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Provider 1598798597

NPI: 1598798597Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,571,976

Total Claims

421K

Beneficiaries

360K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+23%
2019
$1.7M
-29%
2020
$1.2M
+122%
2021
$2.7M
+42%
2022
$3.8M
-8%
2023
$3.5M
-30%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 21% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$3.4M

23K claims · 20.8%

Your Cost: $149.46/claim|Median: $85.65
1.7× median
99284Top 25%

Emergency dept visit, high complexity

$3.1M

30K claims · 18.8%

Your Cost: $105.46/claim|Median: $69.51
1.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.4M

33K claims · 14.5%

Your Cost: $73.12/claim|Median: $42.48
1.7× median
99213Normal range

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

$1.0M

30K claims · 6.0%

Your Cost: $33.16/claim|Median: $37.81
0.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$673K

14K claims · 4.1%

Your Cost: $48.92/claim|Median: $21.76
2.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$408K

5,294 claims · 2.5%

Your Cost: $77.05/claim|Median: $65.64
1.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$362K

16K claims · 2.2%

Your Cost: $22.22/claim|Median: $7.50
3.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$328K

13K claims · 2.0%

Your Cost: $25.37/claim|Median: $23.99
1.1× median
69436Normal range

Tympanostomy, general anesthesia

$312K

1,238 claims · 1.9%

Your Cost: $252.05/claim|Median: $205.50
1.2× median
80053Normal range

Comprehensive metabolic panel

$307K

44K claims · 1.9%

Your Cost: $6.95/claim|Median: $7.24
1.0× median
99214Normal range

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

$265K

5,283 claims · 1.6%

Your Cost: $50.13/claim|Median: $53.41
0.9× median
99282Normal range

Emergency dept visit, low complexity

$238K

5,319 claims · 1.4%

Your Cost: $44.75/claim|Median: $37.72
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$232K

5,836 claims · 1.4%

Your Cost: $39.75/claim|Median: $39.70
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$228K

45K claims · 1.4%

Your Cost: $5.08/claim|Median: $4.71
1.1× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$198K

4,842 claims · 1.2%

Your Cost: $40.79/claim|Median: $14.92
2.7× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$159K

249 claims · 1.0%

Your Cost: $638.72/claim|Median: $763.43
0.8× median
G0481Top 25%

Drug test, definitive, 8-14 drug classes

$152K

1,336 claims · 0.9%

Your Cost: $113.64/claim|Median: $64.72
1.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$144K

1,358 claims · 0.9%

Your Cost: $105.79/claim|Median: $91.47
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$134K

4,746 claims · 0.8%

Your Cost: $28.31/claim|Median: $25.06
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$125K

1,986 claims · 0.8%

Your Cost: $63.07/claim|Median: $67.32
0.9× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$96K

366 claims · 0.6%

Your Cost: $263.01/claim|Median: $36.13
7.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$93K

1,672 claims · 0.6%

Your Cost: $55.39/claim|Median: $35.43
1.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$90K

2,254 claims · 0.5%

Your Cost: $40.05/claim|Median: $35.30
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$84K

4,346 claims · 0.5%

Your Cost: $19.35/claim|Median: $38.92
0.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$84K

200 claims · 0.5%

Your Cost: $418.44/claim|Median: $331.68
1.3× median
81025Normal range

Urine pregnancy test

$80K

14K claims · 0.5%

Your Cost: $5.69/claim|Median: $4.81
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$80K

2,507 claims · 0.5%

Your Cost: $31.79/claim|Median: $28.46
1.1× median
42830Normal range

$75K

128 claims · 0.5%

Your Cost: $584.95/claim|Median: $341.04
1.7× median
25600Normal range

$70K

646 claims · 0.4%

Your Cost: $108.70/claim|Median: $193.19
0.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$69K

1,842 claims · 0.4%

Your Cost: $37.49/claim|Median: $29.03
1.3× median
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