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Provider 1780107797

NPI: 1780107797Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$17.8M

$17,788,762

Total Claims

237K

Beneficiaries

176K

1.3 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$500K
+130%
2019
$1.2M
+71%
2020
$2.0M
+25%
2021
$2.5M
+3%
2022
$2.5M
+65%
2023
$4.2M
+19%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (78815 (PET imaging for limited area)) accounts for 19% of total spending.

78815Top 10%

PET imaging for limited area

$3.4M

3,081 claims · 19.3%

Your Cost: $1,112.18/claim|Median: $325.10
3.4× median
99214Normal range

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

$3.1M

55K claims · 17.5%

Your Cost: $56.90/claim|Median: $53.41
1.1× median
J0897Top 25%

Injection, denosumab, one milligram

$1.1M

776 claims · 6.3%

Your Cost: $1,433.78/claim|Median: $493.25
2.9× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$982K

12K claims · 5.5%

Your Cost: $80.39/claim|Median: $35.30
2.3× median
77014Top 5%

CT guidance for radiation therapy procedure

$799K

8,746 claims · 4.5%

Your Cost: $91.31/claim|Median: $26.94
3.4× median
99215Normal range

Office/outpatient visit, high complexity

$781K

8,836 claims · 4.4%

Your Cost: $88.40/claim|Median: $74.09
1.2× median
J1453Top 5%

$776K

1,811 claims · 4.4%

Your Cost: $428.75/claim|Median: $65.90
6.5× median
99213Normal range

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

$714K

17K claims · 4.0%

Your Cost: $42.71/claim|Median: $37.81
1.1× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$655K

160 claims · 3.7%

Your Cost: $4,092.55/claim|Median: $5,391.55
0.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$572K

10K claims · 3.2%

Your Cost: $55.06/claim|Median: $75.28
0.7× median
J0885Top 25%

$401K

1,880 claims · 2.3%

Your Cost: $213.45/claim|Median: $67.33
3.2× median
99223Top 10%

Initial hospital care, per day, high complexity

$384K

2,752 claims · 2.2%

Your Cost: $139.46/claim|Median: $67.32
2.1× median
74177Normal range

CT abdomen and pelvis with contrast

$321K

2,097 claims · 1.8%

Your Cost: $153.29/claim|Median: $65.76
2.3× median
G6015Top 25%

$302K

1,116 claims · 1.7%

Your Cost: $270.52/claim|Median: $146.54
1.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$273K

2,814 claims · 1.5%

Your Cost: $96.96/claim|Median: $111.09
0.9× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$273K

4,897 claims · 1.5%

Your Cost: $55.68/claim|Median: $23.99
2.3× median
99204Normal range

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

$268K

4,113 claims · 1.5%

Your Cost: $65.12/claim|Median: $84.03
0.8× median
A9552Normal range

$231K

1,907 claims · 1.3%

Your Cost: $121.17/claim|Median: $89.01
1.4× median
J2469Normal range

Injection, palonosetron HCl, twenty-five micrograms

$201K

4,408 claims · 1.1%

Your Cost: $45.52/claim|Median: $25.23
1.8× median
96367Normal range

$177K

8,098 claims · 1.0%

Your Cost: $21.85/claim|Median: $29.27
0.7× median
71260Normal range

CT chest with contrast

$175K

2,122 claims · 1.0%

Your Cost: $82.69/claim|Median: $48.36
1.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$169K

29K claims · 1.0%

Your Cost: $5.83/claim|Median: $4.71
1.2× median
99203Top 25%

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

$165K

1,856 claims · 0.9%

Your Cost: $89.13/claim|Median: $57.85
1.5× median
77427Top 10%

$134K

958 claims · 0.8%

Your Cost: $139.98/claim|Median: $83.73
1.7× median
77336Normal range

$132K

1,592 claims · 0.7%

Your Cost: $82.60/claim|Median: $55.04
1.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$123K

19K claims · 0.7%

Your Cost: $6.55/claim|Median: $9.56
0.7× median
J1100Top 5%

$120K

6,339 claims · 0.7%

Your Cost: $18.91/claim|Median: $0.52
36.4× median
77334Normal range

$108K

540 claims · 0.6%

Your Cost: $199.64/claim|Median: $99.06
2.0× median
Q0138Top 1%

$105K

64 claims · 0.6%

Your Cost: $1,635.39/claim|Median: $214.34
7.6× median
77280Top 25%

$72K

341 claims · 0.4%

Your Cost: $212.12/claim|Median: $65.84
3.2× median
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