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Provider 1689215030

NPI: 1689215030Share
Active Billing Period:2020-03→2024-12(58 months)

Total Paid

$10.0M

$9,963,141

Total Claims

232K

Beneficiaries

170K

1.4 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2020
$1.7M
+93%
2021
$3.3M
-2%
2022
$3.2M
-66%
2023
$1.1M
-34%
2024
$724K

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 22% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

18K claims · 22.3%

Your Cost: $121.71/claim|Median: $42.48
2.9× median
99284Top 10%

Emergency dept visit, high complexity

$2.1M

11K claims · 20.7%

Your Cost: $185.67/claim|Median: $69.51
2.7× median
74177Top 10%

CT abdomen and pelvis with contrast

$607K

1,504 claims · 6.1%

Your Cost: $403.78/claim|Median: $65.76
6.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$552K

2,241 claims · 5.5%

Your Cost: $246.43/claim|Median: $85.65
2.9× median
99282Normal range

Emergency dept visit, low complexity

$437K

5,132 claims · 4.4%

Your Cost: $85.16/claim|Median: $37.72
2.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$402K

7,817 claims · 4.0%

Your Cost: $51.39/claim|Median: $63.08
0.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$325K

5,592 claims · 3.3%

Your Cost: $58.06/claim|Median: $21.76
2.7× median
70450Top 10%

CT head/brain without contrast

$317K

1,533 claims · 3.2%

Your Cost: $206.94/claim|Median: $45.53
4.5× median
43239Top 10%

Upper GI endoscopy with biopsy

$265K

569 claims · 2.7%

Your Cost: $466.37/claim|Median: $151.68
3.1× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$230K

4,382 claims · 2.3%

Your Cost: $52.48/claim|Median: $164.22
0.3× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$116K

360 claims · 1.2%

Your Cost: $322.19/claim|Median: $36.13
8.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$115K

4,991 claims · 1.1%

Your Cost: $22.95/claim|Median: $7.50
3.1× median
74176Top 10%

CT abdomen and pelvis without contrast

$114K

350 claims · 1.1%

Your Cost: $325.66/claim|Median: $60.19
5.4× median
A0429Normal range

Ambulance, BLS emergency transport

$109K

2,252 claims · 1.1%

Your Cost: $48.21/claim|Median: $138.19
0.3× median
97110Normal range

Therapeutic exercises, each 15 min

$108K

3,227 claims · 1.1%

Your Cost: $33.42/claim|Median: $24.49
1.4× median
71045Top 10%

Chest X-ray, single view

$106K

3,840 claims · 1.1%

Your Cost: $27.68/claim|Median: $4.93
5.6× median
80053Normal range

Comprehensive metabolic panel

$104K

18K claims · 1.0%

Your Cost: $5.86/claim|Median: $7.24
0.8× median
76700Top 10%

Ultrasound, abdominal, complete

$82K

574 claims · 0.8%

Your Cost: $142.19/claim|Median: $50.69
2.8× median
85027Normal range

Complete blood count (CBC), automated

$71K

20K claims · 0.7%

Your Cost: $3.54/claim|Median: $3.72
1.0× median
96365Normal range

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

$70K

1,312 claims · 0.7%

Your Cost: $53.27/claim|Median: $54.77
1.0× median
76856Top 10%

Ultrasound, pelvic, complete

$64K

494 claims · 0.6%

Your Cost: $129.24/claim|Median: $47.58
2.7× median
71046Top 10%

Chest X-ray, 2 views

$62K

1,262 claims · 0.6%

Your Cost: $49.11/claim|Median: $8.92
5.5× median
45380Top 5%

Colonoscopy with biopsy

$58K

74 claims · 0.6%

Your Cost: $778.91/claim|Median: $200.68
3.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$54K

1,284 claims · 0.5%

Your Cost: $42.11/claim|Median: $35.80
1.2× median
76830Top 5%

Ultrasound, transvaginal

$53K

407 claims · 0.5%

Your Cost: $129.72/claim|Median: $57.47
2.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$52K

2,016 claims · 0.5%

Your Cost: $26.02/claim|Median: $9.56
2.7× median
96361Normal range

IV infusion, hydration, each additional hour

$51K

2,493 claims · 0.5%

Your Cost: $20.57/claim|Median: $38.92
0.5× median
71275Top 5%

CT angiography, chest, with contrast

$50K

123 claims · 0.5%

Your Cost: $406.17/claim|Median: $92.96
4.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$49K

4,981 claims · 0.5%

Your Cost: $9.74/claim|Median: $9.87
1.0× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$47K

1,619 claims · 0.5%

Your Cost: $29.29/claim|Median: $16.79
1.7× median
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