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Provider 1740288505

NPI: 1740288505Share
Active Billing Period:2020-06→2024-12(55 months)

Total Paid

$16.3M

$16,310,431

Total Claims

135K

Beneficiaries

120K

1.1 claims/patient

Avg Cost/Claim

$120

Monthly Spending Trend

Yearly Spending

2020
$148K
+1388%
2021
$2.2M
+67%
2022
$3.7M
+128%
2023
$8.4M
-77%
2024
$1.9M

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 48% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$7.8M

18K claims · 47.6%

Your Cost: $437.17/claim|Median: $42.48
10.3× median
99284Top 1%

Emergency dept visit, high complexity

$3.1M

4,591 claims · 19.1%

Your Cost: $678.11/claim|Median: $69.51
9.8× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$1.1M

1,678 claims · 6.6%

Your Cost: $641.78/claim|Median: $85.65
7.5× median
99282Top 1%

Emergency dept visit, low complexity

$617K

1,763 claims · 3.8%

Your Cost: $349.71/claim|Median: $37.72
9.3× median
99215Top 1%

Office/outpatient visit, high complexity

$587K

1,418 claims · 3.6%

Your Cost: $414.15/claim|Median: $74.09
5.6× median
87804Top 1%

Influenza virus detection, rapid test

$398K

6,175 claims · 2.4%

Your Cost: $64.40/claim|Median: $12.59
5.1× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$389K

6,023 claims · 2.4%

Your Cost: $64.64/claim|Median: $11.48
5.6× median
87426Top 5%

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

$367K

7,455 claims · 2.2%

Your Cost: $49.22/claim|Median: $30.04
1.6× median
74177Top 5%

CT abdomen and pelvis with contrast

$361K

720 claims · 2.2%

Your Cost: $501.96/claim|Median: $65.76
7.6× median
71045Top 5%

Chest X-ray, single view

$178K

3,654 claims · 1.1%

Your Cost: $48.80/claim|Median: $4.93
9.9× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$149K

1,120 claims · 0.9%

Your Cost: $133.48/claim|Median: $58.55
2.3× median
70450Top 25%

CT head/brain without contrast

$127K

1,041 claims · 0.8%

Your Cost: $122.09/claim|Median: $45.53
2.7× median
80053Top 25%

Comprehensive metabolic panel

$125K

9,621 claims · 0.8%

Your Cost: $13.02/claim|Median: $7.24
1.8× median
96365Normal range

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

$124K

1,635 claims · 0.8%

Your Cost: $75.97/claim|Median: $54.77
1.4× median
71046Top 5%

Chest X-ray, 2 views

$94K

1,234 claims · 0.6%

Your Cost: $76.07/claim|Median: $8.92
8.5× median
97110Top 1%

Therapeutic exercises, each 15 min

$86K

610 claims · 0.5%

Your Cost: $140.49/claim|Median: $24.49
5.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$79K

9,319 claims · 0.5%

Your Cost: $8.45/claim|Median: $4.71
1.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$78K

4,417 claims · 0.5%

Your Cost: $17.56/claim|Median: $7.50
2.3× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$62K

32 claims · 0.4%

Your Cost: $1,938.25/claim|Median: $763.43
2.5× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$62K

1,112 claims · 0.4%

Your Cost: $55.76/claim|Median: $39.70
1.4× median
99213Top 25%

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

$61K

968 claims · 0.4%

Your Cost: $63.04/claim|Median: $37.81
1.7× median
96361Normal range

IV infusion, hydration, each additional hour

$47K

1,369 claims · 0.3%

Your Cost: $33.98/claim|Median: $38.92
0.9× median
81001Top 25%

Urinalysis, automated, with microscopy

$40K

7,232 claims · 0.2%

Your Cost: $5.54/claim|Median: $2.03
2.7× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$38K

739 claims · 0.2%

Your Cost: $51.08/claim|Median: $40.12
1.3× median
87420Top 5%

$33K

824 claims · 0.2%

Your Cost: $40.59/claim|Median: $9.78
4.2× median
83690Top 10%

$33K

2,562 claims · 0.2%

Your Cost: $12.84/claim|Median: $3.35
3.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$32K

1,154 claims · 0.2%

Your Cost: $27.66/claim|Median: $91.47
0.3× median
74176Top 10%

CT abdomen and pelvis without contrast

$27K

78 claims · 0.2%

Your Cost: $341.11/claim|Median: $60.19
5.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$20K

1,706 claims · 0.1%

Your Cost: $11.76/claim|Median: $14.92
0.8× median
87086Top 25%

Urine culture, colony count, with identification

$18K

1,614 claims · 0.1%

Your Cost: $11.28/claim|Median: $5.31
2.1× median
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