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Provider 1598125502

NPI: 1598125502Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.8M

$8,824,762

Total Claims

238K

Beneficiaries

148K

1.6 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-1%
2019
$1.3M
-8%
2020
$1.2M
+23%
2021
$1.5M
-3%
2022
$1.4M
+15%
2023
$1.6M
-72%
2024
$469K

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 22% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$1.9M

9,346 claims · 21.9%

Your Cost: $206.70/claim|Median: $69.51
3.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$877K

3,852 claims · 9.9%

Your Cost: $227.66/claim|Median: $85.65
2.7× median
99283Top 10%

Emergency dept visit, moderate complexity

$770K

5,309 claims · 8.7%

Your Cost: $145.13/claim|Median: $42.48
3.4× median
74176Top 5%

CT abdomen and pelvis without contrast

$713K

1,970 claims · 8.1%

Your Cost: $361.89/claim|Median: $60.19
6.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$441K

1,162 claims · 5.0%

Your Cost: $379.38/claim|Median: $151.68
2.5× median
97110Normal range

Therapeutic exercises, each 15 min

$309K

10K claims · 3.5%

Your Cost: $29.77/claim|Median: $24.49
1.2× median
70450Top 10%

CT head/brain without contrast

$300K

1,362 claims · 3.4%

Your Cost: $219.94/claim|Median: $45.53
4.8× median
G0378Normal range

Hospital observation service, per hour

$269K

1,436 claims · 3.0%

Your Cost: $187.21/claim|Median: $99.39
1.9× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$251K

4,519 claims · 2.8%

Your Cost: $55.46/claim|Median: $7.50
7.4× median
96365Normal range

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

$222K

5,928 claims · 2.5%

Your Cost: $37.42/claim|Median: $54.77
0.7× median
71046Top 5%

Chest X-ray, 2 views

$215K

4,026 claims · 2.4%

Your Cost: $53.50/claim|Median: $8.92
6.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$178K

9,537 claims · 2.0%

Your Cost: $18.65/claim|Median: $9.56
2.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$170K

9,095 claims · 1.9%

Your Cost: $18.65/claim|Median: $21.76
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$158K

2,274 claims · 1.8%

Your Cost: $69.38/claim|Median: $65.64
1.1× median
71045Top 10%

Chest X-ray, single view

$131K

4,070 claims · 1.5%

Your Cost: $32.11/claim|Median: $4.93
6.5× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$95K

2,809 claims · 1.1%

Your Cost: $33.97/claim|Median: $14.92
2.3× median
80053Normal range

Comprehensive metabolic panel

$88K

18K claims · 1.0%

Your Cost: $4.89/claim|Median: $7.24
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$87K

15K claims · 1.0%

Your Cost: $5.79/claim|Median: $4.71
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$80K

2,426 claims · 0.9%

Your Cost: $32.99/claim|Median: $39.70
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$72K

14K claims · 0.8%

Your Cost: $5.03/claim|Median: $1.57
3.2× median
96361Normal range

IV infusion, hydration, each additional hour

$69K

6,647 claims · 0.8%

Your Cost: $10.40/claim|Median: $38.92
0.3× median
96360Normal range

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

$66K

3,009 claims · 0.7%

Your Cost: $21.91/claim|Median: $61.57
0.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$61K

1,018 claims · 0.7%

Your Cost: $59.91/claim|Median: $39.33
1.5× median
J7050Top 25%

Normal saline solution infusion, 250 cc

$53K

4,998 claims · 0.6%

Your Cost: $10.56/claim|Median: $0.82
12.9× median
99282Top 25%

Emergency dept visit, low complexity

$50K

514 claims · 0.6%

Your Cost: $96.67/claim|Median: $37.72
2.6× median
82803Top 25%

$44K

2,495 claims · 0.5%

Your Cost: $17.77/claim|Median: $8.90
2.0× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$44K

1,411 claims · 0.5%

Your Cost: $31.22/claim|Median: $20.04
1.6× median
74177Top 5%

CT abdomen and pelvis with contrast

$44K

87 claims · 0.5%

Your Cost: $502.61/claim|Median: $65.76
7.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$42K

141 claims · 0.5%

Your Cost: $295.36/claim|Median: $54.68
5.4× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$41K

4,697 claims · 0.5%

Your Cost: $8.84/claim|Median: $0.91
9.7× median
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