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Provider 1609984889

NPI: 1609984889Share
Active Billing Period:2018-01→2024-11(75 months)

Total Paid

$11.2M

$11,221,256

Total Claims

401K

Beneficiaries

344K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$38K
+242%
2019
$130K
+884%
2020
$1.3M
+347%
2021
$5.7M
-75%
2022
$1.4M
+7%
2023
$1.5M
-27%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 17% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

20K claims · 17.4%

Your Cost: $99.50/claim|Median: $42.48
2.3× median
G0378Top 10%

Hospital observation service, per hour

$1.7M

2,118 claims · 15.2%

Your Cost: $805.96/claim|Median: $99.39
8.1× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.1M

28K claims · 9.9%

Your Cost: $39.30/claim|Median: $121.16
0.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$580K

4,170 claims · 5.2%

Your Cost: $138.99/claim|Median: $85.65
1.6× median
99284Top 25%

Emergency dept visit, high complexity

$529K

4,403 claims · 4.7%

Your Cost: $120.11/claim|Median: $69.51
1.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$385K

7,089 claims · 3.4%

Your Cost: $54.27/claim|Median: $21.76
2.5× median
99282Normal range

Emergency dept visit, low complexity

$342K

5,564 claims · 3.0%

Your Cost: $61.42/claim|Median: $37.72
1.6× median
92507Normal range

Speech/hearing/language treatment

$259K

6,234 claims · 2.3%

Your Cost: $41.57/claim|Median: $49.45
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$186K

1,200 claims · 1.7%

Your Cost: $154.75/claim|Median: $65.76
2.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$160K

4,524 claims · 1.4%

Your Cost: $35.35/claim|Median: $39.70
0.9× median
80050Top 25%

General health panel

$133K

3,059 claims · 1.2%

Your Cost: $43.50/claim|Median: $25.59
1.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$121K

5,302 claims · 1.1%

Your Cost: $22.77/claim|Median: $23.39
1.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$118K

5,334 claims · 1.0%

Your Cost: $22.08/claim|Median: $24.95
0.9× median
80053Normal range

Comprehensive metabolic panel

$116K

17K claims · 1.0%

Your Cost: $6.98/claim|Median: $7.24
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$106K

31K claims · 0.9%

Your Cost: $3.41/claim|Median: $4.71
0.7× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$103K

3,073 claims · 0.9%

Your Cost: $33.61/claim|Median: $25.57
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$103K

2,898 claims · 0.9%

Your Cost: $35.43/claim|Median: $35.43
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$100K

4,662 claims · 0.9%

Your Cost: $21.45/claim|Median: $14.92
1.4× median
59025Top 25%

Fetal non-stress test

$98K

1,589 claims · 0.9%

Your Cost: $61.99/claim|Median: $26.45
2.3× median
71045Top 25%

Chest X-ray, single view

$83K

4,231 claims · 0.7%

Your Cost: $19.64/claim|Median: $4.93
4.0× median
87481Top 25%

$76K

2,056 claims · 0.7%

Your Cost: $36.79/claim|Median: $22.38
1.6× median
70450Normal range

CT head/brain without contrast

$72K

1,347 claims · 0.6%

Your Cost: $53.49/claim|Median: $45.53
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$62K

2,465 claims · 0.6%

Your Cost: $25.12/claim|Median: $18.18
1.4× median
80061Top 25%

Lipid panel

$60K

4,618 claims · 0.5%

Your Cost: $13.07/claim|Median: $8.41
1.6× median
80048Normal range

Basic metabolic panel

$59K

12K claims · 0.5%

Your Cost: $4.99/claim|Median: $5.78
0.9× median
71275Top 25%

CT angiography, chest, with contrast

$59K

352 claims · 0.5%

Your Cost: $166.80/claim|Median: $92.96
1.8× median
73721Top 25%

MRI joint of lower extremity without contrast

$58K

223 claims · 0.5%

Your Cost: $258.44/claim|Median: $127.34
2.0× median
72148Normal range

MRI lumbar spine without contrast

$57K

382 claims · 0.5%

Your Cost: $149.08/claim|Median: $101.03
1.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$56K

10K claims · 0.5%

Your Cost: $5.38/claim|Median: $7.50
0.7× median
71046Normal range

Chest X-ray, 2 views

$55K

3,415 claims · 0.5%

Your Cost: $15.99/claim|Median: $8.92
1.8× median
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