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Provider 1699716027

NPI: 1699716027Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,494,303

Total Claims

679K

Beneficiaries

475K

1.4 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+10%
2019
$2.9M
-37%
2020
$1.8M
+8%
2021
$2.0M
-30%
2022
$1.4M
+58%
2023
$2.1M
-20%
2024
$1.7M

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 21% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.1M

27K claims · 21.0%

Your Cost: $111.29/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$1.8M

16K claims · 12.7%

Your Cost: $112.50/claim|Median: $69.51
1.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$957K

2,783 claims · 6.6%

Your Cost: $343.72/claim|Median: $65.76
5.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$729K

6,434 claims · 5.0%

Your Cost: $113.33/claim|Median: $38.92
2.9× median
70450Top 25%

CT head/brain without contrast

$572K

3,619 claims · 3.9%

Your Cost: $157.92/claim|Median: $45.53
3.5× median
80053Normal range

Comprehensive metabolic panel

$553K

56K claims · 3.8%

Your Cost: $9.88/claim|Median: $7.24
1.4× median
96365Normal range

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

$522K

5,601 claims · 3.6%

Your Cost: $93.24/claim|Median: $54.77
1.7× median
J3490Normal range

Unclassified drugs

$428K

121K claims · 3.0%

Your Cost: $3.54/claim|Median: $5.70
0.6× median
A0430Top 25%

ALS mileage, per mile, fixed wing

$384K

156 claims · 2.6%

Your Cost: $2,461.05/claim|Median: $1,588.22
1.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$365K

3,262 claims · 2.5%

Your Cost: $112.02/claim|Median: $85.65
1.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$250K

14K claims · 1.7%

Your Cost: $17.60/claim|Median: $14.92
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$250K

9,160 claims · 1.7%

Your Cost: $27.30/claim|Median: $24.49
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$232K

74K claims · 1.6%

Your Cost: $3.15/claim|Median: $4.71
0.7× median
76700Top 10%

Ultrasound, abdominal, complete

$201K

1,523 claims · 1.4%

Your Cost: $131.95/claim|Median: $50.69
2.6× median
71046Top 25%

Chest X-ray, 2 views

$192K

6,581 claims · 1.3%

Your Cost: $29.22/claim|Median: $8.92
3.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$171K

4,716 claims · 1.2%

Your Cost: $36.31/claim|Median: $23.39
1.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$157K

2,370 claims · 1.1%

Your Cost: $66.15/claim|Median: $91.47
0.7× median
96360Normal range

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

$156K

1,792 claims · 1.1%

Your Cost: $86.81/claim|Median: $61.57
1.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$144K

1,679 claims · 1.0%

Your Cost: $85.66/claim|Median: $36.13
2.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$143K

19K claims · 1.0%

Your Cost: $7.65/claim|Median: $21.76
0.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$133K

18K claims · 0.9%

Your Cost: $7.40/claim|Median: $7.50
1.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$131K

4,733 claims · 0.9%

Your Cost: $27.59/claim|Median: $24.95
1.1× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$102K

1,737 claims · 0.7%

Your Cost: $58.46/claim|Median: $39.70
1.5× median
80048Top 25%

Basic metabolic panel

$95K

7,437 claims · 0.7%

Your Cost: $12.76/claim|Median: $5.78
2.2× median
74176Top 10%

CT abdomen and pelvis without contrast

$94K

275 claims · 0.7%

Your Cost: $343.01/claim|Median: $60.19
5.7× median
76830Top 10%

Ultrasound, transvaginal

$94K

906 claims · 0.6%

Your Cost: $103.54/claim|Median: $57.47
1.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$84K

2,176 claims · 0.6%

Your Cost: $38.77/claim|Median: $35.80
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$84K

1,393 claims · 0.6%

Your Cost: $60.05/claim|Median: $63.08
1.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$79K

7,255 claims · 0.5%

Your Cost: $10.83/claim|Median: $9.87
1.1× median
80320Top 5%

$78K

1,131 claims · 0.5%

Your Cost: $69.01/claim|Median: $4.02
17.2× median
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