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Provider 1639124142

NPI: 1639124142Share
Active Billing Period:2018-01→2023-07(67 months)
Billing appears to have stoppedLast active: 2023-07

Total Paid

$16.3M

$16,327,708

Total Claims

367K

Beneficiaries

286K

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$5.4M
-19%
2019
$4.3M
-9%
2020
$4.0M
-60%
2021
$1.6M
-40%
2022
$951K
-93%
2023
$67K

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 13% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.2M

15K claims · 13.2%

Your Cost: $144.61/claim|Median: $69.51
2.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.8M

5,866 claims · 10.8%

Your Cost: $300.62/claim|Median: $85.65
3.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

13K claims · 6.8%

Your Cost: $87.94/claim|Median: $42.48
2.1× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$651K

762 claims · 4.0%

Your Cost: $853.98/claim|Median: $763.43
1.1× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$447K

25K claims · 2.7%

Your Cost: $17.70/claim|Median: $4.71
3.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$438K

2,433 claims · 2.7%

Your Cost: $180.16/claim|Median: $65.76
2.7× median
J3010Top 1%

$401K

5,839 claims · 2.5%

Your Cost: $68.63/claim|Median: $0.55
124.8× median
80053Top 25%

Comprehensive metabolic panel

$397K

20K claims · 2.4%

Your Cost: $20.09/claim|Median: $7.24
2.8× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$378K

8,314 claims · 2.3%

Your Cost: $45.47/claim|Median: $0.58
78.4× median
J1100Top 1%

$301K

4,060 claims · 1.8%

Your Cost: $74.05/claim|Median: $0.52
142.4× median
J2704Top 5%

$299K

4,620 claims · 1.8%

Your Cost: $64.76/claim|Median: $0.76
85.2× median
74176Normal range

CT abdomen and pelvis without contrast

$276K

2,829 claims · 1.7%

Your Cost: $97.72/claim|Median: $60.19
1.6× median
70450Normal range

CT head/brain without contrast

$244K

3,548 claims · 1.5%

Your Cost: $68.65/claim|Median: $45.53
1.5× median
36415Top 5%

Collection of venous blood by venipuncture

$232K

21K claims · 1.4%

Your Cost: $11.19/claim|Median: $1.57
7.1× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$226K

2,936 claims · 1.4%

Your Cost: $76.99/claim|Median: $97.61
0.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$216K

7,758 claims · 1.3%

Your Cost: $27.84/claim|Median: $21.76
1.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$205K

7,188 claims · 1.3%

Your Cost: $28.46/claim|Median: $14.92
1.9× median
G0378Normal range

Hospital observation service, per hour

$193K

1,980 claims · 1.2%

Your Cost: $97.69/claim|Median: $99.39
1.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$189K

9,391 claims · 1.2%

Your Cost: $20.10/claim|Median: $7.50
2.7× median
J2250Top 5%

Injection, midazolam HCl, per one milligram

$186K

3,136 claims · 1.1%

Your Cost: $59.16/claim|Median: $0.32
184.9× median
96361Normal range

IV infusion, hydration, each additional hour

$181K

5,469 claims · 1.1%

Your Cost: $33.16/claim|Median: $38.92
0.9× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$180K

4,389 claims · 1.1%

Your Cost: $40.97/claim|Median: $3.42
12.0× median
96365Normal range

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

$178K

3,131 claims · 1.1%

Your Cost: $56.84/claim|Median: $54.77
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$163K

875 claims · 1.0%

Your Cost: $186.70/claim|Median: $54.68
3.4× median
J2001Top 5%

Injection, lidocaine HCl for IV infusion

$160K

2,638 claims · 1.0%

Your Cost: $60.62/claim|Median: $0.22
275.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$158K

6,619 claims · 1.0%

Your Cost: $23.82/claim|Median: $9.56
2.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$157K

2,820 claims · 1.0%

Your Cost: $55.59/claim|Median: $35.80
1.6× median
84484Top 10%

Troponin, quantitative

$141K

7,053 claims · 0.9%

Your Cost: $20.03/claim|Median: $4.84
4.1× median
J3490Normal range

Unclassified drugs

$135K

19K claims · 0.8%

Your Cost: $7.10/claim|Median: $5.70
1.2× median
80048Top 10%

Basic metabolic panel

$132K

6,898 claims · 0.8%

Your Cost: $19.18/claim|Median: $5.78
3.3× median
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