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Provider 1740273994

NPI: 1740273994Share
Active Billing Period:2018-01→2024-12(72 months)

Total Paid

$14.6M

$14,565,513

Total Claims

381K

Beneficiaries

328K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$23K
-47%
2019
$12K
+1654%
2020
$214K
+1388%
2021
$3.2M
+34%
2022
$4.3M
+10%
2023
$4.7M
-53%
2024
$2.2M

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 24% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.5M

15K claims · 24.2%

Your Cost: $239.63/claim|Median: $69.51
3.4× median
87631Top 5%

Respiratory virus detection, 3-5 targets, multiplex

$1.8M

11K claims · 12.3%

Your Cost: $165.87/claim|Median: $65.45
2.5× median
99214Top 25%

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

$1.4M

17K claims · 9.7%

Your Cost: $82.80/claim|Median: $53.41
1.6× median
99283Normal range

Emergency dept visit, moderate complexity

$960K

20K claims · 6.6%

Your Cost: $48.24/claim|Median: $42.48
1.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$930K

17K claims · 6.4%

Your Cost: $56.19/claim|Median: $39.63
1.4× median
99213Top 10%

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

$803K

11K claims · 5.5%

Your Cost: $72.50/claim|Median: $37.81
1.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$638K

683 claims · 4.4%

Your Cost: $934.64/claim|Median: $763.43
1.2× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$458K

19K claims · 3.1%

Your Cost: $24.57/claim|Median: $11.48
2.1× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$433K

4,820 claims · 3.0%

Your Cost: $89.76/claim|Median: $57.85
1.6× median
87426Top 5%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$421K

7,834 claims · 2.9%

Your Cost: $53.78/claim|Median: $30.04
1.8× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$398K

3,429 claims · 2.7%

Your Cost: $116.01/claim|Median: $84.03
1.4× median
87804Top 25%

Influenza virus detection, rapid test

$383K

21K claims · 2.6%

Your Cost: $18.46/claim|Median: $12.59
1.5× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$342K

160 claims · 2.3%

Your Cost: $2,138.45/claim|Median: $331.68
6.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$256K

2,025 claims · 1.8%

Your Cost: $126.36/claim|Median: $85.65
1.5× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$239K

5,554 claims · 1.6%

Your Cost: $43.00/claim|Median: $28.46
1.5× median
80053Normal range

Comprehensive metabolic panel

$119K

21K claims · 0.8%

Your Cost: $5.74/claim|Median: $7.24
0.8× median
99282Normal range

Emergency dept visit, low complexity

$114K

2,388 claims · 0.8%

Your Cost: $47.81/claim|Median: $37.72
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$110K

21K claims · 0.8%

Your Cost: $5.25/claim|Median: $4.71
1.1× median
87800Top 5%

$107K

1,799 claims · 0.7%

Your Cost: $59.69/claim|Median: $29.47
2.0× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$85K

1,656 claims · 0.6%

Your Cost: $51.20/claim|Median: $39.70
1.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$72K

4,268 claims · 0.5%

Your Cost: $16.89/claim|Median: $7.50
2.3× median
87807Top 10%

$67K

4,587 claims · 0.5%

Your Cost: $14.64/claim|Median: $10.06
1.5× median
87086Top 25%

Urine culture, colony count, with identification

$65K

7,479 claims · 0.4%

Your Cost: $8.66/claim|Median: $5.31
1.6× median
71045Top 25%

Chest X-ray, single view

$55K

3,630 claims · 0.4%

Your Cost: $15.04/claim|Median: $4.93
3.1× median
G0378Top 25%

Hospital observation service, per hour

$46K

149 claims · 0.3%

Your Cost: $309.39/claim|Median: $99.39
3.1× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$44K

1,435 claims · 0.3%

Your Cost: $30.75/claim|Median: $18.03
1.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$43K

5,281 claims · 0.3%

Your Cost: $8.05/claim|Median: $9.87
0.8× median
99218Top 10%

$42K

206 claims · 0.3%

Your Cost: $201.86/claim|Median: $51.50
3.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$41K

4,519 claims · 0.3%

Your Cost: $9.02/claim|Median: $21.76
0.4× median
84702Top 25%

$34K

2,435 claims · 0.2%

Your Cost: $13.87/claim|Median: $8.25
1.7× median
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