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Provider 1720030703

NPI: 1720030703Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,785,939

Total Claims

347K

Beneficiaries

314K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$200K
+379%
2019
$959K
+134%
2020
$2.2M
+31%
2021
$2.9M
+16%
2022
$3.4M
-9%
2023
$3.1M
-6%
2024
$2.9M

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 14% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$2.3M

21K claims · 14.3%

Your Cost: $107.95/claim|Median: $26.41
4.1× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$1.9M

31K claims · 12.3%

Your Cost: $62.01/claim|Median: $37.81
1.6× median
99284Top 25%

Emergency dept visit, high complexity

$1.8M

12K claims · 11.2%

Your Cost: $150.53/claim|Median: $69.51
2.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.5M

8,422 claims · 9.4%

Your Cost: $176.89/claim|Median: $42.48
4.2× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$768K

9,509 claims · 4.9%

Your Cost: $80.76/claim|Median: $53.41
1.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$686K

3,961 claims · 4.3%

Your Cost: $173.12/claim|Median: $85.65
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$530K

7,530 claims · 3.4%

Your Cost: $70.34/claim|Median: $63.08
1.1× median
99282Top 5%

Emergency dept visit, low complexity

$432K

2,026 claims · 2.7%

Your Cost: $213.03/claim|Median: $37.72
5.6× median
99212Top 10%

Office/outpatient visit, low complexity

$408K

6,423 claims · 2.6%

Your Cost: $63.59/claim|Median: $25.06
2.5× median
36415Top 5%

Collection of venous blood by venipuncture

$346K

12K claims · 2.2%

Your Cost: $28.98/claim|Median: $1.57
18.5× median
99211Top 5%

Office/outpatient visit, minimal complexity

$295K

3,495 claims · 1.9%

Your Cost: $84.49/claim|Median: $12.93
6.5× median
80053Top 25%

Comprehensive metabolic panel

$281K

17K claims · 1.8%

Your Cost: $16.36/claim|Median: $7.24
2.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$274K

4,659 claims · 1.7%

Your Cost: $58.83/claim|Median: $24.49
2.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$274K

1,381 claims · 1.7%

Your Cost: $198.13/claim|Median: $65.76
3.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$195K

776 claims · 1.2%

Your Cost: $251.78/claim|Median: $38.92
6.5× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$193K

1,701 claims · 1.2%

Your Cost: $113.33/claim|Median: $65.45
1.7× median
70450Top 10%

CT head/brain without contrast

$192K

813 claims · 1.2%

Your Cost: $235.89/claim|Median: $45.53
5.2× median
76856Top 5%

Ultrasound, pelvic, complete

$182K

880 claims · 1.2%

Your Cost: $206.77/claim|Median: $47.58
4.3× median
81025Top 1%

Urine pregnancy test

$171K

3,396 claims · 1.1%

Your Cost: $50.45/claim|Median: $4.81
10.5× median
59025Top 10%

Fetal non-stress test

$169K

1,168 claims · 1.1%

Your Cost: $144.33/claim|Median: $26.45
5.5× median
96365Top 25%

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

$163K

1,191 claims · 1.0%

Your Cost: $136.64/claim|Median: $54.77
2.5× median
G0378Top 25%

Hospital observation service, per hour

$151K

419 claims · 1.0%

Your Cost: $361.14/claim|Median: $99.39
3.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$133K

1,747 claims · 0.8%

Your Cost: $76.09/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$112K

1,420 claims · 0.7%

Your Cost: $79.08/claim|Median: $74.82
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$101K

1,704 claims · 0.6%

Your Cost: $59.37/claim|Median: $58.55
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$95K

1,347 claims · 0.6%

Your Cost: $70.82/claim|Median: $69.35
1.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$84K

2,600 claims · 0.5%

Your Cost: $32.39/claim|Median: $9.56
3.4× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$76K

2,089 claims · 0.5%

Your Cost: $36.38/claim|Median: $24.95
1.5× median
97161Top 25%

Physical therapy evaluation, low complexity

$75K

919 claims · 0.5%

Your Cost: $81.32/claim|Median: $47.89
1.7× median
82306Top 25%

Vitamin D, 25 hydroxy

$73K

2,520 claims · 0.5%

Your Cost: $28.96/claim|Median: $18.18
1.6× median
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