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Provider 1700359205

NPI: 1700359205Share
Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$12.1M

$12,125,268

Total Claims

551K

Beneficiaries

463K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2019
$1.5M
+15%
2020
$1.7M
+28%
2021
$2.2M
+16%
2022
$2.6M
+0%
2023
$2.6M
-39%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80053 (Comprehensive metabolic panel)) accounts for 17% of total spending.

80053Top 5%

Comprehensive metabolic panel

$2.1M

30K claims · 17.2%

Your Cost: $68.25/claim|Median: $7.24
9.4× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$1.9M

4,010 claims · 15.3%

Your Cost: $462.37/claim|Median: $36.13
12.8× median
99282Top 25%

Emergency dept visit, low complexity

$825K

8,753 claims · 6.8%

Your Cost: $94.23/claim|Median: $37.72
2.5× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$588K

6,715 claims · 4.8%

Your Cost: $87.57/claim|Median: $3.42
25.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$478K

5,428 claims · 3.9%

Your Cost: $88.01/claim|Median: $100.62
0.9× median
80048Top 5%

Basic metabolic panel

$405K

6,769 claims · 3.3%

Your Cost: $59.77/claim|Median: $5.78
10.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$394K

9,282 claims · 3.3%

Your Cost: $42.48/claim|Median: $35.43
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$377K

12K claims · 3.1%

Your Cost: $31.78/claim|Median: $24.49
1.3× median
U0003Top 10%

Infectious disease detection (COVID-19)

$360K

3,704 claims · 3.0%

Your Cost: $97.15/claim|Median: $63.08
1.5× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$333K

3,249 claims · 2.7%

Your Cost: $102.48/claim|Median: $35.80
2.9× median
86850Top 1%

$300K

2,731 claims · 2.5%

Your Cost: $109.84/claim|Median: $5.44
20.2× median
87070Top 1%

Bacterial culture, any source except blood or urine

$262K

1,022 claims · 2.2%

Your Cost: $256.41/claim|Median: $5.89
43.5× median
81025Top 5%

Urine pregnancy test

$249K

10K claims · 2.1%

Your Cost: $24.61/claim|Median: $4.81
5.1× median
99283Normal range

Emergency dept visit, moderate complexity

$236K

20K claims · 1.9%

Your Cost: $11.73/claim|Median: $42.48
0.3× median
36415Top 10%

Collection of venous blood by venipuncture

$176K

30K claims · 1.5%

Your Cost: $5.97/claim|Median: $1.57
3.8× median
82947Top 5%

Blood glucose level test

$151K

3,838 claims · 1.2%

Your Cost: $39.36/claim|Median: $2.38
16.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$134K

6,322 claims · 1.1%

Your Cost: $21.24/claim|Median: $9.56
2.2× median
70450Normal range

CT head/brain without contrast

$107K

5,013 claims · 0.9%

Your Cost: $21.34/claim|Median: $45.53
0.5× median
87081Top 5%

Culture screening for pathogenic organisms

$101K

3,184 claims · 0.8%

Your Cost: $31.65/claim|Median: $5.09
6.2× median
81001Top 25%

Urinalysis, automated, with microscopy

$100K

17K claims · 0.8%

Your Cost: $5.88/claim|Median: $2.03
2.9× median
99284Normal range

Emergency dept visit, high complexity

$94K

15K claims · 0.8%

Your Cost: $6.11/claim|Median: $69.51
0.1× median
86900Top 10%

$92K

3,312 claims · 0.8%

Your Cost: $27.66/claim|Median: $2.55
10.8× median
71046Normal range

Chest X-ray, 2 views

$79K

5,269 claims · 0.7%

Your Cost: $15.07/claim|Median: $8.92
1.7× median
11043Top 5%

$75K

206 claims · 0.6%

Your Cost: $365.09/claim|Median: $62.99
5.8× median
86710Top 5%

$74K

982 claims · 0.6%

Your Cost: $75.84/claim|Median: $12.47
6.1× median
96365Normal range

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

$72K

3,673 claims · 0.6%

Your Cost: $19.67/claim|Median: $54.77
0.4× median
A9585Top 1%

$72K

89 claims · 0.6%

Your Cost: $809.53/claim|Median: $10.42
77.7× median
74176Normal range

CT abdomen and pelvis without contrast

$69K

1,857 claims · 0.6%

Your Cost: $37.15/claim|Median: $60.19
0.6× median
85027Top 25%

Complete blood count (CBC), automated

$65K

7,917 claims · 0.5%

Your Cost: $8.21/claim|Median: $3.72
2.2× median
87086Top 25%

Urine culture, colony count, with identification

$63K

6,357 claims · 0.5%

Your Cost: $9.92/claim|Median: $5.31
1.9× median
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