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Provider 1598763666

NPI: 1598763666Share
Active Billing Period:2018-01→2023-06(66 months)
Billing appears to have stoppedLast active: 2023-06

Total Paid

$13.1M

$13,057,117

Total Claims

186K

Beneficiaries

157K

1.2 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-13%
2019
$2.2M
+34%
2020
$2.9M
-18%
2021
$2.4M
-11%
2022
$2.1M
-48%
2023
$1.1M

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 28% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.6M

13K claims · 27.9%

Your Cost: $288.60/claim|Median: $69.51
4.2× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.3M

7,003 claims · 9.9%

Your Cost: $184.42/claim|Median: $42.48
4.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.2M

4,042 claims · 9.4%

Your Cost: $305.12/claim|Median: $85.65
3.6× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$555K

3,898 claims · 4.3%

Your Cost: $142.47/claim|Median: $21.76
6.5× median
74177Top 10%

CT abdomen and pelvis with contrast

$438K

974 claims · 3.4%

Your Cost: $449.45/claim|Median: $65.76
6.8× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$308K

14K claims · 2.4%

Your Cost: $22.37/claim|Median: $4.71
4.7× median
80053Top 10%

Comprehensive metabolic panel

$296K

11K claims · 2.3%

Your Cost: $26.37/claim|Median: $7.24
3.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$248K

5,258 claims · 1.9%

Your Cost: $47.23/claim|Median: $7.50
6.3× median
36415Top 5%

Collection of venous blood by venipuncture

$242K

14K claims · 1.9%

Your Cost: $17.03/claim|Median: $1.57
10.8× median
96365Top 25%

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

$236K

1,947 claims · 1.8%

Your Cost: $121.22/claim|Median: $54.77
2.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$229K

2,822 claims · 1.8%

Your Cost: $81.31/claim|Median: $9.56
8.5× median
71045Top 5%

Chest X-ray, single view

$220K

4,583 claims · 1.7%

Your Cost: $48.01/claim|Median: $4.93
9.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$203K

2,245 claims · 1.6%

Your Cost: $90.51/claim|Median: $97.61
0.9× median
70450Top 25%

CT head/brain without contrast

$194K

1,441 claims · 1.5%

Your Cost: $134.45/claim|Median: $45.53
3.0× median
81000Top 1%

Urinalysis with microscopy, non-automated

$187K

11K claims · 1.4%

Your Cost: $17.29/claim|Median: $2.51
6.9× median
96361Normal range

IV infusion, hydration, each additional hour

$172K

2,114 claims · 1.3%

Your Cost: $81.29/claim|Median: $38.92
2.1× median
74176Top 10%

CT abdomen and pelvis without contrast

$163K

582 claims · 1.2%

Your Cost: $279.39/claim|Median: $60.19
4.6× median
59025Top 25%

Fetal non-stress test

$144K

1,281 claims · 1.1%

Your Cost: $112.63/claim|Median: $26.45
4.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$140K

2,701 claims · 1.1%

Your Cost: $51.78/claim|Median: $14.92
3.5× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$127K

933 claims · 1.0%

Your Cost: $136.62/claim|Median: $10.88
12.6× median
71046Top 5%

Chest X-ray, 2 views

$119K

2,224 claims · 0.9%

Your Cost: $53.58/claim|Median: $8.92
6.0× median
87086Top 10%

Urine culture, colony count, with identification

$115K

5,706 claims · 0.9%

Your Cost: $20.09/claim|Median: $5.31
3.8× median
80306Top 10%

$114K

3,509 claims · 0.9%

Your Cost: $32.45/claim|Median: $10.29
3.2× median
U0003Top 5%

Infectious disease detection (COVID-19)

$108K

993 claims · 0.8%

Your Cost: $108.57/claim|Median: $63.08
1.7× median
G0378Normal range

Hospital observation service, per hour

$102K

602 claims · 0.8%

Your Cost: $169.51/claim|Median: $99.39
1.7× median
93041Top 10%

$99K

2,252 claims · 0.8%

Your Cost: $44.11/claim|Median: $4.36
10.1× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$94K

1,015 claims · 0.7%

Your Cost: $92.49/claim|Median: $37.56
2.5× median
84484Top 10%

Troponin, quantitative

$85K

3,207 claims · 0.7%

Your Cost: $26.58/claim|Median: $4.84
5.5× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$81K

4,168 claims · 0.6%

Your Cost: $19.52/claim|Median: $9.87
2.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$77K

1,498 claims · 0.6%

Your Cost: $51.34/claim|Median: $24.49
2.1× median
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