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Provider 1629062799

NPI: 1629062799Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.3M

$18,308,616

Total Claims

223K

Beneficiaries

206K

1.1 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-4%
2019
$3.9M
-63%
2020
$1.4M
-50%
2021
$717K
+200%
2022
$2.2M
+44%
2023
$3.1M
-7%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 25% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$4.5M

17K claims · 24.8%

Your Cost: $270.03/claim|Median: $268.66
1.0× median
99284Top 10%

Emergency dept visit, high complexity

$3.6M

21K claims · 19.7%

Your Cost: $171.67/claim|Median: $69.51
2.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.4M

19K claims · 13.4%

Your Cost: $126.34/claim|Median: $42.48
3.0× median
80048Top 5%

Basic metabolic panel

$1.5M

34K claims · 8.3%

Your Cost: $44.93/claim|Median: $5.78
7.8× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.5M

35K claims · 8.2%

Your Cost: $43.68/claim|Median: $4.71
9.3× median
83735Top 5%

Magnesium blood level test

$1.4M

32K claims · 7.9%

Your Cost: $44.51/claim|Median: $2.77
16.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$827K

3,141 claims · 4.5%

Your Cost: $263.17/claim|Median: $85.65
3.1× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$734K

7,447 claims · 4.0%

Your Cost: $98.54/claim|Median: $21.76
4.5× median
81001Top 5%

Urinalysis, automated, with microscopy

$267K

8,389 claims · 1.5%

Your Cost: $31.79/claim|Median: $2.03
15.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$262K

3,338 claims · 1.4%

Your Cost: $78.37/claim|Median: $91.47
0.9× median
71045Top 10%

Chest X-ray, single view

$199K

4,794 claims · 1.1%

Your Cost: $41.42/claim|Median: $4.93
8.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$171K

5,796 claims · 0.9%

Your Cost: $29.47/claim|Median: $7.50
3.9× median
G0378Top 25%

Hospital observation service, per hour

$146K

374 claims · 0.8%

Your Cost: $391.15/claim|Median: $99.39
3.9× median
99282Normal range

Emergency dept visit, low complexity

$104K

1,241 claims · 0.6%

Your Cost: $83.74/claim|Median: $37.72
2.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$65K

2,060 claims · 0.4%

Your Cost: $31.65/claim|Median: $14.92
2.1× median
36415Top 5%

Collection of venous blood by venipuncture

$64K

3,236 claims · 0.3%

Your Cost: $19.63/claim|Median: $1.57
12.5× median
84702Top 25%

$60K

3,370 claims · 0.3%

Your Cost: $17.69/claim|Median: $8.25
2.1× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$51K

207 claims · 0.3%

Your Cost: $247.52/claim|Median: $65.64
3.8× median
G0463Normal range

Hospital outpatient clinic visit

$34K

800 claims · 0.2%

Your Cost: $42.87/claim|Median: $26.41
1.6× median
Y7507Normal range

$23K

108 claims · 0.1%

Your Cost: $217.39/claim|Median: $172.12
1.3× median
83690Top 25%

$20K

2,885 claims · 0.1%

Your Cost: $6.93/claim|Median: $3.35
2.1× median
71046Top 1%

Chest X-ray, 2 views

$18K

80 claims · 0.1%

Your Cost: $219.75/claim|Median: $8.92
24.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$17K

323 claims · 0.1%

Your Cost: $53.81/claim|Median: $36.13
1.5× median
84484Normal range

Troponin, quantitative

$16K

2,583 claims · 0.1%

Your Cost: $6.06/claim|Median: $4.84
1.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$16K

778 claims · 0.1%

Your Cost: $20.07/claim|Median: $63.08
0.3× median
84460Top 25%

$13K

2,391 claims · 0.1%

Your Cost: $5.64/claim|Median: $2.58
2.2× median
84075Top 25%

$13K

2,392 claims · 0.1%

Your Cost: $5.58/claim|Median: $0.72
7.7× median
84450Top 25%

$13K

2,351 claims · 0.1%

Your Cost: $5.64/claim|Median: $2.49
2.3× median
82247Top 25%

$13K

2,393 claims · 0.1%

Your Cost: $5.50/claim|Median: $2.74
2.0× median
X4006Normal range

$13K

46 claims · 0.1%

Your Cost: $285.23/claim|Median: $668.05
0.4× median