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Provider 1760485221

NPI: 1760485221Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,464,581

Total Claims

363K

Beneficiaries

310K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+1%
2019
$2.1M
-4%
2020
$2.0M
-3%
2021
$1.9M
+14%
2022
$2.2M
+4%
2023
$2.3M
-15%
2024
$1.9M

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 19% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$2.8M

9,389 claims · 19.2%

Your Cost: $295.59/claim|Median: $69.51
4.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.0M

11K claims · 14.1%

Your Cost: $184.97/claim|Median: $42.48
4.4× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.2M

1,813 claims · 8.1%

Your Cost: $647.14/claim|Median: $65.76
9.8× median
99282Top 25%

Emergency dept visit, low complexity

$923K

6,961 claims · 6.4%

Your Cost: $132.67/claim|Median: $37.72
3.5× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$523K

1,198 claims · 3.6%

Your Cost: $436.85/claim|Median: $85.65
5.1× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$427K

6,250 claims · 2.9%

Your Cost: $68.26/claim|Median: $7.50
9.1× median
70450Top 10%

CT head/brain without contrast

$368K

1,639 claims · 2.5%

Your Cost: $224.63/claim|Median: $45.53
4.9× median
80053Top 10%

Comprehensive metabolic panel

$323K

15K claims · 2.2%

Your Cost: $21.96/claim|Median: $7.24
3.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$252K

6,546 claims · 1.7%

Your Cost: $38.44/claim|Median: $21.76
1.8× median
99281Normal range

Emergency dept visit, minimal complexity

$246K

3,185 claims · 1.7%

Your Cost: $77.32/claim|Median: $52.03
1.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$232K

18K claims · 1.6%

Your Cost: $13.24/claim|Median: $4.71
2.8× median
71046Top 5%

Chest X-ray, 2 views

$208K

3,404 claims · 1.4%

Your Cost: $61.10/claim|Median: $8.92
6.9× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$199K

749 claims · 1.4%

Your Cost: $266.30/claim|Median: $111.02
2.4× median
71045Top 5%

Chest X-ray, single view

$183K

3,380 claims · 1.3%

Your Cost: $54.19/claim|Median: $4.93
11.0× median
G0463Normal range

Hospital outpatient clinic visit

$159K

15K claims · 1.1%

Your Cost: $10.95/claim|Median: $26.41
0.4× median
96365Normal range

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

$158K

3,087 claims · 1.1%

Your Cost: $51.13/claim|Median: $54.77
0.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$154K

4,601 claims · 1.1%

Your Cost: $33.45/claim|Median: $14.92
2.2× median
84484Top 5%

Troponin, quantitative

$143K

2,857 claims · 1.0%

Your Cost: $50.09/claim|Median: $4.84
10.3× median
99212Normal range

Office/outpatient visit, low complexity

$137K

18K claims · 0.9%

Your Cost: $7.51/claim|Median: $25.06
0.3× median
80047Top 10%

$115K

3,317 claims · 0.8%

Your Cost: $34.72/claim|Median: $6.12
5.7× median
74176Top 5%

CT abdomen and pelvis without contrast

$108K

235 claims · 0.7%

Your Cost: $458.84/claim|Median: $60.19
7.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$103K

5,349 claims · 0.7%

Your Cost: $19.29/claim|Median: $9.56
2.0× median
99213Normal range

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

$102K

9,608 claims · 0.7%

Your Cost: $10.61/claim|Median: $37.81
0.3× median
99214Normal range

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

$94K

7,849 claims · 0.6%

Your Cost: $11.92/claim|Median: $53.41
0.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$89K

17K claims · 0.6%

Your Cost: $5.10/claim|Median: $12.93
0.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$89K

1,530 claims · 0.6%

Your Cost: $57.85/claim|Median: $35.43
1.6× median
87641Top 1%

$85K

1,208 claims · 0.6%

Your Cost: $70.38/claim|Median: $12.38
5.7× median
97597Top 25%

$85K

1,422 claims · 0.6%

Your Cost: $59.78/claim|Median: $21.22
2.8× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$84K

785 claims · 0.6%

Your Cost: $107.38/claim|Median: $10.88
9.9× median
80050Top 10%

General health panel

$77K

1,182 claims · 0.5%

Your Cost: $65.39/claim|Median: $25.59
2.6× median
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