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Provider 1629011234

NPI: 1629011234Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,899,441

Total Claims

234K

Beneficiaries

182K

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$235K
-2%
2019
$231K
+613%
2020
$1.6M
+36%
2021
$2.2M
-26%
2022
$1.7M
+110%
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 (G0463 (Hospital outpatient clinic visit)) accounts for 50% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$6.0M

65K claims · 50.5%

Your Cost: $92.35/claim|Median: $26.41
3.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$640K

5,779 claims · 5.4%

Your Cost: $110.81/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$624K

5,312 claims · 5.2%

Your Cost: $117.43/claim|Median: $69.51
1.7× median
95813Top 5%

$548K

984 claims · 4.6%

Your Cost: $557.14/claim|Median: $121.48
4.6× median
U0003Top 5%

Infectious disease detection (COVID-19)

$445K

2,623 claims · 3.7%

Your Cost: $169.71/claim|Median: $63.08
2.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$335K

2,692 claims · 2.8%

Your Cost: $124.45/claim|Median: $85.65
1.5× median
92507Top 25%

Speech/hearing/language treatment

$330K

4,416 claims · 2.8%

Your Cost: $74.78/claim|Median: $49.45
1.5× median
96361Top 10%

IV infusion, hydration, each additional hour

$229K

764 claims · 1.9%

Your Cost: $299.87/claim|Median: $38.92
7.7× median
97110Top 10%

Therapeutic exercises, each 15 min

$190K

2,704 claims · 1.6%

Your Cost: $70.43/claim|Median: $24.49
2.9× median
70450Top 10%

CT head/brain without contrast

$181K

835 claims · 1.5%

Your Cost: $217.09/claim|Median: $45.53
4.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$178K

724 claims · 1.5%

Your Cost: $245.39/claim|Median: $65.76
3.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$150K

617 claims · 1.3%

Your Cost: $243.91/claim|Median: $60.19
4.1× median
96365Top 10%

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

$139K

834 claims · 1.2%

Your Cost: $166.33/claim|Median: $54.77
3.0× median
97530Top 25%

Therapeutic activities, each 15 min

$111K

1,351 claims · 0.9%

Your Cost: $81.85/claim|Median: $33.11
2.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$102K

911 claims · 0.9%

Your Cost: $111.78/claim|Median: $75.18
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$97K

862 claims · 0.8%

Your Cost: $111.98/claim|Median: $69.35
1.6× median
99212Top 5%

Office/outpatient visit, low complexity

$67K

573 claims · 0.6%

Your Cost: $117.74/claim|Median: $25.06
4.7× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$66K

447 claims · 0.6%

Your Cost: $147.56/claim|Median: $29.03
5.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$66K

348 claims · 0.6%

Your Cost: $189.39/claim|Median: $54.68
3.5× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$59K

524 claims · 0.5%

Your Cost: $113.55/claim|Median: $10.88
10.4× median
99282Top 25%

Emergency dept visit, low complexity

$55K

536 claims · 0.5%

Your Cost: $102.55/claim|Median: $37.72
2.7× median
80053Normal range

Comprehensive metabolic panel

$51K

6,932 claims · 0.4%

Your Cost: $7.39/claim|Median: $7.24
1.0× median
90837Top 10%

Psychotherapy, 60 minutes

$48K

358 claims · 0.4%

Your Cost: $133.39/claim|Median: $85.66
1.6× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$47K

402 claims · 0.4%

Your Cost: $116.81/claim|Median: $72.71
1.6× median
71260Top 25%

CT chest with contrast

$38K

247 claims · 0.3%

Your Cost: $153.44/claim|Median: $48.36
3.2× median
80061Top 10%

Lipid panel

$37K

2,076 claims · 0.3%

Your Cost: $17.84/claim|Median: $8.41
2.1× median
99213Top 5%

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

$35K

316 claims · 0.3%

Your Cost: $111.39/claim|Median: $37.81
2.9× median
76856Top 5%

Ultrasound, pelvic, complete

$34K

185 claims · 0.3%

Your Cost: $181.21/claim|Median: $47.58
3.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$32K

1,761 claims · 0.3%

Your Cost: $18.27/claim|Median: $24.95
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$32K

17K claims · 0.3%

Your Cost: $1.84/claim|Median: $1.57
1.2× median
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