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Provider 1700979465

NPI: 1700979465Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.5M

$18,458,011

Total Claims

1.1M

Beneficiaries

788K

1.4 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+113%
2019
$2.5M
+35%
2020
$3.3M
+8%
2021
$3.6M
+8%
2022
$3.9M
-34%
2023
$2.5M
-41%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 19% of total spending.

G0463Normal range

Hospital outpatient clinic visit

$3.6M

99K claims · 19.5%

Your Cost: $36.36/claim|Median: $26.41
1.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

29K claims · 10.0%

Your Cost: $64.18/claim|Median: $42.48
1.5× median
99284Normal range

Emergency dept visit, high complexity

$1.4M

30K claims · 7.5%

Your Cost: $46.36/claim|Median: $69.51
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$896K

15K claims · 4.9%

Your Cost: $58.96/claim|Median: $85.65
0.7× median
99282Normal range

Emergency dept visit, low complexity

$812K

13K claims · 4.4%

Your Cost: $63.83/claim|Median: $37.72
1.7× median
96361Normal range

IV infusion, hydration, each additional hour

$729K

7,411 claims · 3.9%

Your Cost: $98.33/claim|Median: $38.92
2.5× median
80053Top 25%

Comprehensive metabolic panel

$715K

67K claims · 3.9%

Your Cost: $10.73/claim|Median: $7.24
1.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$561K

11K claims · 3.0%

Your Cost: $51.14/claim|Median: $24.49
2.1× median
96360Top 25%

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

$505K

3,207 claims · 2.7%

Your Cost: $157.35/claim|Median: $61.57
2.6× median
70450Normal range

CT head/brain without contrast

$484K

6,312 claims · 2.6%

Your Cost: $76.74/claim|Median: $45.53
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$379K

3,588 claims · 2.1%

Your Cost: $105.53/claim|Median: $65.76
1.6× median
36415Top 10%

Collection of venous blood by venipuncture

$335K

60K claims · 1.8%

Your Cost: $5.58/claim|Median: $1.57
3.6× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$228K

214 claims · 1.2%

Your Cost: $1,065.01/claim|Median: $5,391.55
0.2× median
J7120Top 10%

Ringer's lactate infusion, up to 1000 cc

$212K

7,269 claims · 1.1%

Your Cost: $29.12/claim|Median: $1.51
19.3× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$212K

2,194 claims · 1.1%

Your Cost: $96.44/claim|Median: $36.13
2.7× median
74176Normal range

CT abdomen and pelvis without contrast

$204K

1,941 claims · 1.1%

Your Cost: $105.12/claim|Median: $60.19
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$202K

1,907 claims · 1.1%

Your Cost: $105.69/claim|Median: $54.68
1.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$200K

4,772 claims · 1.1%

Your Cost: $41.88/claim|Median: $75.28
0.6× median
92507Top 10%

Speech/hearing/language treatment

$188K

1,838 claims · 1.0%

Your Cost: $102.30/claim|Median: $49.45
2.1× median
71275Normal range

CT angiography, chest, with contrast

$153K

1,043 claims · 0.8%

Your Cost: $146.66/claim|Median: $92.96
1.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$125K

12K claims · 0.7%

Your Cost: $10.18/claim|Median: $14.92
0.7× median
96365Normal range

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

$125K

2,796 claims · 0.7%

Your Cost: $44.54/claim|Median: $54.77
0.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$112K

22K claims · 0.6%

Your Cost: $5.15/claim|Median: $21.76
0.2× median
97530Normal range

Therapeutic activities, each 15 min

$110K

9,016 claims · 0.6%

Your Cost: $12.21/claim|Median: $33.11
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$101K

11K claims · 0.5%

Your Cost: $8.80/claim|Median: $9.56
0.9× median
U0002Normal range

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

$94K

6,270 claims · 0.5%

Your Cost: $15.04/claim|Median: $34.62
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$91K

75K claims · 0.5%

Your Cost: $1.22/claim|Median: $4.71
0.3× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$86K

911 claims · 0.5%

Your Cost: $94.17/claim|Median: $42.51
2.2× median
71046Normal range

Chest X-ray, 2 views

$83K

8,212 claims · 0.4%

Your Cost: $10.06/claim|Median: $8.92
1.1× median
72125Normal range

CT cervical spine without contrast

$80K

2,141 claims · 0.4%

Your Cost: $37.50/claim|Median: $32.30
1.2× median