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Provider 1679592380

NPI: 1679592380Share
Active Billing Period:2019-11→2024-12(62 months)

Total Paid

$8.2M

$8,243,593

Total Claims

282K

Beneficiaries

216K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2019
$12K
+5026%
2020
$630K
+387%
2021
$3.1M
-54%
2022
$1.4M
+28%
2023
$1.8M
-28%
2024
$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 30% of total spending.

G0378Top 10%

Hospital observation service, per hour

$2.5M

3,043 claims · 30.4%

Your Cost: $824.55/claim|Median: $99.39
8.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.0M

13K claims · 24.7%

Your Cost: $152.87/claim|Median: $85.65
1.8× median
99284Top 25%

Emergency dept visit, high complexity

$883K

6,091 claims · 10.7%

Your Cost: $145.00/claim|Median: $69.51
2.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$847K

6,665 claims · 10.3%

Your Cost: $127.14/claim|Median: $42.48
3.0× median
74177Normal range

CT abdomen and pelvis with contrast

$198K

1,929 claims · 2.4%

Your Cost: $102.77/claim|Median: $65.76
1.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$109K

6,994 claims · 1.3%

Your Cost: $15.59/claim|Median: $21.76
0.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$96K

2,521 claims · 1.2%

Your Cost: $38.25/claim|Median: $35.43
1.1× median
80053Normal range

Comprehensive metabolic panel

$87K

13K claims · 1.1%

Your Cost: $6.55/claim|Median: $7.24
0.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$85K

1,297 claims · 1.0%

Your Cost: $65.43/claim|Median: $91.47
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$72K

22K claims · 0.9%

Your Cost: $3.25/claim|Median: $4.71
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$67K

1,126 claims · 0.8%

Your Cost: $59.50/claim|Median: $63.08
0.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$66K

978 claims · 0.8%

Your Cost: $67.73/claim|Median: $121.16
0.6× median
70450Normal range

CT head/brain without contrast

$66K

1,747 claims · 0.8%

Your Cost: $37.57/claim|Median: $45.53
0.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$64K

1,096 claims · 0.8%

Your Cost: $58.69/claim|Median: $100.62
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$63K

2,387 claims · 0.8%

Your Cost: $26.31/claim|Median: $24.95
1.1× median
87661Top 10%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$58K

1,442 claims · 0.7%

Your Cost: $40.03/claim|Median: $21.08
1.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$55K

2,329 claims · 0.7%

Your Cost: $23.68/claim|Median: $23.39
1.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$36K

7,041 claims · 0.4%

Your Cost: $5.15/claim|Median: $7.50
0.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$35K

4,062 claims · 0.4%

Your Cost: $8.72/claim|Median: $14.92
0.6× median
80048Normal range

Basic metabolic panel

$31K

6,786 claims · 0.4%

Your Cost: $4.58/claim|Median: $5.78
0.8× median
70498Normal range

$29K

313 claims · 0.4%

Your Cost: $93.44/claim|Median: $58.88
1.6× median
99282Top 25%

Emergency dept visit, low complexity

$27K

280 claims · 0.3%

Your Cost: $98.03/claim|Median: $37.72
2.6× median
71275Normal range

CT angiography, chest, with contrast

$25K

229 claims · 0.3%

Your Cost: $110.25/claim|Median: $92.96
1.2× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$23K

1,042 claims · 0.3%

Your Cost: $22.06/claim|Median: $9.87
2.2× median
77067Top 25%

Screening mammography, bilateral, including CAD

$21K

225 claims · 0.3%

Your Cost: $93.94/claim|Median: $39.33
2.4× median
84484Normal range

Troponin, quantitative

$21K

4,089 claims · 0.3%

Your Cost: $5.12/claim|Median: $4.84
1.1× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$20K

173 claims · 0.2%

Your Cost: $117.25/claim|Median: $97.61
1.2× median
71260Normal range

CT chest with contrast

$19K

300 claims · 0.2%

Your Cost: $63.07/claim|Median: $48.36
1.3× median
74176Normal range

CT abdomen and pelvis without contrast

$17K

280 claims · 0.2%

Your Cost: $59.93/claim|Median: $60.19
1.0× median
80299Top 25%

$17K

761 claims · 0.2%

Your Cost: $21.99/claim|Median: $9.91
2.2× median
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