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Provider 1649246877

NPI: 1649246877Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.8M

$12,793,461

Total Claims

529K

Beneficiaries

434K

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-2%
2019
$2.1M
-23%
2020
$1.6M
+5%
2021
$1.7M
+6%
2022
$1.8M
+2%
2023
$1.9M
-25%
2024
$1.4M

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

$2.3M

32K claims · 18.0%

Your Cost: $71.37/claim|Median: $42.48
1.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.4M

9,520 claims · 10.6%

Your Cost: $142.05/claim|Median: $38.92
3.6× median
99284Normal range

Emergency dept visit, high complexity

$1.0M

19K claims · 7.9%

Your Cost: $52.96/claim|Median: $69.51
0.8× median
99282Normal range

Emergency dept visit, low complexity

$990K

12K claims · 7.7%

Your Cost: $83.93/claim|Median: $37.72
2.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$832K

2,109 claims · 6.5%

Your Cost: $394.66/claim|Median: $763.43
0.5× median
80053Top 10%

Comprehensive metabolic panel

$622K

26K claims · 4.9%

Your Cost: $23.59/claim|Median: $7.24
3.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$454K

8,932 claims · 3.5%

Your Cost: $50.80/claim|Median: $85.65
0.6× median
96365Normal range

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

$320K

4,752 claims · 2.5%

Your Cost: $67.37/claim|Median: $54.77
1.2× median
96360Normal range

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

$283K

2,839 claims · 2.2%

Your Cost: $99.71/claim|Median: $61.57
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$270K

4,035 claims · 2.1%

Your Cost: $66.88/claim|Median: $65.76
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$254K

1,472 claims · 2.0%

Your Cost: $172.30/claim|Median: $151.68
1.1× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$235K

4,567 claims · 1.8%

Your Cost: $51.36/claim|Median: $39.70
1.3× median
70450Normal range

CT head/brain without contrast

$224K

3,398 claims · 1.8%

Your Cost: $66.01/claim|Median: $45.53
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$190K

30K claims · 1.5%

Your Cost: $6.36/claim|Median: $4.71
1.3× median
87804Top 5%

Influenza virus detection, rapid test

$172K

5,646 claims · 1.3%

Your Cost: $30.49/claim|Median: $12.59
2.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$152K

3,081 claims · 1.2%

Your Cost: $49.38/claim|Median: $37.56
1.3× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$149K

3,705 claims · 1.2%

Your Cost: $40.33/claim|Median: $10.88
3.7× median
80048Top 25%

Basic metabolic panel

$130K

7,247 claims · 1.0%

Your Cost: $17.95/claim|Median: $5.78
3.1× median
81025Top 5%

Urine pregnancy test

$122K

8,897 claims · 1.0%

Your Cost: $13.75/claim|Median: $4.81
2.9× median
87430Top 5%

$117K

3,518 claims · 0.9%

Your Cost: $33.34/claim|Median: $9.41
3.5× median
87081Top 5%

Culture screening for pathogenic organisms

$114K

2,353 claims · 0.9%

Your Cost: $48.25/claim|Median: $5.09
9.5× median
G0123Top 25%

$111K

5,951 claims · 0.9%

Your Cost: $18.67/claim|Median: $11.37
1.6× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$108K

3,590 claims · 0.8%

Your Cost: $30.16/claim|Median: $25.57
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$107K

1,212 claims · 0.8%

Your Cost: $88.61/claim|Median: $54.68
1.6× median
G0378Normal range

Hospital observation service, per hour

$107K

2,592 claims · 0.8%

Your Cost: $41.34/claim|Median: $99.39
0.4× median
81001Top 25%

Urinalysis, automated, with microscopy

$105K

18K claims · 0.8%

Your Cost: $5.88/claim|Median: $2.03
2.9× median
71275Normal range

CT angiography, chest, with contrast

$105K

1,458 claims · 0.8%

Your Cost: $71.98/claim|Median: $92.96
0.8× median
87426Normal range

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

$101K

2,887 claims · 0.8%

Your Cost: $35.04/claim|Median: $30.04
1.2× median
84484Top 25%

Troponin, quantitative

$100K

9,457 claims · 0.8%

Your Cost: $10.63/claim|Median: $4.84
2.2× median
80306Top 10%

$97K

2,802 claims · 0.8%

Your Cost: $34.59/claim|Median: $10.29
3.4× median
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