chest, with contrast

$44K

79 claims · 0.3%

Your Cost: $559.37/claim|Median: $92.96
6.0× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$35K

124 claims · 0.3%

Your Cost: $280.88/claim|Median: $331.68
0.8× median
80048Top 25%

Basic metabolic panel

$33K

2,456 claims · 0.2%

Your Cost: $13.25/claim|Median: $5.78
2.3× median
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