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Provider 1639197395

NPI: 1639197395Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,894,128

Total Claims

538K

Beneficiaries

356K

1.5 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$302K
+157%
2019
$777K
+12%
2020
$872K
+138%
2021
$2.1M
+3%
2022
$2.1M
-42%
2023
$1.2M
-60%
2024
$501K

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 18% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

22K claims · 17.7%

Your Cost: $63.76/claim|Median: $42.48
1.5× median
99213Top 5%

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

$864K

9,183 claims · 10.9%

Your Cost: $94.06/claim|Median: $37.81
2.5× median
G0463Normal range

Hospital outpatient clinic visit

$779K

46K claims · 9.9%

Your Cost: $16.85/claim|Median: $26.41
0.6× median
99284Normal range

Emergency dept visit, high complexity

$683K

13K claims · 8.6%

Your Cost: $52.31/claim|Median: $69.51
0.8× median
99214Top 25%

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

$577K

6,378 claims · 7.3%

Your Cost: $90.47/claim|Median: $53.41
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$304K

6,676 claims · 3.9%

Your Cost: $45.57/claim|Median: $85.65
0.5× median
99282Normal range

Emergency dept visit, low complexity

$261K

3,762 claims · 3.3%

Your Cost: $69.35/claim|Median: $37.72
1.8× median
36415Top 10%

Collection of venous blood by venipuncture

$214K

30K claims · 2.7%

Your Cost: $7.07/claim|Median: $1.57
4.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$192K

10K claims · 2.4%

Your Cost: $18.78/claim|Median: $21.76
0.9× median
70450Normal range

CT head/brain without contrast

$148K

2,699 claims · 1.9%

Your Cost: $54.78/claim|Median: $45.53
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$140K

8,797 claims · 1.8%

Your Cost: $15.87/claim|Median: $24.49
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$121K

1,700 claims · 1.5%

Your Cost: $71.19/claim|Median: $65.76
1.1× median
80053Normal range

Comprehensive metabolic panel

$119K

23K claims · 1.5%

Your Cost: $5.16/claim|Median: $7.24
0.7× median
G0439Top 10%

Annual wellness visit, subsequent visit

$117K

1,400 claims · 1.5%

Your Cost: $83.92/claim|Median: $5.42
15.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$115K

6,651 claims · 1.5%

Your Cost: $17.36/claim|Median: $9.56
1.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$111K

6,408 claims · 1.4%

Your Cost: $17.27/claim|Median: $63.08
0.3× median
C9803Normal range

$106K

10K claims · 1.3%

Your Cost: $10.50/claim|Median: $13.20
0.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$87K

7,748 claims · 1.1%

Your Cost: $11.25/claim|Median: $91.47
0.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$84K

1,698 claims · 1.1%

Your Cost: $49.67/claim|Median: $54.68
0.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$82K

1,026 claims · 1.0%

Your Cost: $80.22/claim|Median: $84.03
1.0× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$67K

824 claims · 0.8%

Your Cost: $80.97/claim|Median: $57.85
1.4× median
A9270Top 25%

$60K

26K claims · 0.8%

Your Cost: $2.36/claim|Median: $0.20
11.8× median
G0378Normal range

Hospital observation service, per hour

$53K

5,741 claims · 0.7%

Your Cost: $9.20/claim|Median: $99.39
0.1× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$51K

2,137 claims · 0.6%

Your Cost: $23.95/claim|Median: $75.28
0.3× median
11043Normal range

$51K

505 claims · 0.6%

Your Cost: $101.18/claim|Median: $62.99
1.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$40K

1,340 claims · 0.5%

Your Cost: $29.93/claim|Median: $35.80
0.8× median
86900Top 25%

$38K

2,869 claims · 0.5%

Your Cost: $13.26/claim|Median: $2.55
5.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$38K

30K claims · 0.5%

Your Cost: $1.27/claim|Median: $4.71
0.3× median
99281Normal range

Emergency dept visit, minimal complexity

$35K

430 claims · 0.4%

Your Cost: $80.24/claim|Median: $52.03
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$34K

528 claims · 0.4%

Your Cost: $63.74/claim|Median: $74.09
0.9× median
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