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Provider 1639131535

NPI: 1639131535Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,693,149

Total Claims

341K

Beneficiaries

272K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$916K
+6%
2019
$970K
+15%
2020
$1.1M
+20%
2021
$1.3M
+14%
2022
$1.5M
+125%
2023
$3.4M
-29%
2024
$2.4M

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 21% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.4M

19K claims · 20.5%

Your Cost: $124.79/claim|Median: $69.51
1.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

16K claims · 15.5%

Your Cost: $116.19/claim|Median: $42.48
2.7× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.7M

5,762 claims · 14.9%

Your Cost: $303.28/claim|Median: $38.92
7.8× median
G0463Top 25%

Hospital outpatient clinic visit

$594K

9,272 claims · 5.1%

Your Cost: $64.09/claim|Median: $26.41
2.4× median
99282Top 25%

Emergency dept visit, low complexity

$379K

3,656 claims · 3.2%

Your Cost: $103.78/claim|Median: $37.72
2.8× median
96365Top 25%

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

$360K

2,892 claims · 3.1%

Your Cost: $124.51/claim|Median: $54.77
2.3× median
74176Top 10%

CT abdomen and pelvis without contrast

$334K

1,141 claims · 2.9%

Your Cost: $293.09/claim|Median: $60.19
4.9× median
70450Top 10%

CT head/brain without contrast

$282K

1,304 claims · 2.4%

Your Cost: $216.35/claim|Median: $45.53
4.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$246K

2,252 claims · 2.1%

Your Cost: $109.32/claim|Median: $75.28
1.5× median
99211Top 5%

Office/outpatient visit, minimal complexity

$222K

3,063 claims · 1.9%

Your Cost: $72.47/claim|Median: $12.93
5.6× median
80053Normal range

Comprehensive metabolic panel

$212K

26K claims · 1.8%

Your Cost: $8.04/claim|Median: $7.24
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$196K

1,655 claims · 1.7%

Your Cost: $118.53/claim|Median: $85.65
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$195K

838 claims · 1.7%

Your Cost: $232.95/claim|Median: $65.76
3.5× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$185K

1,169 claims · 1.6%

Your Cost: $158.40/claim|Median: $40.12
3.9× median
96360Top 10%

IV infusion, hydration, initial, 31 minutes to 1 hour

$173K

831 claims · 1.5%

Your Cost: $208.75/claim|Median: $61.57
3.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$164K

455 claims · 1.4%

Your Cost: $361.02/claim|Median: $151.68
2.4× median
97110Top 10%

Therapeutic exercises, each 15 min

$159K

2,291 claims · 1.4%

Your Cost: $69.36/claim|Median: $24.49
2.8× median
95886Top 5%

$159K

706 claims · 1.4%

Your Cost: $224.98/claim|Median: $67.70
3.3× median
87081Top 10%

Culture screening for pathogenic organisms

$115K

4,830 claims · 1.0%

Your Cost: $23.85/claim|Median: $5.09
4.7× median
71275Top 10%

CT angiography, chest, with contrast

$86K

276 claims · 0.7%

Your Cost: $312.21/claim|Median: $92.96
3.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$77K

899 claims · 0.7%

Your Cost: $85.32/claim|Median: $10.88
7.8× median
96367Top 10%

$75K

740 claims · 0.6%

Your Cost: $101.50/claim|Median: $29.27
3.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$58K

2,159 claims · 0.5%

Your Cost: $26.93/claim|Median: $39.70
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$58K

32K claims · 0.5%

Your Cost: $1.81/claim|Median: $4.71
0.4× median
74018Top 5%

$54K

1,006 claims · 0.5%

Your Cost: $54.11/claim|Median: $7.00
7.7× median
76830Top 5%

Ultrasound, transvaginal

$52K

395 claims · 0.4%

Your Cost: $131.82/claim|Median: $57.47
2.3× median
C9803Top 25%

$52K

1,584 claims · 0.4%

Your Cost: $32.64/claim|Median: $13.20
2.5× median
71260Top 10%

CT chest with contrast

$47K

190 claims · 0.4%

Your Cost: $248.68/claim|Median: $48.36
5.1× median
76705Top 10%

Ultrasound, abdominal, limited

$46K

478 claims · 0.4%

Your Cost: $95.67/claim|Median: $23.81
4.0× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$46K

205 claims · 0.4%

Your Cost: $222.84/claim|Median: $54.68
4.1× median
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