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Provider 1699775726

NPI: 1699775726Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,550,677

Total Claims

212K

Beneficiaries

159K

1.3 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$664K
-23%
2019
$512K
+32%
2020
$675K
+32%
2021
$890K
+20%
2022
$1.1M
+282%
2023
$4.1M
-11%
2024
$3.6M

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 17% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

16K claims · 16.9%

Your Cost: $124.77/claim|Median: $42.48
2.9× median
99284Top 25%

Emergency dept visit, high complexity

$1.2M

8,640 claims · 10.4%

Your Cost: $138.47/claim|Median: $69.51
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$1.0M

8,259 claims · 9.0%

Your Cost: $126.16/claim|Median: $25.06
5.0× median
99211Top 5%

Office/outpatient visit, minimal complexity

$823K

7,719 claims · 7.1%

Your Cost: $106.58/claim|Median: $12.93
8.2× median
96361Top 5%

IV infusion, hydration, each additional hour

$722K

1,838 claims · 6.3%

Your Cost: $392.90/claim|Median: $38.92
10.1× median
97110Top 5%

Therapeutic exercises, each 15 min

$590K

5,873 claims · 5.1%

Your Cost: $100.51/claim|Median: $24.49
4.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$369K

2,293 claims · 3.2%

Your Cost: $161.12/claim|Median: $85.65
1.9× median
99214Normal range

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

$345K

5,767 claims · 3.0%

Your Cost: $59.81/claim|Median: $53.41
1.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$338K

2,656 claims · 2.9%

Your Cost: $127.20/claim|Median: $91.47
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$287K

2,405 claims · 2.5%

Your Cost: $119.53/claim|Median: $37.72
3.2× median
99213Normal range

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

$287K

6,690 claims · 2.5%

Your Cost: $42.96/claim|Median: $37.81
1.1× median
70450Top 5%

CT head/brain without contrast

$284K

843 claims · 2.5%

Your Cost: $337.33/claim|Median: $45.53
7.4× median
96365Top 5%

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

$273K

1,379 claims · 2.4%

Your Cost: $197.72/claim|Median: $54.77
3.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$247K

727 claims · 2.1%

Your Cost: $339.70/claim|Median: $65.76
5.2× median
92507Top 25%

Speech/hearing/language treatment

$186K

2,217 claims · 1.6%

Your Cost: $83.96/claim|Median: $49.45
1.7× median
74176Top 10%

CT abdomen and pelvis without contrast

$185K

606 claims · 1.6%

Your Cost: $305.24/claim|Median: $60.19
5.1× median
U0003Top 1%

Infectious disease detection (COVID-19)

$166K

834 claims · 1.4%

Your Cost: $199.58/claim|Median: $63.08
3.2× median
59025Top 10%

Fetal non-stress test

$134K

886 claims · 1.2%

Your Cost: $150.96/claim|Median: $26.45
5.7× median
90837Normal range

Psychotherapy, 60 minutes

$123K

2,533 claims · 1.1%

Your Cost: $48.73/claim|Median: $85.66
0.6× median
96360Top 5%

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

$120K

490 claims · 1.0%

Your Cost: $244.78/claim|Median: $61.57
4.0× median
97530Top 25%

Therapeutic activities, each 15 min

$113K

1,449 claims · 1.0%

Your Cost: $77.72/claim|Median: $33.11
2.3× median
76856Top 5%

Ultrasound, pelvic, complete

$99K

470 claims · 0.9%

Your Cost: $210.71/claim|Median: $47.58
4.4× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$94K

465 claims · 0.8%

Your Cost: $201.81/claim|Median: $40.12
5.0× median
80053Top 25%

Comprehensive metabolic panel

$92K

8,634 claims · 0.8%

Your Cost: $10.71/claim|Median: $7.24
1.5× median
81514Normal range

$92K

594 claims · 0.8%

Your Cost: $155.61/claim|Median: $143.67
1.1× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$80K

1,706 claims · 0.7%

Your Cost: $47.07/claim|Median: $20.04
2.3× median
99215Top 25%

Office/outpatient visit, high complexity

$65K

585 claims · 0.6%

Your Cost: $111.54/claim|Median: $74.09
1.5× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$60K

601 claims · 0.5%

Your Cost: $99.45/claim|Median: $10.88
9.1× median
97162Top 25%

PT evaluation, moderate complexity

$55K

614 claims · 0.5%

Your Cost: $88.83/claim|Median: $46.10
1.9× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$52K

1,319 claims · 0.4%

Your Cost: $39.36/claim|Median: $24.95
1.6× median
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