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Provider 1770522906

NPI: 1770522906Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,994,715

Total Claims

224K

Beneficiaries

215K

1.0 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+28%
2019
$1.3M
-6%
2020
$1.2M
+43%
2021
$1.7M
+51%
2022
$2.6M
+15%
2023
$3.0M
-28%
2024
$2.2M

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 33% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$4.2M

27K claims · 32.6%

Your Cost: $158.63/claim|Median: $42.48
3.7× median
99284Top 5%

Emergency dept visit, high complexity

$3.2M

14K claims · 24.9%

Your Cost: $234.44/claim|Median: $69.51
3.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$656K

2,200 claims · 5.0%

Your Cost: $298.20/claim|Median: $85.65
3.5× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$637K

5,104 claims · 4.9%

Your Cost: $124.79/claim|Median: $21.76
5.7× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$485K

3,044 claims · 3.7%

Your Cost: $159.34/claim|Median: $36.13
4.4× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$399K

8,503 claims · 3.1%

Your Cost: $46.87/claim|Median: $34.62
1.4× median
80053Top 10%

Comprehensive metabolic panel

$393K

16K claims · 3.0%

Your Cost: $24.49/claim|Median: $7.24
3.4× median
99281Normal range

Emergency dept visit, minimal complexity

$388K

7,342 claims · 3.0%

Your Cost: $52.85/claim|Median: $52.03
1.0× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$282K

1,001 claims · 2.2%

Your Cost: $281.74/claim|Median: $111.02
2.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$242K

3,395 claims · 1.9%

Your Cost: $71.20/claim|Median: $9.56
7.4× median
99282Top 25%

Emergency dept visit, low complexity

$228K

2,404 claims · 1.8%

Your Cost: $94.99/claim|Median: $37.72
2.5× median
69436Top 25%

Tympanostomy, general anesthesia

$176K

232 claims · 1.4%

Your Cost: $760.23/claim|Median: $205.50
3.7× median
87804Normal range

Influenza virus detection, rapid test

$174K

12K claims · 1.3%

Your Cost: $14.70/claim|Median: $12.59
1.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$171K

3,698 claims · 1.3%

Your Cost: $46.12/claim|Median: $14.92
3.1× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$163K

43 claims · 1.3%

Your Cost: $3,779.69/claim|Median: $331.68
11.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$130K

20K claims · 1.0%

Your Cost: $6.48/claim|Median: $4.71
1.4× median
G2023Normal range

Specimen collection for COVID-19 testing

$108K

5,242 claims · 0.8%

Your Cost: $20.68/claim|Median: $17.15
1.2× median
71045Top 25%

Chest X-ray, single view

$102K

8,388 claims · 0.8%

Your Cost: $12.14/claim|Median: $4.93
2.5× median
96361Normal range

IV infusion, hydration, each additional hour

$90K

1,943 claims · 0.7%

Your Cost: $46.17/claim|Median: $38.92
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$72K

5,280 claims · 0.6%

Your Cost: $13.69/claim|Median: $11.48
1.2× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$59K

871 claims · 0.5%

Your Cost: $67.32/claim|Median: $35.43
1.9× median
36415Top 25%

Collection of venous blood by venipuncture

$57K

20K claims · 0.4%

Your Cost: $2.90/claim|Median: $1.57
1.8× median
87070Top 25%

Bacterial culture, any source except blood or urine

$57K

4,957 claims · 0.4%

Your Cost: $11.43/claim|Median: $5.89
1.9× median
74177Normal range

CT abdomen and pelvis with contrast

$52K

345 claims · 0.4%

Your Cost: $149.41/claim|Median: $65.76
2.3× median
86756Top 25%

$43K

2,033 claims · 0.3%

Your Cost: $21.17/claim|Median: $13.28
1.6× median
70450Normal range

CT head/brain without contrast

$42K

750 claims · 0.3%

Your Cost: $56.19/claim|Median: $45.53
1.2× median
84703Top 25%

Human chorionic gonadotropin (hCG) quantitative blood test

$33K

3,589 claims · 0.3%

Your Cost: $9.19/claim|Median: $4.20
2.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$33K

5,433 claims · 0.3%

Your Cost: $6.05/claim|Median: $7.50
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$28K

345 claims · 0.2%

Your Cost: $80.48/claim|Median: $54.68
1.5× median
96365Top 25%

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

$22K

169 claims · 0.2%

Your Cost: $129.49/claim|Median: $54.77
2.4× median
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