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Provider 1649688037

NPI: 1649688037Share
Active Billing Period:2018-012020-03(27 months)
Billing appears to have stoppedLast active: 2020-03

Total Paid

$11.7M

$11,683,498

Total Claims

111K

Beneficiaries

79K

1.4 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$8.1M
-72%
2019
$2.3M
-42%
2020
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0378 (Hospital observation service, per hour)) accounts for 8% of total spending.

G0378Top 25%

Hospital observation service, per hour

$971K

2,685 claims · 8.3%

Your Cost: $361.51/claim|Median: $99.39
3.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$704K

5,374 claims · 6.0%

Your Cost: $131.05/claim|Median: $42.48
3.1× median
99284Top 25%

Emergency dept visit, high complexity

$686K

4,172 claims · 5.9%

Your Cost: $164.47/claim|Median: $69.51
2.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$562K

1,888 claims · 4.8%

Your Cost: $297.93/claim|Median: $85.65
3.5× median
80053Top 5%

Comprehensive metabolic panel

$478K

6,049 claims · 4.1%

Your Cost: $78.97/claim|Median: $7.24
10.9× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$470K

7,303 claims · 4.0%

Your Cost: $64.37/claim|Median: $4.71
13.7× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$380K

546 claims · 3.3%

Your Cost: $696.03/claim|Median: $54.68
12.7× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$321K

3,155 claims · 2.7%

Your Cost: $101.78/claim|Median: $7.50
13.6× median
84484Top 1%

Troponin, quantitative

$309K

2,905 claims · 2.6%

Your Cost: $106.24/claim|Median: $4.84
22.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$259K

3,495 claims · 2.2%

Your Cost: $74.00/claim|Median: $21.76
3.4× median
36415Top 1%

Collection of venous blood by venipuncture

$258K

3,603 claims · 2.2%

Your Cost: $71.70/claim|Median: $1.57
45.7× median
70450Top 10%

CT head/brain without contrast

$246K

1,259 claims · 2.1%

Your Cost: $195.63/claim|Median: $45.53
4.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$231K

2,535 claims · 2.0%

Your Cost: $91.26/claim|Median: $9.56
9.5× median
93017Top 1%

$223K

374 claims · 1.9%

Your Cost: $596.54/claim|Median: $56.03
10.6× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$220K

2,036 claims · 1.9%

Your Cost: $107.95/claim|Median: $35.43
3.0× median
83735Top 5%

Magnesium blood level test

$218K

2,912 claims · 1.9%

Your Cost: $74.72/claim|Median: $2.77
27.0× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$200K

248 claims · 1.7%

Your Cost: $805.33/claim|Median: $106.14
7.6× median
71045Top 5%

Chest X-ray, single view

$197K

2,009 claims · 1.7%

Your Cost: $98.02/claim|Median: $4.93
19.9× median
80048Top 5%

Basic metabolic panel

$190K

2,248 claims · 1.6%

Your Cost: $84.42/claim|Median: $5.78
14.6× median
82550Top 1%

Creatine kinase (CK) total blood test

$190K

1,563 claims · 1.6%

Your Cost: $121.27/claim|Median: $2.97
40.8× median
81025Top 1%

Urine pregnancy test

$172K

1,632 claims · 1.5%

Your Cost: $105.27/claim|Median: $4.81
21.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$171K

1,109 claims · 1.5%

Your Cost: $154.03/claim|Median: $60.19
2.6× median
71046Top 5%

Chest X-ray, 2 views

$151K

1,752 claims · 1.3%

Your Cost: $86.01/claim|Median: $8.92
9.6× median
99282Top 25%

Emergency dept visit, low complexity

$150K

1,505 claims · 1.3%

Your Cost: $99.84/claim|Median: $37.72
2.6× median
81001Top 1%

Urinalysis, automated, with microscopy

$139K

2,388 claims · 1.2%

Your Cost: $58.40/claim|Median: $2.03
28.8× median
99281Normal range

Emergency dept visit, minimal complexity

$136K

1,970 claims · 1.2%

Your Cost: $68.89/claim|Median: $52.03
1.3× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$121K

1,391 claims · 1.0%

Your Cost: $87.09/claim|Median: $9.87
8.8× median
87086Top 1%

Urine culture, colony count, with identification

$114K

1,644 claims · 1.0%

Your Cost: $69.57/claim|Median: $5.31
13.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$111K

2,300 claims · 1.0%

Your Cost: $48.40/claim|Median: $24.49
2.0× median
A9500Top 1%

Technetium-99m radiopharmaceutical diagnostic imaging agent

$111K

225 claims · 0.9%

Your Cost: $492.27/claim|Median: $64.30
7.7× median