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Provider 1659489631

NPI: 1659489631Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,355,695

Total Claims

413K

Beneficiaries

335K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$5.4M
-55%
2019
$2.4M
+69%
2020
$4.1M
-59%
2021
$1.7M
-41%
2022
$986K
-3%
2023
$957K
-18%
2024
$787K

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 14% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.3M

15K claims · 13.9%

Your Cost: $148.39/claim|Median: $69.51
2.1× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.3M

3,685 claims · 8.1%

Your Cost: $358.90/claim|Median: $85.65
4.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

15K claims · 8.0%

Your Cost: $89.80/claim|Median: $42.48
2.1× median
80053Top 10%

Comprehensive metabolic panel

$678K

28K claims · 4.1%

Your Cost: $23.87/claim|Median: $7.24
3.3× median
36415Top 5%

Collection of venous blood by venipuncture

$658K

36K claims · 4.0%

Your Cost: $18.42/claim|Median: $1.57
11.7× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$514K

28K claims · 3.1%

Your Cost: $18.41/claim|Median: $4.71
3.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$506K

1,967 claims · 3.1%

Your Cost: $257.42/claim|Median: $65.76
3.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$414K

533 claims · 2.5%

Your Cost: $776.02/claim|Median: $763.43
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$373K

9,141 claims · 2.3%

Your Cost: $40.81/claim|Median: $21.76
1.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$351K

1,614 claims · 2.1%

Your Cost: $217.29/claim|Median: $60.19
3.6× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$310K

7,346 claims · 1.9%

Your Cost: $42.16/claim|Median: $0.58
72.7× median
G0378Normal range

Hospital observation service, per hour

$299K

2,872 claims · 1.8%

Your Cost: $104.15/claim|Median: $99.39
1.0× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$298K

3,201 claims · 1.8%

Your Cost: $93.19/claim|Median: $35.43
2.6× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$254K

3,299 claims · 1.6%

Your Cost: $77.14/claim|Median: $35.80
2.2× median
85027Top 5%

Complete blood count (CBC), automated

$230K

10K claims · 1.4%

Your Cost: $22.81/claim|Median: $3.72
6.1× median
84703Top 5%

Human chorionic gonadotropin (hCG) quantitative blood test

$202K

3,913 claims · 1.2%

Your Cost: $51.68/claim|Median: $4.20
12.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$193K

11K claims · 1.2%

Your Cost: $17.03/claim|Median: $7.50
2.3× median
84484Top 5%

Troponin, quantitative

$191K

6,869 claims · 1.2%

Your Cost: $27.82/claim|Median: $4.84
5.7× median
70450Top 25%

CT head/brain without contrast

$191K

1,360 claims · 1.2%

Your Cost: $140.17/claim|Median: $45.53
3.1× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$182K

3,716 claims · 1.1%

Your Cost: $49.03/claim|Median: $3.42
14.3× median
80048Top 10%

Basic metabolic panel

$180K

6,168 claims · 1.1%

Your Cost: $29.16/claim|Median: $5.78
5.0× median
83735Top 5%

Magnesium blood level test

$178K

7,865 claims · 1.1%

Your Cost: $22.69/claim|Median: $2.77
8.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$175K

6,491 claims · 1.1%

Your Cost: $27.00/claim|Median: $14.92
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$169K

6,572 claims · 1.0%

Your Cost: $25.65/claim|Median: $38.92
0.7× median
81001Top 10%

Urinalysis, automated, with microscopy

$162K

12K claims · 1.0%

Your Cost: $13.21/claim|Median: $2.03
6.5× median
82962Top 1%

Blood glucose test by monitoring device

$159K

3,661 claims · 1.0%

Your Cost: $43.40/claim|Median: $1.40
31.0× median
83690Top 5%

$153K

5,198 claims · 0.9%

Your Cost: $29.41/claim|Median: $3.35
8.8× median
96365Normal range

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

$151K

2,486 claims · 0.9%

Your Cost: $60.78/claim|Median: $54.77
1.1× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$142K

6,165 claims · 0.9%

Your Cost: $23.05/claim|Median: $9.87
2.3× median
G0463Normal range

Hospital outpatient clinic visit

$139K

11K claims · 0.8%

Your Cost: $13.15/claim|Median: $26.41
0.5× median
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