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Provider 1699709576

NPI: 1699709576Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.4M

$13,433,667

Total Claims

278K

Beneficiaries

241K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$35K
+2068%
2019
$765K
+165%
2020
$2.0M
+33%
2021
$2.7M
+44%
2022
$3.9M
-32%
2023
$2.6M
-46%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 36% of total spending.

G0463Top 5%

Hospital outpatient clinic visit

$4.8M

36K claims · 36.1%

Your Cost: $133.00/claim|Median: $26.41
5.0× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.2M

7,311 claims · 8.6%

Your Cost: $157.68/claim|Median: $42.48
3.7× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.1M

12K claims · 8.6%

Your Cost: $96.84/claim|Median: $24.49
4.0× median
99284Top 25%

Emergency dept visit, high complexity

$657K

4,522 claims · 4.9%

Your Cost: $145.32/claim|Median: $69.51
2.1× median
96361Top 25%

IV infusion, hydration, each additional hour

$430K

1,678 claims · 3.2%

Your Cost: $256.53/claim|Median: $38.92
6.6× median
80053Top 10%

Comprehensive metabolic panel

$425K

13K claims · 3.2%

Your Cost: $32.41/claim|Median: $7.24
4.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$331K

4,603 claims · 2.5%

Your Cost: $71.96/claim|Median: $63.08
1.1× median
99282Top 10%

Emergency dept visit, low complexity

$277K

1,520 claims · 2.1%

Your Cost: $182.28/claim|Median: $37.72
4.8× median
43239Top 10%

Upper GI endoscopy with biopsy

$238K

395 claims · 1.8%

Your Cost: $601.34/claim|Median: $151.68
4.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$209K

4,407 claims · 1.6%

Your Cost: $47.38/claim|Median: $39.70
1.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$205K

1,574 claims · 1.5%

Your Cost: $130.33/claim|Median: $85.65
1.5× median
G2023Top 25%

Specimen collection for COVID-19 testing

$189K

7,851 claims · 1.4%

Your Cost: $24.07/claim|Median: $17.15
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$179K

662 claims · 1.3%

Your Cost: $269.77/claim|Median: $65.76
4.1× median
36415Top 5%

Collection of venous blood by venipuncture

$147K

13K claims · 1.1%

Your Cost: $11.04/claim|Median: $1.57
7.0× median
87581Top 5%

$131K

1,613 claims · 1.0%

Your Cost: $80.96/claim|Median: $17.13
4.7× median
99214Top 25%

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

$120K

1,226 claims · 0.9%

Your Cost: $97.89/claim|Median: $53.41
1.8× median
97161Top 25%

Physical therapy evaluation, low complexity

$120K

1,266 claims · 0.9%

Your Cost: $94.47/claim|Median: $47.89
2.0× median
70450Top 5%

CT head/brain without contrast

$117K

400 claims · 0.9%

Your Cost: $292.98/claim|Median: $45.53
6.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$116K

5,405 claims · 0.9%

Your Cost: $21.39/claim|Median: $16.79
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$111K

3,149 claims · 0.8%

Your Cost: $35.13/claim|Median: $24.34
1.4× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$109K

4,558 claims · 0.8%

Your Cost: $23.84/claim|Median: $15.76
1.5× median
99213Top 5%

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

$105K

885 claims · 0.8%

Your Cost: $118.66/claim|Median: $37.81
3.1× median
96365Top 10%

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

$91K

581 claims · 0.7%

Your Cost: $157.13/claim|Median: $54.77
2.9× median
80048Top 5%

Basic metabolic panel

$86K

1,874 claims · 0.6%

Your Cost: $45.75/claim|Median: $5.78
7.9× median
45380Top 10%

Colonoscopy with biopsy

$82K

117 claims · 0.6%

Your Cost: $704.86/claim|Median: $200.68
3.5× median
76705Top 10%

Ultrasound, abdominal, limited

$79K

849 claims · 0.6%

Your Cost: $92.63/claim|Median: $23.81
3.9× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$78K

1,909 claims · 0.6%

Your Cost: $40.83/claim|Median: $7.18
5.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$74K

1,358 claims · 0.6%

Your Cost: $54.54/claim|Median: $43.38
1.3× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$72K

1,193 claims · 0.5%

Your Cost: $60.32/claim|Median: $28.46
2.1× median
82306Top 25%

Vitamin D, 25 hydroxy

$65K

2,404 claims · 0.5%

Your Cost: $27.18/claim|Median: $18.18
1.5× median
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