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Provider 1730171265

NPI: 1730171265Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.8M

$17,831,012

Total Claims

440K

Beneficiaries

373K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+6%
2019
$3.3M
-42%
2020
$1.9M
+8%
2021
$2.1M
+24%
2022
$2.5M
+8%
2023
$2.8M
-19%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 39% of total spending.

0450Top 10%

Emergency room visit

$6.9M

39K claims · 38.9%

Your Cost: $175.90/claim|Median: $44.95
3.9× median
99284Top 1%

Emergency dept visit, high complexity

$4.0M

8,205 claims · 22.7%

Your Cost: $493.10/claim|Median: $69.51
7.1× median
74176Top 25%

CT abdomen and pelvis without contrast

$516K

2,057 claims · 2.9%

Your Cost: $250.86/claim|Median: $60.19
4.2× median
0270Top 25%

$512K

39K claims · 2.9%

Your Cost: $13.25/claim|Median: $5.50
2.4× median
70450Top 25%

CT head/brain without contrast

$351K

2,047 claims · 2.0%

Your Cost: $171.50/claim|Median: $45.53
3.8× median
J3490Normal range

Unclassified drugs

$325K

35K claims · 1.8%

Your Cost: $9.40/claim|Median: $5.70
1.6× median
0360Normal range

$320K

2,979 claims · 1.8%

Your Cost: $107.31/claim|Median: $95.40
1.1× median
99281Normal range

Emergency dept visit, minimal complexity

$235K

3,778 claims · 1.3%

Your Cost: $62.11/claim|Median: $52.03
1.2× median
80053Top 25%

Comprehensive metabolic panel

$226K

21K claims · 1.3%

Your Cost: $10.85/claim|Median: $7.24
1.5× median
99199Top 25%

Unlisted special service, procedure, or report

$191K

4,431 claims · 1.1%

Your Cost: $43.00/claim|Median: $5.39
8.0× median
93458Top 25%

Left heart catheterization with imaging

$187K

194 claims · 1.0%

Your Cost: $961.64/claim|Median: $183.33
5.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$184K

6,537 claims · 1.0%

Your Cost: $28.07/claim|Median: $21.76
1.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$176K

13K claims · 1.0%

Your Cost: $13.70/claim|Median: $7.50
1.8× median
S3620Top 10%

Newborn metabolic screening panel

$166K

1,125 claims · 0.9%

Your Cost: $147.73/claim|Median: $11.82
12.5× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$158K

492 claims · 0.9%

Your Cost: $321.92/claim|Median: $85.65
3.8× median
0710Top 25%

$158K

3,711 claims · 0.9%

Your Cost: $42.52/claim|Median: $18.49
2.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$152K

5,144 claims · 0.9%

Your Cost: $29.47/claim|Median: $63.08
0.5× median
Z7502Normal range

$136K

3,832 claims · 0.8%

Your Cost: $35.47/claim|Median: $37.17
1.0× median
71045Top 25%

Chest X-ray, single view

$126K

13K claims · 0.7%

Your Cost: $9.94/claim|Median: $4.93
2.0× median
0250Top 25%

$115K

6,946 claims · 0.6%

Your Cost: $16.50/claim|Median: $3.70
4.5× median
C9803Normal range

$111K

4,822 claims · 0.6%

Your Cost: $23.04/claim|Median: $13.20
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$110K

1,347 claims · 0.6%

Your Cost: $81.45/claim|Median: $42.48
1.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$106K

23K claims · 0.6%

Your Cost: $4.57/claim|Median: $4.71
1.0× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$103K

1,535 claims · 0.6%

Your Cost: $67.30/claim|Median: $36.79
1.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$91K

4,485 claims · 0.5%

Your Cost: $20.29/claim|Median: $14.92
1.4× median
0160Normal range

$89K

557 claims · 0.5%

Your Cost: $159.12/claim|Median: $54.01
2.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$87K

6,186 claims · 0.5%

Your Cost: $14.06/claim|Median: $9.56
1.5× median
81001Top 25%

Urinalysis, automated, with microscopy

$85K

15K claims · 0.5%

Your Cost: $5.74/claim|Median: $2.03
2.8× median
97139Normal range

$72K

4,106 claims · 0.4%

Your Cost: $17.57/claim|Median: $28.71
0.6× median
J2704Top 5%

$69K

1,228 claims · 0.4%

Your Cost: $56.15/claim|Median: $0.76
73.9× median
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