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Provider 1619913647

NPI: 1619913647Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.4M

$9,444,609

Total Claims

201K

Beneficiaries

161K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-50%
2019
$750K
+130%
2020
$1.7M
-3%
2021
$1.7M
-19%
2022
$1.4M
+16%
2023
$1.6M
-45%
2024
$868K

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 11% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$1.1M

7,121 claims · 11.2%

Your Cost: $148.78/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.0M

5,926 claims · 10.6%

Your Cost: $169.63/claim|Median: $85.65
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$907K

7,612 claims · 9.6%

Your Cost: $119.10/claim|Median: $42.48
2.8× median
80053Top 5%

Comprehensive metabolic panel

$607K

15K claims · 6.4%

Your Cost: $39.30/claim|Median: $7.24
5.4× median
74176Top 10%

CT abdomen and pelvis without contrast

$515K

1,451 claims · 5.4%

Your Cost: $354.72/claim|Median: $60.19
5.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$399K

3,092 claims · 4.2%

Your Cost: $129.00/claim|Median: $38.92
3.3× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$360K

18K claims · 3.8%

Your Cost: $20.03/claim|Median: $4.71
4.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$269K

6,563 claims · 2.9%

Your Cost: $41.02/claim|Median: $7.50
5.5× median
84484Top 5%

Troponin, quantitative

$264K

5,617 claims · 2.8%

Your Cost: $47.08/claim|Median: $4.84
9.7× median
84145Top 5%

$218K

2,501 claims · 2.3%

Your Cost: $87.25/claim|Median: $6.97
12.5× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$211K

3,637 claims · 2.2%

Your Cost: $58.06/claim|Median: $39.70
1.5× median
70450Top 25%

CT head/brain without contrast

$196K

1,263 claims · 2.1%

Your Cost: $155.39/claim|Median: $45.53
3.4× median
36415Top 10%

Collection of venous blood by venipuncture

$181K

23K claims · 1.9%

Your Cost: $7.87/claim|Median: $1.57
5.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$152K

5,453 claims · 1.6%

Your Cost: $27.86/claim|Median: $9.56
2.9× median
82306Top 5%

Vitamin D, 25 hydroxy

$148K

1,947 claims · 1.6%

Your Cost: $75.83/claim|Median: $18.18
4.2× median
71045Top 10%

Chest X-ray, single view

$148K

3,996 claims · 1.6%

Your Cost: $36.93/claim|Median: $4.93
7.5× median
80061Top 5%

Lipid panel

$124K

3,461 claims · 1.3%

Your Cost: $35.87/claim|Median: $8.41
4.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$123K

2,707 claims · 1.3%

Your Cost: $45.28/claim|Median: $24.49
1.8× median
83735Top 5%

Magnesium blood level test

$115K

5,628 claims · 1.2%

Your Cost: $20.42/claim|Median: $2.77
7.4× median
87631Top 5%

Respiratory virus detection, 3-5 targets, multiplex

$113K

620 claims · 1.2%

Your Cost: $182.25/claim|Median: $65.45
2.8× median
81001Top 5%

Urinalysis, automated, with microscopy

$111K

6,137 claims · 1.2%

Your Cost: $18.04/claim|Median: $2.03
8.9× median
71046Top 10%

Chest X-ray, 2 views

$105K

2,226 claims · 1.1%

Your Cost: $47.02/claim|Median: $8.92
5.3× median
83605Top 5%

$104K

4,475 claims · 1.1%

Your Cost: $23.29/claim|Median: $4.66
5.0× median
82553Top 5%

$103K

2,634 claims · 1.1%

Your Cost: $38.94/claim|Median: $5.41
7.2× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$101K

3,403 claims · 1.1%

Your Cost: $29.57/claim|Median: $9.87
3.0× median
G0378Normal range

Hospital observation service, per hour

$98K

941 claims · 1.0%

Your Cost: $103.97/claim|Median: $99.39
1.0× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$89K

5,630 claims · 0.9%

Your Cost: $15.75/claim|Median: $2.14
7.4× median
83880Top 5%

$82K

2,244 claims · 0.9%

Your Cost: $36.70/claim|Median: $11.81
3.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$79K

1,594 claims · 0.8%

Your Cost: $49.50/claim|Median: $21.76
2.3× median
85730Top 5%

$77K

4,804 claims · 0.8%

Your Cost: $15.98/claim|Median: $2.83
5.6× median