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Provider 1790700904

NPI: 1790700904Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,200,090

Total Claims

330K

Beneficiaries

232K

1.4 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-57%
2019
$1.1M
-3%
2020
$1.0M
+23%
2021
$1.3M
+5%
2022
$1.3M
-9%
2023
$1.2M
-23%
2024
$916K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 18% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$1.7M

5,802 claims · 17.9%

Your Cost: $284.54/claim|Median: $85.65
3.3× median
90834Normal range

Psychotherapy, 45 minutes

$1.2M

20K claims · 12.9%

Your Cost: $59.00/claim|Median: $63.65
0.9× median
G0463Normal range

Hospital outpatient clinic visit

$1.2M

55K claims · 12.8%

Your Cost: $21.59/claim|Median: $26.41
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$837K

8,793 claims · 9.1%

Your Cost: $95.13/claim|Median: $85.66
1.1× median
99284Top 10%

Emergency dept visit, high complexity

$737K

4,037 claims · 8.0%

Your Cost: $182.55/claim|Median: $69.51
2.6× median
G0378Top 25%

Hospital observation service, per hour

$608K

1,240 claims · 6.6%

Your Cost: $490.58/claim|Median: $99.39
4.9× median
90832Normal range

Psychotherapy, 30 minutes

$321K

6,293 claims · 3.5%

Your Cost: $51.02/claim|Median: $41.28
1.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$244K

2,481 claims · 2.7%

Your Cost: $98.43/claim|Median: $42.48
2.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$233K

4,819 claims · 2.5%

Your Cost: $48.31/claim|Median: $24.49
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$214K

1,078 claims · 2.3%

Your Cost: $198.64/claim|Median: $25.06
7.9× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$213K

1,476 claims · 2.3%

Your Cost: $144.54/claim|Median: $75.28
1.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$165K

919 claims · 1.8%

Your Cost: $179.12/claim|Median: $54.68
3.3× median
80053Normal range

Comprehensive metabolic panel

$164K

16K claims · 1.8%

Your Cost: $10.00/claim|Median: $7.24
1.4× median
99211Top 5%

Office/outpatient visit, minimal complexity

$147K

1,829 claims · 1.6%

Your Cost: $80.63/claim|Median: $12.93
6.2× median
94010Top 1%

$108K

529 claims · 1.2%

Your Cost: $203.52/claim|Median: $18.11
11.2× median
99281Normal range

Emergency dept visit, minimal complexity

$86K

3,376 claims · 0.9%

Your Cost: $25.44/claim|Median: $52.03
0.5× median
74177Normal range

CT abdomen and pelvis with contrast

$76K

1,519 claims · 0.8%

Your Cost: $50.16/claim|Median: $65.76
0.8× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$73K

1,443 claims · 0.8%

Your Cost: $50.37/claim|Median: $29.03
1.7× median
71046Top 25%

Chest X-ray, 2 views

$55K

2,989 claims · 0.6%

Your Cost: $18.39/claim|Median: $8.92
2.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$52K

1,284 claims · 0.6%

Your Cost: $40.86/claim|Median: $35.80
1.1× median
97161Top 10%

Physical therapy evaluation, low complexity

$49K

478 claims · 0.5%

Your Cost: $101.58/claim|Median: $47.89
2.1× median
80048Normal range

Basic metabolic panel

$43K

5,099 claims · 0.5%

Your Cost: $8.36/claim|Median: $5.78
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$43K

16K claims · 0.5%

Your Cost: $2.63/claim|Median: $4.71
0.6× median
71260Normal range

CT chest with contrast

$42K

638 claims · 0.5%

Your Cost: $65.28/claim|Median: $48.36
1.3× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$40K

72 claims · 0.4%

Your Cost: $562.39/claim|Median: $233.73
2.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$40K

109 claims · 0.4%

Your Cost: $364.13/claim|Median: $151.68
2.4× median
71250Normal range

CT scan of chest without contrast

$35K

626 claims · 0.4%

Your Cost: $56.36/claim|Median: $39.11
1.4× median
92134Top 5%

$34K

814 claims · 0.4%

Your Cost: $42.29/claim|Median: $15.46
2.7× median
72125Normal range

CT cervical spine without contrast

$34K

1,113 claims · 0.4%

Your Cost: $30.34/claim|Median: $32.30
0.9× median
95811Top 5%

Sleep study with CPAP titration, polysomnography

$33K

25 claims · 0.4%

Your Cost: $1,332.21/claim|Median: $255.03
5.2× median
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