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Provider 1679678486

NPI: 1679678486Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.9M

$13,859,424

Total Claims

299K

Beneficiaries

236K

1.3 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$438K
+610%
2019
$3.1M
-22%
2020
$2.4M
+27%
2021
$3.1M
-6%
2022
$2.9M
-48%
2023
$1.5M
-78%
2024
$331K

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 15% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

18K claims · 14.7%

Your Cost: $113.71/claim|Median: $42.48
2.7× median
99284Top 25%

Emergency dept visit, high complexity

$1.5M

15K claims · 11.2%

Your Cost: $104.36/claim|Median: $69.51
1.5× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.3M

11K claims · 9.7%

Your Cost: $119.89/claim|Median: $24.49
4.9× median
92507Top 1%

Speech/hearing/language treatment

$1.1M

6,558 claims · 8.2%

Your Cost: $172.70/claim|Median: $49.45
3.5× median
96361Top 25%

IV infusion, hydration, each additional hour

$717K

4,208 claims · 5.2%

Your Cost: $170.33/claim|Median: $38.92
4.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$614K

6,577 claims · 4.4%

Your Cost: $93.35/claim|Median: $85.65
1.1× median
Q9967Top 5%

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

$512K

3,618 claims · 3.7%

Your Cost: $141.57/claim|Median: $3.42
41.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$479K

2,119 claims · 3.5%

Your Cost: $226.22/claim|Median: $65.76
3.4× median
97530Top 25%

Therapeutic activities, each 15 min

$415K

5,420 claims · 3.0%

Your Cost: $76.59/claim|Median: $33.11
2.3× median
70450Top 25%

CT head/brain without contrast

$396K

2,903 claims · 2.9%

Your Cost: $136.33/claim|Median: $45.53
3.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$358K

1,726 claims · 2.6%

Your Cost: $207.39/claim|Median: $60.19
3.4× median
99282Top 25%

Emergency dept visit, low complexity

$298K

2,648 claims · 2.2%

Your Cost: $112.59/claim|Median: $37.72
3.0× median
80053Top 25%

Comprehensive metabolic panel

$286K

16K claims · 2.1%

Your Cost: $17.47/claim|Median: $7.24
2.4× median
96360Top 5%

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

$252K

1,116 claims · 1.8%

Your Cost: $226.11/claim|Median: $61.57
3.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$200K

3,309 claims · 1.4%

Your Cost: $60.32/claim|Median: $9.56
6.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$189K

4,079 claims · 1.4%

Your Cost: $46.35/claim|Median: $14.92
3.1× median
96365Normal range

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

$167K

1,745 claims · 1.2%

Your Cost: $95.68/claim|Median: $54.77
1.7× median
81025Top 5%

Urine pregnancy test

$141K

3,753 claims · 1.0%

Your Cost: $37.70/claim|Median: $4.81
7.8× median
U0003Top 10%

Infectious disease detection (COVID-19)

$131K

1,311 claims · 0.9%

Your Cost: $99.83/claim|Median: $63.08
1.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$125K

5,991 claims · 0.9%

Your Cost: $20.89/claim|Median: $21.76
1.0× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$97K

1,156 claims · 0.7%

Your Cost: $83.71/claim|Median: $35.80
2.3× median
71045Top 25%

Chest X-ray, single view

$93K

7,926 claims · 0.7%

Your Cost: $11.74/claim|Median: $4.93
2.4× median
80048Top 25%

Basic metabolic panel

$84K

4,771 claims · 0.6%

Your Cost: $17.69/claim|Median: $5.78
3.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$83K

20K claims · 0.6%

Your Cost: $4.12/claim|Median: $4.71
0.9× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$82K

1,284 claims · 0.6%

Your Cost: $63.60/claim|Median: $20.04
3.2× median
81001Top 10%

Urinalysis, automated, with microscopy

$72K

9,777 claims · 0.5%

Your Cost: $7.38/claim|Median: $2.03
3.6× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$72K

1,328 claims · 0.5%

Your Cost: $54.21/claim|Median: $10.88
5.0× median
82947Top 5%

Blood glucose level test

$71K

3,511 claims · 0.5%

Your Cost: $20.09/claim|Median: $2.38
8.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$70K

1,437 claims · 0.5%

Your Cost: $48.56/claim|Median: $35.43
1.4× median
71046Top 10%

Chest X-ray, 2 views

$62K

1,434 claims · 0.4%

Your Cost: $43.19/claim|Median: $8.92
4.8× median
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