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Provider 1629218094

NPI: 1629218094Share
Active Billing Period:2018-01→2019-06(18 months)
Billing appears to have stoppedLast active: 2019-06

Total Paid

$12.6M

$12,555,842

Total Claims

89K

Beneficiaries

71K

1.3 claims/patient

Avg Cost/Claim

$141

Monthly Spending Trend

Yearly Spending

2018
$7.8M
-38%
2019
$4.8M

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 15% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$1.9M

1,222 claims · 15.0%

Your Cost: $1,540.59/claim|Median: $69.51
22.2× median
99283Top 1%

Emergency dept visit, moderate complexity

$1.4M

1,343 claims · 10.9%

Your Cost: $1,023.35/claim|Median: $42.48
24.1× median
87491Top 1%

Chlamydia detection, nucleic acid, amplified probe

$743K

4,209 claims · 5.9%

Your Cost: $176.50/claim|Median: $24.95
7.1× median
87591Top 1%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$741K

4,195 claims · 5.9%

Your Cost: $176.68/claim|Median: $23.39
7.6× median
99282Top 1%

Emergency dept visit, low complexity

$703K

890 claims · 5.6%

Your Cost: $790.08/claim|Median: $37.72
20.9× median
88175Top 1%

Cytopathology, cervical or vaginal, ThinPrep

$595K

4,551 claims · 4.7%

Your Cost: $130.83/claim|Median: $19.06
6.9× median
87624Top 1%

HPV detection, high-risk types, nucleic acid

$521K

2,888 claims · 4.1%

Your Cost: $180.35/claim|Median: $25.57
7.1× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$373K

1,831 claims · 3.0%

Your Cost: $203.95/claim|Median: $35.80
5.7× median
87389Top 1%

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

$274K

2,499 claims · 2.2%

Your Cost: $109.75/claim|Median: $18.03
6.1× median
96413Top 1%

Chemotherapy administration, IV infusion, up to 1 hour

$266K

288 claims · 2.1%

Your Cost: $924.67/claim|Median: $75.28
12.3× median
99213Top 10%

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

$208K

2,641 claims · 1.7%

Your Cost: $78.88/claim|Median: $37.81
2.1× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$200K

1,108 claims · 1.6%

Your Cost: $180.63/claim|Median: $58.55
3.1× median
87150Top 5%

$190K

1,129 claims · 1.5%

Your Cost: $168.41/claim|Median: $25.98
6.5× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$184K

4,603 claims · 1.5%

Your Cost: $39.95/claim|Median: $4.71
8.5× median
87480Top 1%

$183K

1,771 claims · 1.5%

Your Cost: $103.07/claim|Median: $14.31
7.2× median
87660Top 1%

$182K

1,770 claims · 1.5%

Your Cost: $103.03/claim|Median: $13.84
7.4× median
87510Top 1%

$181K

1,760 claims · 1.4%

Your Cost: $103.10/claim|Median: $13.48
7.6× median
G0463Top 5%

Hospital outpatient clinic visit

$164K

1,231 claims · 1.3%

Your Cost: $133.05/claim|Median: $26.41
5.0× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$151K

840 claims · 1.2%

Your Cost: $179.89/claim|Median: $9.56
18.8× median
86780Top 1%

$145K

2,394 claims · 1.2%

Your Cost: $60.50/claim|Median: $9.83
6.2× median
77067Top 5%

Screening mammography, bilateral, including CAD

$137K

857 claims · 1.1%

Your Cost: $159.78/claim|Median: $39.33
4.1× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$128K

1,377 claims · 1.0%

Your Cost: $92.69/claim|Median: $9.87
9.4× median
86480Top 1%

Tuberculosis test, cell-mediated immunity

$122K

423 claims · 1.0%

Your Cost: $289.12/claim|Median: $38.35
7.5× median
82306Top 1%

Vitamin D, 25 hydroxy

$121K

619 claims · 1.0%

Your Cost: $195.66/claim|Median: $18.18
10.8× median
86803Top 5%

Hepatitis C antibody

$112K

1,526 claims · 0.9%

Your Cost: $73.43/claim|Median: $10.17
7.2× median
76815Top 1%

Ultrasound, pregnant uterus, limited

$105K

580 claims · 0.8%

Your Cost: $181.54/claim|Median: $36.79
4.9× median
84702Top 1%

$95K

1,238 claims · 0.8%

Your Cost: $76.67/claim|Median: $8.25
9.3× median
87340Top 10%

Hepatitis B surface antigen detection

$94K

1,770 claims · 0.7%

Your Cost: $53.14/claim|Median: $5.52
9.6× median
99218Top 1%

$87K

41 claims · 0.7%

Your Cost: $2,130.73/claim|Median: $51.50
41.4× median
99211Top 10%

Office/outpatient visit, minimal complexity

$80K

1,984 claims · 0.6%

Your Cost: $40.26/claim|Median: $12.93
3.1× median
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