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Provider 1790740363

NPI: 1790740363Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,215,797

Total Claims

90K

Beneficiaries

80K

1.1 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-6%
2019
$2.0M
-57%
2020
$874K
-72%
2021
$247K
+180%
2022
$693K
+66%
2023
$1.2M
-12%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 22% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$1.8M

9,161 claims · 21.5%

Your Cost: $193.26/claim|Median: $268.66
0.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$996K

10K claims · 12.1%

Your Cost: $99.03/claim|Median: $42.48
2.3× median
99284Top 25%

Emergency dept visit, high complexity

$851K

6,214 claims · 10.4%

Your Cost: $136.93/claim|Median: $69.51
2.0× median
Y7506Normal range

Healthcare procedure, code Y7506

$638K

4,803 claims · 7.8%

Your Cost: $132.85/claim|Median: $146.80
0.9× median
80053Top 5%

Comprehensive metabolic panel

$456K

9,432 claims · 5.5%

Your Cost: $48.33/claim|Median: $7.24
6.7× median
Y7507Normal range

$322K

1,247 claims · 3.9%

Your Cost: $258.39/claim|Median: $172.12
1.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$307K

1,434 claims · 3.7%

Your Cost: $214.07/claim|Median: $85.65
2.5× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$256K

818 claims · 3.1%

Your Cost: $312.44/claim|Median: $169.17
1.8× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$199K

5,401 claims · 2.4%

Your Cost: $36.80/claim|Median: $4.71
7.8× median
85027Top 1%

Complete blood count (CBC), automated

$198K

1,670 claims · 2.4%

Your Cost: $118.77/claim|Median: $3.72
31.9× median
85007Top 1%

$194K

1,618 claims · 2.4%

Your Cost: $120.16/claim|Median: $1.77
67.9× median
87804Top 1%

Influenza virus detection, rapid test

$153K

914 claims · 1.9%

Your Cost: $167.26/claim|Median: $12.59
13.3× median
83690Top 1%

$147K

1,804 claims · 1.8%

Your Cost: $81.65/claim|Median: $3.35
24.4× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$145K

2,326 claims · 1.8%

Your Cost: $62.55/claim|Median: $164.22
0.4× median
A0425Normal range

Ground mileage, per statute mile

$134K

3,367 claims · 1.6%

Your Cost: $39.80/claim|Median: $23.36
1.7× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$133K

992 claims · 1.6%

Your Cost: $133.75/claim|Median: $9.87
13.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$114K

2,029 claims · 1.4%

Your Cost: $56.31/claim|Median: $7.50
7.5× median
71046Top 1%

Chest X-ray, 2 views

$92K

543 claims · 1.1%

Your Cost: $169.06/claim|Median: $8.92
19.0× median
71045Top 5%

Chest X-ray, single view

$92K

1,826 claims · 1.1%

Your Cost: $50.17/claim|Median: $4.93
10.2× median
83735Top 5%

Magnesium blood level test

$85K

956 claims · 1.0%

Your Cost: $89.40/claim|Median: $2.77
32.3× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$74K

692 claims · 0.9%

Your Cost: $106.40/claim|Median: $21.76
4.9× median
99282Normal range

Emergency dept visit, low complexity

$71K

938 claims · 0.9%

Your Cost: $75.93/claim|Median: $37.72
2.0× median
80305Top 1%

$70K

442 claims · 0.8%

Your Cost: $157.25/claim|Median: $7.44
21.1× median
81001Top 5%

Urinalysis, automated, with microscopy

$61K

1,407 claims · 0.7%

Your Cost: $43.57/claim|Median: $2.03
21.5× median
85610Top 1%

Prothrombin time (PT) blood clotting test

$56K

1,117 claims · 0.7%

Your Cost: $50.04/claim|Median: $2.14
23.4× median
85730Top 1%

$54K

1,052 claims · 0.7%

Your Cost: $51.80/claim|Median: $2.83
18.3× median
96361Normal range

IV infusion, hydration, each additional hour

$49K

1,081 claims · 0.6%

Your Cost: $45.00/claim|Median: $38.92
1.2× median
G0378Top 25%

Hospital observation service, per hour

$42K

113 claims · 0.5%

Your Cost: $368.08/claim|Median: $99.39
3.7× median
94640Top 1%

Pressurized or nonpressurized inhalation treatment

$41K

203 claims · 0.5%

Your Cost: $204.10/claim|Median: $10.88
18.8× median
81003Top 1%

Urinalysis, automated without microscopy

$37K

453 claims · 0.5%

Your Cost: $82.34/claim|Median: $1.48
55.6× median
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