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Provider 1700801909

NPI: 1700801909Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,669,568

Total Claims

236K

Beneficiaries

204K

1.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-66%
2019
$493K
+4%
2020
$512K
+492%
2021
$3.0M
+26%
2022
$3.8M
+6%
2023
$4.0M
-42%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 29% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$4.5M

11K claims · 28.7%

Your Cost: $392.98/claim|Median: $69.51
5.7× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.5M

17K claims · 15.7%

Your Cost: $143.88/claim|Median: $42.48
3.4× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.7M

4,803 claims · 10.9%

Your Cost: $356.60/claim|Median: $85.65
4.2× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$503K

1,429 claims · 3.2%

Your Cost: $352.13/claim|Median: $169.17
2.1× median
80053Top 10%

Comprehensive metabolic panel

$445K

17K claims · 2.8%

Your Cost: $26.47/claim|Median: $7.24
3.7× median
99212Top 10%

Office/outpatient visit, low complexity

$351K

4,493 claims · 2.2%

Your Cost: $78.18/claim|Median: $25.06
3.1× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$331K

20K claims · 2.1%

Your Cost: $16.89/claim|Median: $4.71
3.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$277K

4,712 claims · 1.8%

Your Cost: $58.85/claim|Median: $7.50
7.8× median
G0378Top 25%

Hospital observation service, per hour

$252K

576 claims · 1.6%

Your Cost: $438.14/claim|Median: $99.39
4.4× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$245K

1,725 claims · 1.6%

Your Cost: $142.22/claim|Median: $58.55
2.4× median
G0463Top 10%

Hospital outpatient clinic visit

$221K

2,216 claims · 1.4%

Your Cost: $99.68/claim|Median: $26.41
3.8× median
99282Top 25%

Emergency dept visit, low complexity

$212K

1,680 claims · 1.4%

Your Cost: $126.35/claim|Median: $37.72
3.3× median
J1200Top 1%

$184K

311 claims · 1.2%

Your Cost: $592.99/claim|Median: $0.60
988.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$180K

2,925 claims · 1.2%

Your Cost: $61.71/claim|Median: $100.62
0.6× median
76700Top 5%

Ultrasound, abdominal, complete

$164K

903 claims · 1.0%

Your Cost: $181.99/claim|Median: $50.69
3.6× median
80050Top 5%

General health panel

$155K

1,067 claims · 1.0%

Your Cost: $145.38/claim|Median: $25.59
5.7× median
74177Top 10%

CT abdomen and pelvis with contrast

$131K

395 claims · 0.8%

Your Cost: $332.83/claim|Median: $65.76
5.1× median
J7050Top 10%

Normal saline solution infusion, 250 cc

$128K

5,342 claims · 0.8%

Your Cost: $23.89/claim|Median: $0.82
29.1× median
70450Top 25%

CT head/brain without contrast

$126K

893 claims · 0.8%

Your Cost: $140.54/claim|Median: $45.53
3.1× median
96365Normal range

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

$125K

2,464 claims · 0.8%

Your Cost: $50.56/claim|Median: $54.77
0.9× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$117K

119 claims · 0.7%

Your Cost: $986.90/claim|Median: $54.68
18.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$105K

326 claims · 0.7%

Your Cost: $322.90/claim|Median: $151.68
2.1× median
80061Top 5%

Lipid panel

$105K

2,875 claims · 0.7%

Your Cost: $36.41/claim|Median: $8.41
4.3× median
96361Normal range

IV infusion, hydration, each additional hour

$103K

2,941 claims · 0.7%

Your Cost: $35.05/claim|Median: $38.92
0.9× median
71046Top 5%

Chest X-ray, 2 views

$101K

1,808 claims · 0.6%

Your Cost: $56.02/claim|Median: $8.92
6.3× median
J7030Top 10%

Normal saline solution infusion, 1000 cc

$98K

4,192 claims · 0.6%

Your Cost: $23.42/claim|Median: $1.53
15.3× median
J3490Normal range

Unclassified drugs

$97K

4,559 claims · 0.6%

Your Cost: $21.27/claim|Median: $5.70
3.7× median
81001Top 10%

Urinalysis, automated, with microscopy

$95K

13K claims · 0.6%

Your Cost: $7.50/claim|Median: $2.03
3.7× median
87086Top 10%

Urine culture, colony count, with identification

$94K

7,489 claims · 0.6%

Your Cost: $12.53/claim|Median: $5.31
2.4× median
76819Top 5%

Fetal biophysical profile with non-stress test

$90K

706 claims · 0.6%

Your Cost: $127.41/claim|Median: $49.45
2.6× median
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