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Provider 1609856947

NPI: 1609856947Share
Active Billing Period:2018-01→2023-11(71 months)
Billing appears to have stoppedLast active: 2023-11

Total Paid

$12.5M

$12,479,347

Total Claims

245K

Beneficiaries

207K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-31%
2019
$1.9M
-6%
2020
$1.7M
+14%
2021
$2.0M
+10%
2022
$2.2M
-4%
2023
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (93458 (Left heart catheterization with imaging)) accounts for 42% of total spending.

93458Top 1%

Left heart catheterization with imaging

$5.2M

1,841 claims · 41.6%

Your Cost: $2,820.41/claim|Median: $183.33
15.4× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$3.2M

8,532 claims · 25.8%

Your Cost: $378.06/claim|Median: $85.65
4.4× median
99283Top 1%

Emergency dept visit, moderate complexity

$1.8M

3,588 claims · 14.1%

Your Cost: $490.67/claim|Median: $42.48
11.6× median
0450Top 10%

Emergency room visit

$1.1M

4,979 claims · 9.2%

Your Cost: $230.35/claim|Median: $44.95
5.1× median
99284Top 5%

Emergency dept visit, high complexity

$169K

561 claims · 1.4%

Your Cost: $300.85/claim|Median: $69.51
4.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$91K

18K claims · 0.7%

Your Cost: $5.10/claim|Median: $7.50
0.7× median
99152Top 25%

$55K

2,937 claims · 0.4%

Your Cost: $18.71/claim|Median: $7.34
2.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$48K

3,679 claims · 0.4%

Your Cost: $13.14/claim|Median: $35.43
0.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$45K

3,027 claims · 0.4%

Your Cost: $14.98/claim|Median: $39.70
0.4× median
G0463Normal range

Hospital outpatient clinic visit

$39K

899 claims · 0.3%

Your Cost: $43.46/claim|Median: $26.41
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$38K

18K claims · 0.3%

Your Cost: $2.10/claim|Median: $4.71
0.4× median
80053Normal range

Comprehensive metabolic panel

$38K

15K claims · 0.3%

Your Cost: $2.56/claim|Median: $7.24
0.4× median
71045Normal range

Chest X-ray, single view

$37K

11K claims · 0.3%

Your Cost: $3.39/claim|Median: $4.93
0.7× median
70450Normal range

CT head/brain without contrast

$37K

1,731 claims · 0.3%

Your Cost: $21.16/claim|Median: $45.53
0.5× median
83880Normal range

$35K

7,204 claims · 0.3%

Your Cost: $4.86/claim|Median: $11.81
0.4× median
84484Normal range

Troponin, quantitative

$33K

16K claims · 0.3%

Your Cost: $2.13/claim|Median: $4.84
0.4× median
93454Top 1%

$29K

12 claims · 0.2%

Your Cost: $2,410.63/claim|Median: $141.82
17.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$29K

3,693 claims · 0.2%

Your Cost: $7.82/claim|Median: $21.76
0.4× median
71275Normal range

CT angiography, chest, with contrast

$25K

803 claims · 0.2%

Your Cost: $31.10/claim|Median: $92.96
0.3× median
74177Normal range

CT abdomen and pelvis with contrast

$24K

661 claims · 0.2%

Your Cost: $36.31/claim|Median: $65.76
0.6× median
99153Normal range

$23K

2,141 claims · 0.2%

Your Cost: $10.83/claim|Median: $5.60
1.9× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$23K

2,011 claims · 0.2%

Your Cost: $11.41/claim|Median: $40.12
0.3× median
96365Normal range

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

$21K

1,503 claims · 0.2%

Your Cost: $14.07/claim|Median: $54.77
0.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$19K

2,823 claims · 0.2%

Your Cost: $6.68/claim|Median: $14.92
0.4× median
85730Normal range

$17K

9,318 claims · 0.1%

Your Cost: $1.86/claim|Median: $2.83
0.7× median
74176Normal range

CT abdomen and pelvis without contrast

$16K

690 claims · 0.1%

Your Cost: $23.42/claim|Median: $60.19
0.4× median
99070Normal range

$14K

8,397 claims · 0.1%

Your Cost: $1.69/claim|Median: $8.08
0.2× median
0270Top 25%

$14K

983 claims · 0.1%

Your Cost: $14.21/claim|Median: $5.50
2.6× median
83735Normal range

Magnesium blood level test

$13K

9,177 claims · 0.1%

Your Cost: $1.44/claim|Median: $2.77
0.5× median
85610Normal range

Prothrombin time (PT) blood clotting test

$13K

9,328 claims · 0.1%

Your Cost: $1.38/claim|Median: $2.14
0.6× median
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