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Provider 1740239557

NPI: 1740239557Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.8M

$7,806,382

Total Claims

255K

Beneficiaries

199K

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$682K
+24%
2019
$845K
+15%
2020
$970K
+26%
2021
$1.2M
+20%
2022
$1.5M
-13%
2023
$1.3M
+6%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 18% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$1.4M

7,957 claims · 18.0%

Your Cost: $176.97/claim|Median: $42.48
4.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.1M

8,639 claims · 13.8%

Your Cost: $124.39/claim|Median: $85.65
1.5× median
96361Top 5%

IV infusion, hydration, each additional hour

$1.1M

2,763 claims · 13.6%

Your Cost: $384.71/claim|Median: $38.92
9.9× median
99284Top 25%

Emergency dept visit, high complexity

$928K

7,639 claims · 11.9%

Your Cost: $121.52/claim|Median: $69.51
1.7× median
G0463Normal range

Hospital outpatient clinic visit

$490K

21K claims · 6.3%

Your Cost: $22.89/claim|Median: $26.41
0.9× median
99282Top 10%

Emergency dept visit, low complexity

$380K

2,108 claims · 4.9%

Your Cost: $180.16/claim|Median: $37.72
4.8× median
70450Top 10%

CT head/brain without contrast

$325K

1,359 claims · 4.2%

Your Cost: $238.81/claim|Median: $45.53
5.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$305K

1,588 claims · 3.9%

Your Cost: $192.17/claim|Median: $65.76
2.9× median
96365Top 10%

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

$258K

1,745 claims · 3.3%

Your Cost: $147.94/claim|Median: $54.77
2.7× median
99214Normal range

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

$145K

14K claims · 1.9%

Your Cost: $10.55/claim|Median: $53.41
0.2× median
96360Top 5%

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

$124K

570 claims · 1.6%

Your Cost: $217.75/claim|Median: $61.57
3.5× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$105K

1,336 claims · 1.3%

Your Cost: $78.87/claim|Median: $65.45
1.2× median
99213Normal range

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

$86K

9,445 claims · 1.1%

Your Cost: $9.10/claim|Median: $37.81
0.2× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$85K

907 claims · 1.1%

Your Cost: $94.22/claim|Median: $10.88
8.7× median
80053Normal range

Comprehensive metabolic panel

$69K

10K claims · 0.9%

Your Cost: $6.69/claim|Median: $7.24
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$67K

17K claims · 0.9%

Your Cost: $3.86/claim|Median: $4.71
0.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$64K

974 claims · 0.8%

Your Cost: $66.19/claim|Median: $97.61
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$61K

1,956 claims · 0.8%

Your Cost: $31.43/claim|Median: $39.70
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$55K

5,544 claims · 0.7%

Your Cost: $10.01/claim|Median: $9.87
1.0× median
80048Normal range

Basic metabolic panel

$41K

8,209 claims · 0.5%

Your Cost: $4.96/claim|Median: $5.78
0.9× median
11721Top 5%

$37K

1,091 claims · 0.5%

Your Cost: $34.01/claim|Median: $8.56
4.0× median
99215Normal range

Office/outpatient visit, high complexity

$36K

4,047 claims · 0.5%

Your Cost: $8.86/claim|Median: $74.09
0.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$34K

1,096 claims · 0.4%

Your Cost: $31.27/claim|Median: $28.46
1.1× median
C9803Normal range

$34K

2,374 claims · 0.4%

Your Cost: $14.35/claim|Median: $13.20
1.1× median
80061Normal range

Lipid panel

$25K

3,107 claims · 0.3%

Your Cost: $8.00/claim|Median: $8.41
1.0× median
71046Normal range

Chest X-ray, 2 views

$25K

2,423 claims · 0.3%

Your Cost: $10.16/claim|Median: $8.92
1.1× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$24K

987 claims · 0.3%

Your Cost: $24.72/claim|Median: $12.06
2.0× median
97110Normal range

Therapeutic exercises, each 15 min

$22K

4,754 claims · 0.3%

Your Cost: $4.72/claim|Median: $24.49
0.2× median
74176Top 10%

CT abdomen and pelvis without contrast

$22K

82 claims · 0.3%

Your Cost: $267.83/claim|Median: $60.19
4.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$20K

4,290 claims · 0.3%

Your Cost: $4.63/claim|Median: $5.50
0.8× median