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Provider 1700351947

NPI: 1700351947Share
Active Billing Period:2019-022023-09(56 months)
Billing appears to have stoppedLast active: 2023-09

Total Paid

$13.7M

$13,733,257

Total Claims

293K

Beneficiaries

224K

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2019
$2.5M
-24%
2020
$1.9M
+65%
2021
$3.2M
+11%
2022
$3.5M
-29%
2023
$2.5M

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 36% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$4.9M

17K claims · 36.0%

Your Cost: $290.25/claim|Median: $42.48
6.8× median
99284Top 5%

Emergency dept visit, high complexity

$2.8M

10K claims · 20.2%

Your Cost: $273.07/claim|Median: $69.51
3.9× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.3M

5,628 claims · 9.5%

Your Cost: $231.02/claim|Median: $85.65
2.7× median
G0378Top 25%

Hospital observation service, per hour

$486K

1,299 claims · 3.5%

Your Cost: $374.28/claim|Median: $99.39
3.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$385K

1,599 claims · 2.8%

Your Cost: $240.76/claim|Median: $65.76
3.7× median
99281Top 25%

Emergency dept visit, minimal complexity

$325K

2,906 claims · 2.4%

Your Cost: $111.68/claim|Median: $52.03
2.1× median
99282Top 25%

Emergency dept visit, low complexity

$323K

2,806 claims · 2.4%

Your Cost: $115.18/claim|Median: $37.72
3.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$300K

8,098 claims · 2.2%

Your Cost: $37.05/claim|Median: $39.70
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$176K

8,700 claims · 1.3%

Your Cost: $20.24/claim|Median: $7.50
2.7× median
96361Normal range

IV infusion, hydration, each additional hour

$166K

3,234 claims · 1.2%

Your Cost: $51.27/claim|Median: $38.92
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$158K

11K claims · 1.2%

Your Cost: $14.16/claim|Median: $24.49
0.6× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$154K

3,712 claims · 1.1%

Your Cost: $41.37/claim|Median: $14.92
2.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$153K

5,905 claims · 1.1%

Your Cost: $25.94/claim|Median: $21.76
1.2× median
OP370Normal range

$133K

1,692 claims · 1.0%

Your Cost: $78.87/claim|Median: $82.47
1.0× median
11042Top 1%

Debridement, subcutaneous tissue, first 20 sq cm

$131K

172 claims · 1.0%

Your Cost: $760.58/claim|Median: $36.13
21.1× median
97010Top 5%

Hot/cold packs application

$109K

3,120 claims · 0.8%

Your Cost: $35.06/claim|Median: $4.47
7.8× median
70450Normal range

CT head/brain without contrast

$98K

2,406 claims · 0.7%

Your Cost: $40.94/claim|Median: $45.53
0.9× median
OP250Normal range

Orthotic or prosthetic procedure, not otherwise classified

$96K

47K claims · 0.7%

Your Cost: $2.03/claim|Median: $1.68
1.2× median
74176Normal range

CT abdomen and pelvis without contrast

$78K

638 claims · 0.6%

Your Cost: $121.63/claim|Median: $60.19
2.0× median
C9803Normal range

$75K

7,824 claims · 0.5%

Your Cost: $9.63/claim|Median: $13.20
0.7× median
71046Top 25%

Chest X-ray, 2 views

$73K

3,788 claims · 0.5%

Your Cost: $19.32/claim|Median: $8.92
2.2× median
97140Normal range

Manual therapy techniques, per 15 minutes

$65K

4,484 claims · 0.5%

Your Cost: $14.55/claim|Median: $16.79
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$61K

14K claims · 0.4%

Your Cost: $4.36/claim|Median: $4.71
0.9× median
OP710Normal range

$59K

1,694 claims · 0.4%

Your Cost: $34.76/claim|Median: $68.93
0.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$56K

157 claims · 0.4%

Your Cost: $356.48/claim|Median: $151.68
2.4× median
71045Top 25%

Chest X-ray, single view

$49K

3,401 claims · 0.4%

Your Cost: $14.55/claim|Median: $4.93
3.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$49K

852 claims · 0.4%

Your Cost: $57.45/claim|Median: $39.33
1.5× median
80048Normal range

Basic metabolic panel

$49K

13K claims · 0.4%

Your Cost: $3.89/claim|Median: $5.78
0.7× median
73564Top 25%

$44K

1,148 claims · 0.3%

Your Cost: $38.55/claim|Median: $15.00
2.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$44K

3,157 claims · 0.3%

Your Cost: $13.83/claim|Median: $35.43
0.4× median