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Provider 1730238007

NPI: 1730238007Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.9M

$14,937,633

Total Claims

325K

Beneficiaries

296K

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-4%
2019
$1.3M
+25%
2020
$1.6M
+42%
2021
$2.2M
+21%
2022
$2.7M
+31%
2023
$3.5M
-33%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99281 (Emergency dept visit, minimal complexity)) accounts for 14% of total spending.

99281Normal range

Emergency dept visit, minimal complexity

$2.0M

29K claims · 13.7%

Your Cost: $70.77/claim|Median: $52.03
1.4× median
99284Top 5%

Emergency dept visit, high complexity

$1.3M

2,989 claims · 8.7%

Your Cost: $436.94/claim|Median: $69.51
6.3× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$1.3M

977 claims · 8.4%

Your Cost: $1,282.68/claim|Median: $85.65
15.0× median
74177Top 10%

CT abdomen and pelvis with contrast

$995K

2,379 claims · 6.7%

Your Cost: $418.21/claim|Median: $65.76
6.4× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$873K

7,051 claims · 5.8%

Your Cost: $123.84/claim|Median: $21.76
5.7× median
70450Top 5%

CT head/brain without contrast

$809K

3,254 claims · 5.4%

Your Cost: $248.66/claim|Median: $45.53
5.5× median
0450Normal range

Emergency room visit

$698K

14K claims · 4.7%

Your Cost: $50.13/claim|Median: $44.95
1.1× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$541K

5,626 claims · 3.6%

Your Cost: $96.15/claim|Median: $35.43
2.7× median
99283Top 5%

Emergency dept visit, moderate complexity

$439K

1,661 claims · 2.9%

Your Cost: $264.10/claim|Median: $42.48
6.2× median
87636Top 1%

Respiratory virus detection, 6-11 targets, nucleic acid

$382K

1,708 claims · 2.6%

Your Cost: $223.84/claim|Median: $97.61
2.3× median
99199Top 10%

Unlisted special service, procedure, or report

$344K

3,096 claims · 2.3%

Your Cost: $111.09/claim|Median: $5.39
20.6× median
80053Top 25%

Comprehensive metabolic panel

$325K

21K claims · 2.2%

Your Cost: $15.43/claim|Median: $7.24
2.1× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$312K

4,293 claims · 2.1%

Your Cost: $72.58/claim|Median: $14.92
4.9× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$302K

4,008 claims · 2.0%

Your Cost: $75.41/claim|Median: $39.70
1.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$298K

8,398 claims · 2.0%

Your Cost: $35.53/claim|Median: $7.50
4.7× median
96365Top 10%

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

$253K

1,558 claims · 1.7%

Your Cost: $162.45/claim|Median: $54.77
3.0× median
87637Top 5%

Respiratory virus detection, 3-5 targets, nucleic acid

$237K

1,201 claims · 1.6%

Your Cost: $197.50/claim|Median: $100.62
2.0× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$230K

14K claims · 1.5%

Your Cost: $16.03/claim|Median: $28.63
0.6× median
71045Top 10%

Chest X-ray, single view

$221K

6,048 claims · 1.5%

Your Cost: $36.48/claim|Median: $4.93
7.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$217K

24K claims · 1.5%

Your Cost: $9.09/claim|Median: $4.71
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$214K

3,725 claims · 1.4%

Your Cost: $57.50/claim|Median: $38.92
1.5× median
72125Top 10%

CT cervical spine without contrast

$188K

779 claims · 1.3%

Your Cost: $241.75/claim|Median: $32.30
7.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$182K

3,037 claims · 1.2%

Your Cost: $60.06/claim|Median: $9.56
6.3× median
96360Normal range

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

$144K

1,435 claims · 1.0%

Your Cost: $100.55/claim|Median: $61.57
1.6× median
82077Top 5%

$127K

2,735 claims · 0.8%

Your Cost: $46.39/claim|Median: $4.44
10.4× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$125K

3,482 claims · 0.8%

Your Cost: $35.88/claim|Median: $24.95
1.4× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$124K

3,457 claims · 0.8%

Your Cost: $35.84/claim|Median: $23.39
1.5× median
71046Top 10%

Chest X-ray, 2 views

$112K

2,539 claims · 0.8%

Your Cost: $44.28/claim|Median: $8.92
5.0× median
83880Top 5%

$89K

1,916 claims · 0.6%

Your Cost: $46.35/claim|Median: $11.81
3.9× median
84484Top 25%

Troponin, quantitative

$80K

6,117 claims · 0.5%

Your Cost: $13.04/claim|Median: $4.84
2.7× median
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