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Provider 1699752915

NPI: 1699752915Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,235,148

Total Claims

170K

Beneficiaries

146K

1.2 claims/patient

Avg Cost/Claim

$101

Monthly Spending Trend

Yearly Spending

2018
$778K
+197%
2019
$2.3M
-20%
2020
$1.8M
+58%
2021
$2.9M
+20%
2022
$3.5M
+0%
2023
$3.5M
-30%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 56% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$9.7M

25K claims · 56.3%

Your Cost: $393.39/claim|Median: $85.65
4.6× median
99284Top 5%

Emergency dept visit, high complexity

$2.0M

7,954 claims · 11.4%

Your Cost: $246.69/claim|Median: $69.51
3.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.7M

10K claims · 9.7%

Your Cost: $166.27/claim|Median: $42.48
3.9× median
G0378Top 25%

Hospital observation service, per hour

$991K

2,762 claims · 5.8%

Your Cost: $358.94/claim|Median: $99.39
3.6× median
36415Top 5%

Collection of venous blood by venipuncture

$493K

21K claims · 2.9%

Your Cost: $23.44/claim|Median: $1.57
14.9× median
J7050Top 1%

Normal saline solution infusion, 250 cc

$401K

1,181 claims · 2.3%

Your Cost: $339.34/claim|Median: $0.82
413.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$281K

3,175 claims · 1.6%

Your Cost: $88.38/claim|Median: $21.76
4.1× median
96361Top 25%

IV infusion, hydration, each additional hour

$243K

2,148 claims · 1.4%

Your Cost: $112.98/claim|Median: $38.92
2.9× median
90791Normal range

Psychiatric diagnostic evaluation

$162K

1,661 claims · 0.9%

Your Cost: $97.37/claim|Median: $99.21
1.0× median
G0463Top 25%

Hospital outpatient clinic visit

$141K

1,900 claims · 0.8%

Your Cost: $74.05/claim|Median: $26.41
2.8× median
97602Top 25%

$126K

1,117 claims · 0.7%

Your Cost: $113.19/claim|Median: $51.00
2.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$126K

1,025 claims · 0.7%

Your Cost: $122.92/claim|Median: $100.62
1.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$107K

6,612 claims · 0.6%

Your Cost: $16.19/claim|Median: $7.50
2.2× median
80053Normal range

Comprehensive metabolic panel

$88K

12K claims · 0.5%

Your Cost: $7.31/claim|Median: $7.24
1.0× median
C9803Normal range

$69K

4,925 claims · 0.4%

Your Cost: $14.04/claim|Median: $13.20
1.1× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$68K

547 claims · 0.4%

Your Cost: $125.20/claim|Median: $36.13
3.5× median
80048Top 25%

Basic metabolic panel

$68K

4,725 claims · 0.4%

Your Cost: $14.49/claim|Median: $5.78
2.5× median
99281Normal range

Emergency dept visit, minimal complexity

$50K

594 claims · 0.3%

Your Cost: $84.27/claim|Median: $52.03
1.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$46K

1,227 claims · 0.3%

Your Cost: $37.77/claim|Median: $63.08
0.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$45K

1,809 claims · 0.3%

Your Cost: $25.01/claim|Median: $35.80
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$37K

29K claims · 0.2%

Your Cost: $1.29/claim|Median: $4.71
0.3× median
70450Top 25%

CT head/brain without contrast

$30K

361 claims · 0.2%

Your Cost: $81.78/claim|Median: $45.53
1.8× median
76811Top 5%

Ultrasound, pregnant uterus, detailed, single fetus

$27K

112 claims · 0.2%

Your Cost: $238.70/claim|Median: $106.79
2.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$26K

230 claims · 0.2%

Your Cost: $114.83/claim|Median: $97.61
1.2× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$26K

323 claims · 0.2%

Your Cost: $80.48/claim|Median: $58.55
1.4× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$25K

757 claims · 0.1%

Your Cost: $32.42/claim|Median: $34.62
0.9× median
71046Top 25%

Chest X-ray, 2 views

$24K

1,166 claims · 0.1%

Your Cost: $20.39/claim|Median: $8.92
2.3× median
99220Top 25%

$21K

176 claims · 0.1%

Your Cost: $121.14/claim|Median: $73.56
1.6× median
J3490Top 10%

Unclassified drugs

$16K

185 claims · 0.1%

Your Cost: $88.86/claim|Median: $5.70
15.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$15K

520 claims · 0.1%

Your Cost: $28.80/claim|Median: $14.92
1.9× median
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