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Provider 1629089966

NPI: 1629089966Share
Active Billing Period:2018-07→2024-12(57 months)

Total Paid

$10.1M

$10,084,867

Total Claims

147K

Beneficiaries

135K

1.1 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$5K
+4986%
2020
$244K
+981%
2021
$2.6M
+4%
2022
$2.8M
+8%
2023
$3.0M
-50%
2024
$1.5M

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 46% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$4.7M

15K claims · 46.1%

Your Cost: $319.91/claim|Median: $69.51
4.6× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.0M

4,960 claims · 19.5%

Your Cost: $397.47/claim|Median: $85.65
4.6× median
99283Normal range

Emergency dept visit, moderate complexity

$1.1M

23K claims · 10.8%

Your Cost: $47.56/claim|Median: $42.48
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$612K

6,560 claims · 6.1%

Your Cost: $93.27/claim|Median: $100.62
0.9× median
99282Normal range

Emergency dept visit, low complexity

$162K

3,484 claims · 1.6%

Your Cost: $46.46/claim|Median: $37.72
1.2× median
71045Top 10%

Chest X-ray, single view

$159K

5,794 claims · 1.6%

Your Cost: $27.43/claim|Median: $4.93
5.6× median
0225UNormal range

$149K

2,542 claims · 1.5%

Your Cost: $58.55/claim|Median: $81.81
0.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$135K

5,304 claims · 1.3%

Your Cost: $25.41/claim|Median: $7.50
3.4× median
U0003Top 25%

Infectious disease detection (COVID-19)

$131K

1,419 claims · 1.3%

Your Cost: $92.43/claim|Median: $63.08
1.5× median
80053Top 25%

Comprehensive metabolic panel

$126K

11K claims · 1.2%

Your Cost: $10.99/claim|Median: $7.24
1.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$115K

15K claims · 1.1%

Your Cost: $7.84/claim|Median: $4.71
1.7× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$91K

75 claims · 0.9%

Your Cost: $1,210.57/claim|Median: $763.43
1.6× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$82K

1,866 claims · 0.8%

Your Cost: $43.81/claim|Median: $28.46
1.5× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$66K

343 claims · 0.7%

Your Cost: $193.42/claim|Median: $74.78
2.6× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$54K

17 claims · 0.5%

Your Cost: $3,188.44/claim|Median: $331.68
9.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$51K

1,693 claims · 0.5%

Your Cost: $30.22/claim|Median: $14.92
2.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$51K

3,796 claims · 0.5%

Your Cost: $13.37/claim|Median: $21.76
0.6× median
81001Normal range

Urinalysis, automated, with microscopy

$40K

13K claims · 0.4%

Your Cost: $3.05/claim|Median: $2.03
1.5× median
81025Top 10%

Urine pregnancy test

$29K

3,134 claims · 0.3%

Your Cost: $9.33/claim|Median: $4.81
1.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$28K

1,601 claims · 0.3%

Your Cost: $17.25/claim|Median: $9.56
1.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$25K

543 claims · 0.3%

Your Cost: $46.45/claim|Median: $35.43
1.3× median
84484Normal range

Troponin, quantitative

$21K

3,145 claims · 0.2%

Your Cost: $6.75/claim|Median: $4.84
1.4× median
96361Normal range

IV infusion, hydration, each additional hour

$21K

954 claims · 0.2%

Your Cost: $22.07/claim|Median: $38.92
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$16K

523 claims · 0.2%

Your Cost: $30.16/claim|Median: $24.95
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$15K

522 claims · 0.2%

Your Cost: $29.09/claim|Median: $23.39
1.2× median
87086Normal range

Urine culture, colony count, with identification

$15K

2,056 claims · 0.1%

Your Cost: $7.32/claim|Median: $5.31
1.4× median
80048Normal range

Basic metabolic panel

$14K

1,843 claims · 0.1%

Your Cost: $7.63/claim|Median: $5.78
1.3× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$13K

2,154 claims · 0.1%

Your Cost: $6.17/claim|Median: $4.20
1.5× median
U0002Top 5%

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

$13K

134 claims · 0.1%

Your Cost: $96.78/claim|Median: $34.62
2.8× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$12K

127 claims · 0.1%

Your Cost: $92.77/claim|Median: $58.16
1.6× median
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