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Provider 1730123175

NPI: 1730123175Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.8M

$17,805,089

Total Claims

768K

Beneficiaries

603K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-18%
2019
$1.5M
-8%
2020
$1.4M
+60%
2021
$2.3M
+70%
2022
$3.8M
+0%
2023
$3.9M
-22%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80053 (Comprehensive metabolic panel)) accounts for 16% of total spending.

80053Top 5%

Comprehensive metabolic panel

$2.9M

42K claims · 16.1%

Your Cost: $68.77/claim|Median: $7.24
9.5× median
99283Normal range

Emergency dept visit, moderate complexity

$1.9M

35K claims · 10.6%

Your Cost: $53.56/claim|Median: $42.48
1.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.3M

15K claims · 7.5%

Your Cost: $91.25/claim|Median: $21.76
4.2× median
99282Top 25%

Emergency dept visit, low complexity

$771K

6,510 claims · 4.3%

Your Cost: $118.50/claim|Median: $37.72
3.1× median
80048Top 5%

Basic metabolic panel

$727K

12K claims · 4.1%

Your Cost: $59.40/claim|Median: $5.78
10.3× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$698K

3,315 claims · 3.9%

Your Cost: $210.42/claim|Median: $65.64
3.2× median
82962Top 1%

Blood glucose test by monitoring device

$654K

17K claims · 3.7%

Your Cost: $38.82/claim|Median: $1.40
27.7× median
36415Top 5%

Collection of venous blood by venipuncture

$555K

16K claims · 3.1%

Your Cost: $34.06/claim|Median: $1.57
21.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$467K

8,905 claims · 2.6%

Your Cost: $52.48/claim|Median: $9.56
5.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$365K

7,961 claims · 2.0%

Your Cost: $45.81/claim|Median: $39.70
1.2× median
81025Top 5%

Urine pregnancy test

$327K

11K claims · 1.8%

Your Cost: $28.65/claim|Median: $4.81
6.0× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$319K

2,694 claims · 1.8%

Your Cost: $118.37/claim|Median: $28.46
4.2× median
99284Normal range

Emergency dept visit, high complexity

$295K

31K claims · 1.7%

Your Cost: $9.62/claim|Median: $69.51
0.1× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$283K

3,932 claims · 1.6%

Your Cost: $72.08/claim|Median: $35.43
2.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$279K

10K claims · 1.6%

Your Cost: $26.79/claim|Median: $14.92
1.8× median
97110Normal range

Therapeutic exercises, each 15 min

$265K

8,773 claims · 1.5%

Your Cost: $30.26/claim|Median: $24.49
1.2× median
70553Top 5%

MRI brain without contrast, then with contrast

$232K

353 claims · 1.3%

Your Cost: $656.47/claim|Median: $133.68
4.9× median
96365Normal range

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

$225K

3,841 claims · 1.3%

Your Cost: $58.45/claim|Median: $54.77
1.1× median
87086Top 5%

Urine culture, colony count, with identification

$222K

4,988 claims · 1.2%

Your Cost: $44.58/claim|Median: $5.31
8.4× median
71046Normal range

Chest X-ray, 2 views

$208K

14K claims · 1.2%

Your Cost: $15.40/claim|Median: $8.92
1.7× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$207K

3,229 claims · 1.2%

Your Cost: $64.14/claim|Median: $35.80
1.8× median
96360Top 25%

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

$199K

1,520 claims · 1.1%

Your Cost: $130.95/claim|Median: $61.57
2.1× median
81001Top 5%

Urinalysis, automated, with microscopy

$197K

13K claims · 1.1%

Your Cost: $15.49/claim|Median: $2.03
7.6× median
87210Top 1%

$189K

2,213 claims · 1.1%

Your Cost: $85.34/claim|Median: $3.65
23.4× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$184K

1,289 claims · 1.0%

Your Cost: $142.40/claim|Median: $144.30
1.0× median
81003Top 5%

Urinalysis, automated without microscopy

$168K

13K claims · 0.9%

Your Cost: $12.83/claim|Median: $1.48
8.7× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$161K

4,042 claims · 0.9%

Your Cost: $39.87/claim|Median: $24.95
1.6× median
70450Normal range

CT head/brain without contrast

$144K

6,308 claims · 0.8%

Your Cost: $22.87/claim|Median: $45.53
0.5× median
73562Top 10%

$129K

2,613 claims · 0.7%

Your Cost: $49.31/claim|Median: $12.28
4.0× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$129K

1,241 claims · 0.7%

Your Cost: $103.62/claim|Median: $13.55
7.6× median