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Provider 1720022379

NPI: 1720022379Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$17.7M

$17,739,955

Total Claims

326K

Beneficiaries

309K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+27%
2019
$1.7M
-17%
2020
$1.4M
+63%
2021
$2.4M
+78%
2022
$4.2M
+7%
2023
$4.5M
-51%
2024
$2.2M

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 37% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$6.6M

40K claims · 37.1%

Your Cost: $164.60/claim|Median: $42.48
3.9× median
99284Top 5%

Emergency dept visit, high complexity

$3.4M

14K claims · 19.4%

Your Cost: $247.78/claim|Median: $69.51
3.6× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.5M

6,590 claims · 14.2%

Your Cost: $382.98/claim|Median: $85.65
4.5× median
99282Top 25%

Emergency dept visit, low complexity

$867K

9,373 claims · 4.9%

Your Cost: $92.46/claim|Median: $37.72
2.5× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$786K

5,884 claims · 4.4%

Your Cost: $133.54/claim|Median: $21.76
6.1× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$524K

3,833 claims · 3.0%

Your Cost: $136.72/claim|Median: $100.62
1.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$351K

2,417 claims · 2.0%

Your Cost: $145.02/claim|Median: $36.13
4.0× median
80053Normal range

Comprehensive metabolic panel

$292K

29K claims · 1.6%

Your Cost: $10.10/claim|Median: $7.24
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$232K

30K claims · 1.3%

Your Cost: $7.71/claim|Median: $4.71
1.6× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$165K

830 claims · 0.9%

Your Cost: $199.08/claim|Median: $75.28
2.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$145K

21K claims · 0.8%

Your Cost: $7.02/claim|Median: $5.60
1.3× median
36415Top 10%

Collection of venous blood by venipuncture

$145K

23K claims · 0.8%

Your Cost: $6.19/claim|Median: $1.57
3.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$121K

1,957 claims · 0.7%

Your Cost: $61.77/claim|Median: $9.56
6.5× median
71045Top 25%

Chest X-ray, single view

$94K

7,566 claims · 0.5%

Your Cost: $12.37/claim|Median: $4.93
2.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$93K

2,986 claims · 0.5%

Your Cost: $31.28/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$91K

2,994 claims · 0.5%

Your Cost: $30.51/claim|Median: $23.39
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$87K

6,270 claims · 0.5%

Your Cost: $13.86/claim|Median: $9.87
1.4× median
87086Normal range

Urine culture, colony count, with identification

$77K

11K claims · 0.4%

Your Cost: $7.15/claim|Median: $5.31
1.3× median
81003Top 10%

Urinalysis, automated without microscopy

$72K

19K claims · 0.4%

Your Cost: $3.75/claim|Median: $1.48
2.5× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$65K

1,540 claims · 0.4%

Your Cost: $42.09/claim|Median: $14.92
2.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$56K

9,763 claims · 0.3%

Your Cost: $5.77/claim|Median: $7.50
0.8× median
11043Top 10%

$51K

187 claims · 0.3%

Your Cost: $273.87/claim|Median: $62.99
4.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$47K

563 claims · 0.3%

Your Cost: $83.29/claim|Median: $74.78
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$46K

583 claims · 0.3%

Your Cost: $79.32/claim|Median: $65.64
1.2× median
80061Top 25%

Lipid panel

$46K

3,701 claims · 0.3%

Your Cost: $12.39/claim|Median: $8.41
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$44K

533 claims · 0.2%

Your Cost: $82.66/claim|Median: $54.68
1.5× median
84439Normal range

Free thyroxine level blood test

$43K

5,751 claims · 0.2%

Your Cost: $7.49/claim|Median: $6.31
1.2× median
85027Top 25%

Complete blood count (CBC), automated

$40K

6,836 claims · 0.2%

Your Cost: $5.79/claim|Median: $3.72
1.6× median
96361Normal range

IV infusion, hydration, each additional hour

$39K

740 claims · 0.2%

Your Cost: $52.80/claim|Median: $38.92
1.4× median
87510Normal range

$39K

2,303 claims · 0.2%

Your Cost: $16.94/claim|Median: $13.48
1.3× median