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Provider 1730112251

NPI: 1730112251Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,673,252

Total Claims

277K

Beneficiaries

226K

1.2 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-7%
2019
$2.1M
-19%
2020
$1.7M
+53%
2021
$2.6M
+21%
2022
$3.1M
+8%
2023
$3.4M
-27%
2024
$2.5M

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 44% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$7.7M

28K claims · 43.6%

Your Cost: $274.52/claim|Median: $69.51
3.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.2M

8,068 claims · 7.0%

Your Cost: $153.54/claim|Median: $42.48
3.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.2M

4,483 claims · 6.9%

Your Cost: $270.11/claim|Median: $85.65
3.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$858K

20K claims · 4.9%

Your Cost: $43.77/claim|Median: $24.49
1.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$683K

2,907 claims · 3.9%

Your Cost: $235.07/claim|Median: $38.92
6.0× median
74177Top 5%

CT abdomen and pelvis with contrast

$650K

755 claims · 3.7%

Your Cost: $861.28/claim|Median: $65.76
13.1× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$484K

9,636 claims · 2.7%

Your Cost: $50.26/claim|Median: $16.79
3.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$367K

8,098 claims · 2.1%

Your Cost: $45.26/claim|Median: $39.70
1.1× median
96365Top 10%

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

$315K

2,083 claims · 1.8%

Your Cost: $151.44/claim|Median: $54.77
2.8× median
80053Top 25%

Comprehensive metabolic panel

$284K

20K claims · 1.6%

Your Cost: $14.49/claim|Median: $7.24
2.0× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$265K

24K claims · 1.5%

Your Cost: $11.21/claim|Median: $4.71
2.4× median
99214Normal range

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

$236K

3,258 claims · 1.3%

Your Cost: $72.56/claim|Median: $53.41
1.4× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$198K

7,675 claims · 1.1%

Your Cost: $25.76/claim|Median: $9.87
2.6× median
71046Top 5%

Chest X-ray, 2 views

$192K

3,294 claims · 1.1%

Your Cost: $58.15/claim|Median: $8.92
6.5× median
G0463Normal range

Hospital outpatient clinic visit

$185K

5,452 claims · 1.0%

Your Cost: $33.93/claim|Median: $26.41
1.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$152K

6,699 claims · 0.9%

Your Cost: $22.75/claim|Median: $7.50
3.0× median
77067Top 25%

Screening mammography, bilateral, including CAD

$148K

1,785 claims · 0.8%

Your Cost: $82.82/claim|Median: $39.33
2.1× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$138K

2,218 claims · 0.8%

Your Cost: $62.28/claim|Median: $14.92
4.2× median
82306Top 25%

Vitamin D, 25 hydroxy

$132K

4,168 claims · 0.7%

Your Cost: $31.59/claim|Median: $18.18
1.7× median
70450Top 10%

CT head/brain without contrast

$129K

563 claims · 0.7%

Your Cost: $229.71/claim|Median: $45.53
5.0× median
97161Top 5%

Physical therapy evaluation, low complexity

$122K

813 claims · 0.7%

Your Cost: $149.51/claim|Median: $47.89
3.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$120K

3,066 claims · 0.7%

Your Cost: $39.15/claim|Median: $21.76
1.8× median
88305Top 1%

Surgical pathology, gross and microscopic examination

$114K

447 claims · 0.6%

Your Cost: $255.78/claim|Median: $35.80
7.1× median
80061Top 10%

Lipid panel

$113K

6,787 claims · 0.6%

Your Cost: $16.65/claim|Median: $8.41
2.0× median
99213Top 25%

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

$113K

1,957 claims · 0.6%

Your Cost: $57.68/claim|Median: $37.81
1.5× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$97K

1,143 claims · 0.5%

Your Cost: $85.01/claim|Median: $21.41
4.0× median
76856Top 5%

Ultrasound, pelvic, complete

$89K

328 claims · 0.5%

Your Cost: $270.40/claim|Median: $47.58
5.7× median
86618Top 5%

$73K

1,555 claims · 0.4%

Your Cost: $47.21/claim|Median: $12.93
3.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$62K

785 claims · 0.4%

Your Cost: $78.89/claim|Median: $100.62
0.8× median
76376Normal range

$54K

5,685 claims · 0.3%

Your Cost: $9.43/claim|Median: $5.53
1.7× median
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