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Unknown Provider 1740574573

NPI: 1740574573Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$24.6M

$24,595,749

Total Claims

690K

Beneficiaries

589K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$7K
+269%
2019
$27K
+100%
2020
$55K
+6427%
2021
$3.6M
+115%
2022
$7.7M
+30%
2023
$10.0M
-68%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 16% of total spending.

99284Normal range

Emergency dept visit, high complexity

$4.0M

62K claims · 16.4%

Your Cost: $64.83/claim|Median: $69.51
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$3.0M

63K claims · 12.2%

Your Cost: $47.39/claim|Median: $42.48
1.1× median
99214Normal range

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

$2.8M

68K claims · 11.6%

Your Cost: $41.59/claim|Median: $53.41
0.8× median
99213Normal range

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

$2.2M

74K claims · 9.1%

Your Cost: $30.18/claim|Median: $37.81
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.6M

17K claims · 6.5%

Your Cost: $95.66/claim|Median: $85.65
1.1× median
H1000Normal range

Prenatal care, at-risk assessment

$917K

18K claims · 3.7%

Your Cost: $49.76/claim|Median: $50.36
1.0× median
99203Normal range

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

$840K

13K claims · 3.4%

Your Cost: $65.46/claim|Median: $57.85
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$826K

26K claims · 3.4%

Your Cost: $31.67/claim|Median: $23.99
1.3× median
99204Normal range

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

$777K

8,336 claims · 3.2%

Your Cost: $93.27/claim|Median: $84.03
1.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$553K

4,691 claims · 2.2%

Your Cost: $117.94/claim|Median: $67.32
1.8× median
87428Normal range

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

$478K

16K claims · 1.9%

Your Cost: $30.79/claim|Median: $39.63
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$455K

5,708 claims · 1.9%

Your Cost: $79.80/claim|Median: $121.58
0.7× median
95004Normal range

Percutaneous allergy skin tests, each

$424K

3,912 claims · 1.7%

Your Cost: $108.37/claim|Median: $134.97
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$417K

4,932 claims · 1.7%

Your Cost: $84.50/claim|Median: $101.24
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$406K

9,022 claims · 1.6%

Your Cost: $44.97/claim|Median: $35.30
1.3× median
99157Top 25%

$380K

2,237 claims · 1.5%

Your Cost: $169.82/claim|Median: $65.75
2.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$363K

7,015 claims · 1.5%

Your Cost: $51.75/claim|Median: $62.48
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$349K

8,300 claims · 1.4%

Your Cost: $42.03/claim|Median: $37.22
1.1× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$328K

3,983 claims · 1.3%

Your Cost: $82.31/claim|Median: $43.85
1.9× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$320K

3,228 claims · 1.3%

Your Cost: $99.20/claim|Median: $51.25
1.9× median
95165Top 10%

Professional services for allergen immunotherapy, per injection

$285K

885 claims · 1.2%

Your Cost: $322.44/claim|Median: $144.04
2.2× median
99282Normal range

Emergency dept visit, low complexity

$279K

9,691 claims · 1.1%

Your Cost: $28.77/claim|Median: $37.72
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$272K

5,580 claims · 1.1%

Your Cost: $48.78/claim|Median: $54.68
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$189K

3,223 claims · 0.8%

Your Cost: $58.78/claim|Median: $74.09
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$166K

1,254 claims · 0.7%

Your Cost: $132.03/claim|Median: $111.09
1.2× median
99243Normal range

Office or other outpatient consultation, low complexity

$160K

2,712 claims · 0.6%

Your Cost: $58.82/claim|Median: $82.43
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$122K

29K claims · 0.5%

Your Cost: $4.14/claim|Median: $5.60
0.7× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$117K

2,033 claims · 0.5%

Your Cost: $57.37/claim|Median: $84.12
0.7× median
59410Top 5%

$109K

91 claims · 0.4%

Your Cost: $1,193.15/claim|Median: $781.64
1.5× median
69436Normal range

Tympanostomy, general anesthesia

$99K

509 claims · 0.4%

Your Cost: $193.61/claim|Median: $205.50
0.9× median
99254Normal range

$87K

880 claims · 0.4%

Your Cost: $98.64/claim|Median: $81.43
1.2× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$82K

277 claims · 0.3%

Your Cost: $294.46/claim|Median: $331.68
0.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$81K

812 claims · 0.3%

Your Cost: $99.48/claim|Median: $233.73
0.4× median
95117Top 25%

$73K

6,790 claims · 0.3%

Your Cost: $10.72/claim|Median: $8.34
1.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$65K

1,142 claims · 0.3%

Your Cost: $57.13/claim|Median: $58.55
1.0× median
H1001Top 25%

$65K

599 claims · 0.3%

Your Cost: $107.73/claim|Median: $60.48
1.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$58K

9,094 claims · 0.2%

Your Cost: $6.38/claim|Median: $11.48
0.6× median
99245Normal range

Office consultation, high complexity

$53K

472 claims · 0.2%

Your Cost: $112.45/claim|Median: $143.30
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$47K

767 claims · 0.2%

Your Cost: $61.09/claim|Median: $151.68
0.4× median
99155Normal range

$43K

752 claims · 0.2%

Your Cost: $57.63/claim|Median: $66.65
0.9× median
99156Normal range

$41K

772 claims · 0.2%

Your Cost: $52.85/claim|Median: $41.68
1.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$40K

535 claims · 0.2%

Your Cost: $75.08/claim|Median: $74.78
1.0× median
93303Normal range

Echocardiography, transthoracic, limited

$34K

502 claims · 0.1%

Your Cost: $67.56/claim|Median: $112.83
0.6× median
95782Normal range

$31K

301 claims · 0.1%

Your Cost: $102.68/claim|Median: $216.35
0.5× median
81003Normal range

Urinalysis, automated without microscopy

$30K

14K claims · 0.1%

Your Cost: $2.06/claim|Median: $1.48
1.4× median
93308Normal range

$26K

789 claims · 0.1%

Your Cost: $33.22/claim|Median: $20.08
1.7× median
99220Normal range

$24K

278 claims · 0.1%

Your Cost: $85.65/claim|Median: $73.56
1.2× median
95115Top 25%

$20K

2,238 claims · 0.1%

Your Cost: $8.84/claim|Median: $6.96
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$19K

473 claims · 0.1%

Your Cost: $40.93/claim|Median: $40.11
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$16K

636 claims · 0.1%

Your Cost: $24.70/claim|Median: $29.03
0.9× median
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