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Provider 1669882940

NPI: 1669882940Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,415,269

Total Claims

333K

Beneficiaries

280K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-10%
2019
$1.3M
-34%
2020
$870K
+33%
2021
$1.2M
+10%
2022
$1.3M
+6%
2023
$1.4M
-27%
2024
$984K

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 26% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.2M

22K claims · 25.8%

Your Cost: $98.88/claim|Median: $69.51
1.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.9M

24K claims · 22.6%

Your Cost: $80.03/claim|Median: $42.48
1.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.1M

9,764 claims · 13.3%

Your Cost: $114.99/claim|Median: $85.65
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$293K

6,457 claims · 3.5%

Your Cost: $45.44/claim|Median: $35.43
1.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$236K

9,418 claims · 2.8%

Your Cost: $25.02/claim|Median: $9.56
2.6× median
80053Normal range

Comprehensive metabolic panel

$208K

31K claims · 2.5%

Your Cost: $6.79/claim|Median: $7.24
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$128K

27K claims · 1.5%

Your Cost: $4.72/claim|Median: $4.71
1.0× median
99282Normal range

Emergency dept visit, low complexity

$121K

1,992 claims · 1.4%

Your Cost: $60.99/claim|Median: $37.72
1.6× median
97597Normal range

$120K

6,552 claims · 1.4%

Your Cost: $18.27/claim|Median: $21.22
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$115K

3,002 claims · 1.4%

Your Cost: $38.18/claim|Median: $38.92
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$98K

5,124 claims · 1.2%

Your Cost: $19.11/claim|Median: $21.76
0.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$89K

812 claims · 1.1%

Your Cost: $109.01/claim|Median: $91.47
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$85K

1,116 claims · 1.0%

Your Cost: $75.72/claim|Median: $65.64
1.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$83K

9,512 claims · 1.0%

Your Cost: $8.71/claim|Median: $7.50
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$79K

2,625 claims · 0.9%

Your Cost: $30.21/claim|Median: $28.46
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$79K

2,399 claims · 0.9%

Your Cost: $33.03/claim|Median: $39.70
0.8× median
70450Top 25%

CT head/brain without contrast

$76K

757 claims · 0.9%

Your Cost: $100.84/claim|Median: $45.53
2.2× median
71045Top 25%

Chest X-ray, single view

$70K

4,703 claims · 0.8%

Your Cost: $14.93/claim|Median: $4.93
3.0× median
36415Normal range

Collection of venous blood by venipuncture

$65K

33K claims · 0.8%

Your Cost: $1.97/claim|Median: $1.57
1.3× median
71046Top 25%

Chest X-ray, 2 views

$65K

3,138 claims · 0.8%

Your Cost: $20.67/claim|Median: $8.92
2.3× median
0240UNormal range

$63K

667 claims · 0.8%

Your Cost: $94.67/claim|Median: $89.76
1.1× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$62K

554 claims · 0.7%

Your Cost: $112.35/claim|Median: $97.61
1.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$62K

2,446 claims · 0.7%

Your Cost: $25.20/claim|Median: $14.92
1.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$59K

1,040 claims · 0.7%

Your Cost: $56.91/claim|Median: $37.56
1.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$59K

2,216 claims · 0.7%

Your Cost: $26.50/claim|Median: $37.81
0.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$57K

509 claims · 0.7%

Your Cost: $111.41/claim|Median: $100.62
1.1× median
J3490Normal range

Unclassified drugs

$51K

17K claims · 0.6%

Your Cost: $3.04/claim|Median: $5.70
0.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$50K

1,206 claims · 0.6%

Your Cost: $41.86/claim|Median: $75.28
0.6× median
82306Normal range

Vitamin D, 25 hydroxy

$50K

2,314 claims · 0.6%

Your Cost: $21.77/claim|Median: $18.18
1.2× median
81025Top 25%

Urine pregnancy test

$49K

7,197 claims · 0.6%

Your Cost: $6.75/claim|Median: $4.81
1.4× median
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