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Provider 1629027578

NPI: 1629027578Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.8M

$16,814,644

Total Claims

1.1M

Beneficiaries

896K

1.2 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-10%
2019
$1.6M
+52%
2020
$2.5M
+50%
2021
$3.7M
-31%
2022
$2.5M
-13%
2023
$2.2M
+14%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 17% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$2.9M

42K claims · 17.1%

Your Cost: $68.41/claim|Median: $63.08
1.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$953K

15K claims · 5.7%

Your Cost: $64.68/claim|Median: $42.48
1.5× median
96361Normal range

IV infusion, hydration, each additional hour

$880K

10K claims · 5.2%

Your Cost: $85.20/claim|Median: $38.92
2.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$722K

20K claims · 4.3%

Your Cost: $35.66/claim|Median: $85.65
0.4× median
99284Normal range

Emergency dept visit, high complexity

$625K

14K claims · 3.7%

Your Cost: $46.00/claim|Median: $69.51
0.7× median
80053Top 10%

Comprehensive metabolic panel

$587K

26K claims · 3.5%

Your Cost: $22.17/claim|Median: $7.24
3.1× median
87507Top 25%

$481K

1,393 claims · 2.9%

Your Cost: $345.48/claim|Median: $157.44
2.2× median
80048Top 25%

Basic metabolic panel

$414K

24K claims · 2.5%

Your Cost: $17.22/claim|Median: $5.78
3.0× median
G0463Normal range

Hospital outpatient clinic visit

$386K

71K claims · 2.3%

Your Cost: $5.48/claim|Median: $26.41
0.2× median
99282Normal range

Emergency dept visit, low complexity

$367K

4,359 claims · 2.2%

Your Cost: $84.11/claim|Median: $37.72
2.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$339K

11K claims · 2.0%

Your Cost: $31.77/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$334K

11K claims · 2.0%

Your Cost: $31.33/claim|Median: $23.39
1.3× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$293K

31K claims · 1.7%

Your Cost: $9.48/claim|Median: $15.76
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$266K

5,511 claims · 1.6%

Your Cost: $48.21/claim|Median: $65.76
0.7× median
70450Normal range

CT head/brain without contrast

$251K

5,196 claims · 1.5%

Your Cost: $48.32/claim|Median: $45.53
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$221K

8,223 claims · 1.3%

Your Cost: $26.88/claim|Median: $35.80
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$219K

48K claims · 1.3%

Your Cost: $4.60/claim|Median: $4.71
1.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$175K

16K claims · 1.0%

Your Cost: $10.90/claim|Median: $9.87
1.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$168K

4,818 claims · 1.0%

Your Cost: $34.85/claim|Median: $91.47
0.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$168K

2,191 claims · 1.0%

Your Cost: $76.52/claim|Median: $54.68
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$158K

1,225 claims · 0.9%

Your Cost: $129.03/claim|Median: $151.68
0.9× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$152K

3,605 claims · 0.9%

Your Cost: $42.19/claim|Median: $61.57
0.7× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$125K

5,887 claims · 0.7%

Your Cost: $21.25/claim|Median: $18.03
1.2× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$121K

1,115 claims · 0.7%

Your Cost: $108.18/claim|Median: $65.45
1.7× median
85610Top 10%

Prothrombin time (PT) blood clotting test

$115K

15K claims · 0.7%

Your Cost: $7.88/claim|Median: $2.14
3.7× median
87086Normal range

Urine culture, colony count, with identification

$113K

15K claims · 0.7%

Your Cost: $7.65/claim|Median: $5.31
1.4× median
96365Normal range

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

$111K

4,002 claims · 0.7%

Your Cost: $27.81/claim|Median: $54.77
0.5× median
64483Normal range

$105K

787 claims · 0.6%

Your Cost: $133.34/claim|Median: $124.24
1.1× median
87480Normal range

$101K

5,645 claims · 0.6%

Your Cost: $17.83/claim|Median: $14.31
1.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$98K

18K claims · 0.6%

Your Cost: $5.31/claim|Median: $7.50
0.7× median
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