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Provider 1639284409

NPI: 1639284409Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,131,159

Total Claims

434K

Beneficiaries

339K

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+5%
2019
$2.2M
-20%
2020
$1.8M
+30%
2021
$2.3M
+20%
2022
$2.8M
-5%
2023
$2.7M
-18%
2024
$2.2M

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 20% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$3.3M

16K claims · 20.3%

Your Cost: $201.68/claim|Median: $69.51
2.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.6M

18K claims · 15.9%

Your Cost: $142.15/claim|Median: $42.48
3.3× median
G0378Top 25%

Hospital observation service, per hour

$1.2M

3,318 claims · 7.5%

Your Cost: $362.55/claim|Median: $99.39
3.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$800K

3,475 claims · 5.0%

Your Cost: $230.17/claim|Median: $85.65
2.7× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$792K

7,565 claims · 4.9%

Your Cost: $104.69/claim|Median: $21.76
4.8× median
99282Normal range

Emergency dept visit, low complexity

$613K

7,681 claims · 3.8%

Your Cost: $79.77/claim|Median: $37.72
2.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$535K

9,512 claims · 3.3%

Your Cost: $56.22/claim|Median: $39.63
1.4× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$481K

13K claims · 3.0%

Your Cost: $36.05/claim|Median: $9.56
3.8× median
96361Normal range

IV infusion, hydration, each additional hour

$376K

6,403 claims · 2.3%

Your Cost: $58.76/claim|Median: $38.92
1.5× median
96365Top 25%

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

$350K

3,485 claims · 2.2%

Your Cost: $100.45/claim|Median: $54.77
1.8× median
74177Normal range

CT abdomen and pelvis with contrast

$312K

1,942 claims · 1.9%

Your Cost: $160.71/claim|Median: $65.76
2.4× median
71045Top 10%

Chest X-ray, single view

$287K

7,092 claims · 1.8%

Your Cost: $40.50/claim|Median: $4.93
8.2× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$258K

2,731 claims · 1.6%

Your Cost: $94.35/claim|Median: $10.88
8.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$216K

16K claims · 1.3%

Your Cost: $13.53/claim|Median: $11.48
1.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$213K

7,331 claims · 1.3%

Your Cost: $29.10/claim|Median: $14.92
2.0× median
96360Normal range

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

$212K

1,876 claims · 1.3%

Your Cost: $112.79/claim|Median: $61.57
1.8× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$211K

1,623 claims · 1.3%

Your Cost: $129.91/claim|Median: $75.28
1.7× median
80053Normal range

Comprehensive metabolic panel

$176K

26K claims · 1.1%

Your Cost: $6.76/claim|Median: $7.24
0.9× median
86885Top 1%

$173K

2,040 claims · 1.1%

Your Cost: $84.71/claim|Median: $5.28
16.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$163K

3,798 claims · 1.0%

Your Cost: $42.91/claim|Median: $24.49
1.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$158K

33K claims · 1.0%

Your Cost: $4.87/claim|Median: $4.71
1.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$158K

5,908 claims · 1.0%

Your Cost: $26.70/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$158K

5,904 claims · 1.0%

Your Cost: $26.70/claim|Median: $23.39
1.1× median
70450Normal range

CT head/brain without contrast

$152K

2,889 claims · 0.9%

Your Cost: $52.47/claim|Median: $45.53
1.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$151K

7,019 claims · 0.9%

Your Cost: $21.56/claim|Median: $7.50
2.9× median
86900Top 5%

$150K

2,370 claims · 0.9%

Your Cost: $63.44/claim|Median: $2.55
24.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$147K

4,670 claims · 0.9%

Your Cost: $31.54/claim|Median: $30.04
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$144K

7,244 claims · 0.9%

Your Cost: $19.93/claim|Median: $12.59
1.6× median
71046Top 10%

Chest X-ray, 2 views

$129K

2,963 claims · 0.8%

Your Cost: $43.68/claim|Median: $8.92
4.9× median
54161Top 10%

$84K

59 claims · 0.5%

Your Cost: $1,425.99/claim|Median: $252.63
5.6× median
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