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Provider 1619924719

NPI: 1619924719Share
Active Billing Period:2019-05→2024-12(65 months)

Total Paid

$17.7M

$17,684,096

Total Claims

337K

Beneficiaries

309K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2019
$6K
+7462%
2020
$478K
+586%
2021
$3.3M
+49%
2022
$4.9M
+15%
2023
$5.6M
-38%
2024
$3.5M

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 39% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$6.8M

49K claims · 38.6%

Your Cost: $139.51/claim|Median: $42.48
3.3× median
99284Top 10%

Emergency dept visit, high complexity

$4.8M

22K claims · 27.4%

Your Cost: $223.47/claim|Median: $69.51
3.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.2M

1,027 claims · 6.7%

Your Cost: $1,154.12/claim|Median: $763.43
1.5× median
99282Top 25%

Emergency dept visit, low complexity

$625K

4,816 claims · 3.5%

Your Cost: $129.68/claim|Median: $37.72
3.4× median
80053Top 10%

Comprehensive metabolic panel

$502K

17K claims · 2.8%

Your Cost: $30.41/claim|Median: $7.24
4.2× median
G0330Normal range

$425K

844 claims · 2.4%

Your Cost: $503.53/claim|Median: $1,205.70
0.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$265K

11K claims · 1.5%

Your Cost: $23.81/claim|Median: $30.04
0.8× median
G0378Top 10%

Hospital observation service, per hour

$216K

267 claims · 1.2%

Your Cost: $809.34/claim|Median: $99.39
8.1× median
80048Top 10%

Basic metabolic panel

$210K

7,739 claims · 1.2%

Your Cost: $27.18/claim|Median: $5.78
4.7× median
87804Top 25%

Influenza virus detection, rapid test

$204K

10K claims · 1.2%

Your Cost: $19.50/claim|Median: $12.59
1.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$163K

1,680 claims · 0.9%

Your Cost: $97.12/claim|Median: $85.65
1.1× median
85027Normal range

Complete blood count (CBC), automated

$151K

33K claims · 0.9%

Your Cost: $4.57/claim|Median: $3.72
1.2× median
99281Top 25%

Emergency dept visit, minimal complexity

$148K

1,271 claims · 0.8%

Your Cost: $116.22/claim|Median: $52.03
2.2× median
43239Top 5%

Upper GI endoscopy with biopsy

$135K

162 claims · 0.8%

Your Cost: $832.20/claim|Median: $151.68
5.5× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$93K

750 claims · 0.5%

Your Cost: $124.39/claim|Median: $74.78
1.7× median
87430Top 10%

$88K

4,652 claims · 0.5%

Your Cost: $18.87/claim|Median: $9.41
2.0× median
71045Top 25%

Chest X-ray, single view

$87K

6,514 claims · 0.5%

Your Cost: $13.29/claim|Median: $4.93
2.7× median
70450Normal range

CT head/brain without contrast

$82K

1,555 claims · 0.5%

Your Cost: $52.87/claim|Median: $45.53
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$77K

1,024 claims · 0.4%

Your Cost: $75.17/claim|Median: $65.76
1.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$66K

3,505 claims · 0.4%

Your Cost: $18.69/claim|Median: $34.62
0.5× median
81003Top 10%

Urinalysis, automated without microscopy

$61K

11K claims · 0.3%

Your Cost: $5.53/claim|Median: $1.48
3.7× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$61K

1,093 claims · 0.3%

Your Cost: $55.52/claim|Median: $169.17
0.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$60K

1,871 claims · 0.3%

Your Cost: $31.97/claim|Median: $35.43
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$56K

4,535 claims · 0.3%

Your Cost: $12.37/claim|Median: $9.87
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$56K

2,501 claims · 0.3%

Your Cost: $22.22/claim|Median: $28.46
0.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$54K

5,998 claims · 0.3%

Your Cost: $9.01/claim|Median: $7.50
1.2× median
80061Top 25%

Lipid panel

$51K

3,638 claims · 0.3%

Your Cost: $14.02/claim|Median: $8.41
1.7× median
59025Normal range

Fetal non-stress test

$48K

2,258 claims · 0.3%

Your Cost: $21.41/claim|Median: $26.45
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$48K

1,198 claims · 0.3%

Your Cost: $39.67/claim|Median: $65.64
0.6× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$46K

508 claims · 0.3%

Your Cost: $89.89/claim|Median: $58.16
1.5× median
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