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Provider 1780684431

NPI: 1780684431Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.3M

$8,313,227

Total Claims

689K

Beneficiaries

498K

1.4 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+16%
2019
$1.4M
-24%
2020
$1.1M
+8%
2021
$1.2M
+21%
2022
$1.4M
-7%
2023
$1.3M
-42%
2024
$751K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (11042 (Debridement, subcutaneous tissue, first 20 sq cm)) accounts for 11% of total spending.

11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$913K

8,448 claims · 11.0%

Your Cost: $108.11/claim|Median: $36.13
3.0× median
74177Normal range

CT abdomen and pelvis with contrast

$490K

4,865 claims · 5.9%

Your Cost: $100.67/claim|Median: $65.76
1.5× median
70450Normal range

CT head/brain without contrast

$445K

5,829 claims · 5.4%

Your Cost: $76.39/claim|Median: $45.53
1.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$406K

6,982 claims · 4.9%

Your Cost: $58.14/claim|Median: $35.43
1.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$312K

44K claims · 3.8%

Your Cost: $7.06/claim|Median: $4.71
1.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$297K

3,664 claims · 3.6%

Your Cost: $80.94/claim|Median: $91.47
0.9× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$278K

1,782 claims · 3.3%

Your Cost: $156.18/claim|Median: $106.14
1.5× median
96365Normal range

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

$258K

5,844 claims · 3.1%

Your Cost: $44.13/claim|Median: $54.77
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$204K

3,602 claims · 2.5%

Your Cost: $56.62/claim|Median: $54.68
1.0× median
80053Normal range

Comprehensive metabolic panel

$202K

25K claims · 2.4%

Your Cost: $7.95/claim|Median: $7.24
1.1× median
72125Top 25%

CT cervical spine without contrast

$181K

1,874 claims · 2.2%

Your Cost: $96.84/claim|Median: $32.30
3.0× median
36415Top 10%

Collection of venous blood by venipuncture

$166K

24K claims · 2.0%

Your Cost: $6.83/claim|Median: $1.57
4.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$165K

2,393 claims · 2.0%

Your Cost: $69.06/claim|Median: $63.08
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$149K

19K claims · 1.8%

Your Cost: $7.85/claim|Median: $26.41
0.3× median
74176Normal range

CT abdomen and pelvis without contrast

$142K

2,573 claims · 1.7%

Your Cost: $55.31/claim|Median: $60.19
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$130K

22K claims · 1.6%

Your Cost: $5.84/claim|Median: $7.50
0.8× median
C1769Top 10%

$128K

1,788 claims · 1.5%

Your Cost: $71.41/claim|Median: $7.55
9.5× median
80048Normal range

Basic metabolic panel

$115K

23K claims · 1.4%

Your Cost: $4.94/claim|Median: $5.78
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$111K

7,917 claims · 1.3%

Your Cost: $13.97/claim|Median: $14.92
0.9× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$110K

2,996 claims · 1.3%

Your Cost: $36.75/claim|Median: $24.95
1.5× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$108K

2,988 claims · 1.3%

Your Cost: $36.06/claim|Median: $23.39
1.5× median
83880Top 25%

$107K

4,420 claims · 1.3%

Your Cost: $24.10/claim|Median: $11.81
2.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$99K

5,560 claims · 1.2%

Your Cost: $17.74/claim|Median: $9.56
1.9× median
71275Normal range

CT angiography, chest, with contrast

$95K

769 claims · 1.1%

Your Cost: $123.10/claim|Median: $92.96
1.3× median
84484Normal range

Troponin, quantitative

$92K

12K claims · 1.1%

Your Cost: $7.79/claim|Median: $4.84
1.6× median
71046Normal range

Chest X-ray, 2 views

$85K

6,414 claims · 1.0%

Your Cost: $13.20/claim|Median: $8.92
1.5× median
83690Top 10%

$84K

9,745 claims · 1.0%

Your Cost: $8.59/claim|Median: $3.35
2.6× median
81025Top 25%

Urine pregnancy test

$83K

11K claims · 1.0%

Your Cost: $7.63/claim|Median: $4.81
1.6× median
83735Top 10%

Magnesium blood level test

$79K

9,762 claims · 1.0%

Your Cost: $8.12/claim|Median: $2.77
2.9× median
99283Normal range

Emergency dept visit, moderate complexity

$77K

4,911 claims · 0.9%

Your Cost: $15.71/claim|Median: $42.48
0.4× median