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Provider 1649220724

NPI: 1649220724Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,126,414

Total Claims

448K

Beneficiaries

376K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$866K
+66%
2019
$1.4M
+27%
2020
$1.8M
+135%
2021
$4.3M
-10%
2022
$3.8M
-22%
2023
$3.0M
-37%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 34% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$5.8M

14K claims · 33.7%

Your Cost: $399.01/claim|Median: $85.65
4.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$3.3M

48K claims · 19.5%

Your Cost: $70.35/claim|Median: $63.08
1.1× median
99284Top 5%

Emergency dept visit, high complexity

$2.2M

8,132 claims · 13.1%

Your Cost: $276.30/claim|Median: $69.51
4.0× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.4M

7,339 claims · 8.0%

Your Cost: $185.97/claim|Median: $42.48
4.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$768K

37K claims · 4.5%

Your Cost: $20.81/claim|Median: $15.76
1.3× median
36415Top 10%

Collection of venous blood by venipuncture

$386K

55K claims · 2.3%

Your Cost: $7.05/claim|Median: $1.57
4.5× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$309K

4,029 claims · 1.8%

Your Cost: $76.59/claim|Median: $24.95
3.1× median
80048Normal range

Basic metabolic panel

$273K

33K claims · 1.6%

Your Cost: $8.17/claim|Median: $5.78
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$226K

4,939 claims · 1.3%

Your Cost: $45.71/claim|Median: $39.70
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$196K

1,580 claims · 1.1%

Your Cost: $123.95/claim|Median: $91.47
1.4× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$193K

1,335 claims · 1.1%

Your Cost: $144.74/claim|Median: $21.76
6.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$180K

12K claims · 1.1%

Your Cost: $14.92/claim|Median: $9.87
1.5× median
87591Top 10%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$180K

3,978 claims · 1.1%

Your Cost: $45.23/claim|Median: $23.39
1.9× median
80053Top 25%

Comprehensive metabolic panel

$113K

7,188 claims · 0.7%

Your Cost: $15.73/claim|Median: $7.24
2.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$112K

8,945 claims · 0.7%

Your Cost: $12.50/claim|Median: $7.50
1.7× median
80061Top 25%

Lipid panel

$103K

6,801 claims · 0.6%

Your Cost: $15.13/claim|Median: $8.41
1.8× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$98K

11K claims · 0.6%

Your Cost: $8.78/claim|Median: $5.50
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$73K

46K claims · 0.4%

Your Cost: $1.58/claim|Median: $4.71
0.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$73K

3,292 claims · 0.4%

Your Cost: $22.23/claim|Median: $36.70
0.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$73K

3,158 claims · 0.4%

Your Cost: $23.05/claim|Median: $35.80
0.6× median
82306Normal range

Vitamin D, 25 hydroxy

$62K

3,046 claims · 0.4%

Your Cost: $20.52/claim|Median: $18.18
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$62K

3,508 claims · 0.4%

Your Cost: $17.71/claim|Median: $33.72
0.5× median
86481Top 5%

$54K

373 claims · 0.3%

Your Cost: $145.78/claim|Median: $52.45
2.8× median
87086Top 25%

Urine culture, colony count, with identification

$50K

5,449 claims · 0.3%

Your Cost: $9.13/claim|Median: $5.31
1.7× median
86780Top 25%

$48K

2,850 claims · 0.3%

Your Cost: $16.98/claim|Median: $9.83
1.7× median
G1004Top 5%

$46K

1,959 claims · 0.3%

Your Cost: $23.53/claim|Median: $0.01
2352.7× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$45K

1,500 claims · 0.3%

Your Cost: $29.78/claim|Median: $18.03
1.7× median
87084Normal range

$38K

4,425 claims · 0.2%

Your Cost: $8.67/claim|Median: $6.29
1.4× median
82565Top 25%

Creatinine blood test

$35K

3,410 claims · 0.2%

Your Cost: $10.28/claim|Median: $1.94
5.3× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$34K

438 claims · 0.2%

Your Cost: $76.78/claim|Median: $35.43
2.2× median
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