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Provider 1720031636

NPI: 1720031636Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$17.6M

$17,572,451

Total Claims

328K

Beneficiaries

259K

1.3 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+3%
2019
$2.5M
+31%
2020
$3.3M
+24%
2021
$4.1M
+14%
2022
$4.7M
-91%
2023
$401K
-66%
2024
$137K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (8888888 (Not classified)) accounts for 68% of total spending.

8888888Normal range

Not classified

$12.0M

38K claims · 68.1%

Your Cost: $313.84/claim|Median: $365.77
0.9× median
36415Top 1%

Collection of venous blood by venipuncture

$1.9M

21K claims · 10.9%

Your Cost: $91.01/claim|Median: $1.57
58.0× median
99283Normal range

Emergency dept visit, moderate complexity

$508K

16K claims · 2.9%

Your Cost: $32.11/claim|Median: $42.48
0.8× median
99284Normal range

Emergency dept visit, high complexity

$368K

19K claims · 2.1%

Your Cost: $19.00/claim|Median: $69.51
0.3× median
80053Top 25%

Comprehensive metabolic panel

$247K

17K claims · 1.4%

Your Cost: $14.21/claim|Median: $7.24
2.0× median
99282Normal range

Emergency dept visit, low complexity

$233K

4,877 claims · 1.3%

Your Cost: $47.78/claim|Median: $37.72
1.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$193K

820 claims · 1.1%

Your Cost: $235.06/claim|Median: $38.92
6.0× median
99281Top 25%

Emergency dept visit, minimal complexity

$184K

1,377 claims · 1.0%

Your Cost: $133.66/claim|Median: $52.03
2.6× median
J7120Top 5%

Ringer's lactate infusion, up to 1000 cc

$168K

1,944 claims · 1.0%

Your Cost: $86.29/claim|Median: $1.51
57.1× median
70450Normal range

CT head/brain without contrast

$126K

2,714 claims · 0.7%

Your Cost: $46.47/claim|Median: $45.53
1.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$117K

3,605 claims · 0.7%

Your Cost: $32.50/claim|Median: $9.56
3.4× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$106K

1,741 claims · 0.6%

Your Cost: $61.10/claim|Median: $37.56
1.6× median
81003Top 5%

Urinalysis, automated without microscopy

$98K

4,550 claims · 0.6%

Your Cost: $21.46/claim|Median: $1.48
14.5× median
71046Top 10%

Chest X-ray, 2 views

$94K

2,867 claims · 0.5%

Your Cost: $32.79/claim|Median: $8.92
3.7× median
U0002Top 25%

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

$91K

1,770 claims · 0.5%

Your Cost: $51.30/claim|Median: $34.62
1.5× median
87400Top 5%

$90K

2,310 claims · 0.5%

Your Cost: $38.95/claim|Median: $8.40
4.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$79K

12K claims · 0.5%

Your Cost: $6.82/claim|Median: $21.76
0.3× median
81001Top 10%

Urinalysis, automated, with microscopy

$75K

8,441 claims · 0.4%

Your Cost: $8.89/claim|Median: $2.03
4.4× median
71045Top 25%

Chest X-ray, single view

$73K

5,708 claims · 0.4%

Your Cost: $12.76/claim|Median: $4.93
2.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$73K

558 claims · 0.4%

Your Cost: $130.30/claim|Median: $54.68
2.4× median
87430Top 5%

$52K

1,493 claims · 0.3%

Your Cost: $34.99/claim|Median: $9.41
3.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$45K

555 claims · 0.3%

Your Cost: $80.56/claim|Median: $91.47
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$37K

2,995 claims · 0.2%

Your Cost: $12.52/claim|Median: $65.76
0.2× median
G0463Normal range

Hospital outpatient clinic visit

$36K

2,950 claims · 0.2%

Your Cost: $12.07/claim|Median: $26.41
0.5× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$35K

488 claims · 0.2%

Your Cost: $72.62/claim|Median: $13.55
5.4× median
73562Top 5%

$34K

446 claims · 0.2%

Your Cost: $77.05/claim|Median: $12.28
6.3× median
G0383Normal range

$30K

1,128 claims · 0.2%

Your Cost: $26.31/claim|Median: $108.78
0.2× median
87070Top 25%

Bacterial culture, any source except blood or urine

$25K

1,755 claims · 0.1%

Your Cost: $14.43/claim|Median: $5.89
2.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$25K

3,329 claims · 0.1%

Your Cost: $7.58/claim|Median: $35.43
0.2× median
87086Top 25%

Urine culture, colony count, with identification

$24K

2,469 claims · 0.1%

Your Cost: $9.83/claim|Median: $5.31
1.9× median
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