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Provider 1639116726

NPI: 1639116726Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.6M

$17,635,496

Total Claims

769K

Beneficiaries

613K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$632K
+179%
2019
$1.8M
-2%
2020
$1.7M
+88%
2021
$3.3M
+41%
2022
$4.6M
-26%
2023
$3.4M
-35%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 36% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$6.4M

81K claims · 36.1%

Your Cost: $78.66/claim|Median: $42.48
1.9× median
99284Normal range

Emergency dept visit, high complexity

$2.5M

41K claims · 14.2%

Your Cost: $61.80/claim|Median: $69.51
0.9× median
99282Normal range

Emergency dept visit, low complexity

$1.2M

15K claims · 7.0%

Your Cost: $82.61/claim|Median: $37.72
2.2× median
74177Normal range

CT abdomen and pelvis with contrast

$754K

5,425 claims · 4.3%

Your Cost: $138.90/claim|Median: $65.76
2.1× median
69436Normal range

Tympanostomy, general anesthesia

$628K

1,886 claims · 3.6%

Your Cost: $333.19/claim|Median: $205.50
1.6× median
J7030Top 5%

Normal saline solution infusion, 1000 cc

$554K

15K claims · 3.1%

Your Cost: $36.68/claim|Median: $1.53
24.0× median
80053Top 25%

Comprehensive metabolic panel

$522K

39K claims · 3.0%

Your Cost: $13.35/claim|Median: $7.24
1.8× median
70450Normal range

CT head/brain without contrast

$434K

6,503 claims · 2.5%

Your Cost: $66.72/claim|Median: $45.53
1.5× median
99281Normal range

Emergency dept visit, minimal complexity

$339K

3,437 claims · 1.9%

Your Cost: $98.67/claim|Median: $52.03
1.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$312K

5,562 claims · 1.8%

Your Cost: $56.15/claim|Median: $35.43
1.6× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$278K

502 claims · 1.6%

Your Cost: $552.88/claim|Median: $331.68
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$273K

7,391 claims · 1.5%

Your Cost: $36.89/claim|Median: $85.65
0.4× median
87430Top 10%

$239K

9,357 claims · 1.4%

Your Cost: $25.50/claim|Median: $9.41
2.7× median
74176Normal range

CT abdomen and pelvis without contrast

$194K

1,912 claims · 1.1%

Your Cost: $101.64/claim|Median: $60.19
1.7× median
84703Top 25%

Human chorionic gonadotropin (hCG) quantitative blood test

$188K

20K claims · 1.1%

Your Cost: $9.17/claim|Median: $4.20
2.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$181K

12K claims · 1.0%

Your Cost: $14.99/claim|Median: $39.70
0.4× median
71275Normal range

CT angiography, chest, with contrast

$177K

1,320 claims · 1.0%

Your Cost: $134.21/claim|Median: $92.96
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$130K

3,569 claims · 0.7%

Your Cost: $36.44/claim|Median: $24.49
1.5× median
71046Normal range

Chest X-ray, 2 views

$110K

16K claims · 0.6%

Your Cost: $6.91/claim|Median: $8.92
0.8× median
80048Top 25%

Basic metabolic panel

$104K

10K claims · 0.6%

Your Cost: $10.33/claim|Median: $5.78
1.8× median
G0378Normal range

Hospital observation service, per hour

$97K

7,349 claims · 0.5%

Your Cost: $13.15/claim|Median: $99.39
0.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$91K

1,749 claims · 0.5%

Your Cost: $52.01/claim|Median: $54.68
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$91K

593 claims · 0.5%

Your Cost: $153.30/claim|Median: $151.68
1.0× median
C1729Top 25%

$87K

4,892 claims · 0.5%

Your Cost: $17.87/claim|Median: $4.52
4.0× median
72125Normal range

CT cervical spine without contrast

$87K

2,676 claims · 0.5%

Your Cost: $32.40/claim|Median: $32.30
1.0× median
A9270Top 25%

$77K

18K claims · 0.4%

Your Cost: $4.40/claim|Median: $0.20
22.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$73K

9,163 claims · 0.4%

Your Cost: $7.91/claim|Median: $9.56
0.8× median
42830Normal range

$60K

224 claims · 0.3%

Your Cost: $269.09/claim|Median: $341.04
0.8× median
87804Normal range

Influenza virus detection, rapid test

$54K

7,756 claims · 0.3%

Your Cost: $7.00/claim|Median: $12.59
0.6× median
96361Normal range

IV infusion, hydration, each additional hour

$48K

2,195 claims · 0.3%

Your Cost: $21.98/claim|Median: $38.92
0.6× median