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Provider 1790751253

NPI: 1790751253Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,284,073

Total Claims

434K

Beneficiaries

343K

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-19%
2019
$941K
+17%
2020
$1.1M
+32%
2021
$1.5M
-2%
2022
$1.4M
+202%
2023
$4.3M
-31%
2024
$2.9M

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 15% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

18K claims · 15.3%

Your Cost: $110.76/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$2.0M

16K claims · 15.2%

Your Cost: $125.33/claim|Median: $69.51
1.8× median
96365Top 5%

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

$1.1M

5,526 claims · 8.6%

Your Cost: $207.68/claim|Median: $54.77
3.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$736K

5,776 claims · 5.5%

Your Cost: $127.36/claim|Median: $85.65
1.5× median
96361Top 10%

IV infusion, hydration, each additional hour

$701K

2,302 claims · 5.3%

Your Cost: $304.37/claim|Median: $38.92
7.8× median
92507Top 25%

Speech/hearing/language treatment

$598K

8,479 claims · 4.5%

Your Cost: $70.55/claim|Median: $49.45
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$543K

2,120 claims · 4.1%

Your Cost: $256.16/claim|Median: $65.76
3.9× median
97530Top 10%

Therapeutic activities, each 15 min

$462K

5,512 claims · 3.5%

Your Cost: $83.75/claim|Median: $33.11
2.5× median
70450Top 10%

CT head/brain without contrast

$416K

1,791 claims · 3.1%

Your Cost: $232.00/claim|Median: $45.53
5.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$338K

4,916 claims · 2.5%

Your Cost: $68.81/claim|Median: $24.49
2.8× median
99214Top 10%

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

$312K

2,895 claims · 2.3%

Your Cost: $107.73/claim|Median: $53.41
2.0× median
U0003Top 5%

Infectious disease detection (COVID-19)

$270K

2,321 claims · 2.0%

Your Cost: $116.48/claim|Median: $63.08
1.8× median
97803Top 10%

Medical nutrition therapy, reassessment, group, thirty minutes

$212K

2,433 claims · 1.6%

Your Cost: $86.94/claim|Median: $24.33
3.6× median
99282Top 25%

Emergency dept visit, low complexity

$207K

1,997 claims · 1.6%

Your Cost: $103.52/claim|Median: $37.72
2.7× median
C9803Top 25%

$177K

4,518 claims · 1.3%

Your Cost: $39.12/claim|Median: $13.20
3.0× median
96360Top 10%

IV infusion, hydration, initial, 31 minutes to 1 hour

$144K

732 claims · 1.1%

Your Cost: $197.13/claim|Median: $61.57
3.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$134K

572 claims · 1.0%

Your Cost: $234.26/claim|Median: $60.19
3.9× median
64483Top 5%

$128K

205 claims · 1.0%

Your Cost: $623.38/claim|Median: $124.24
5.0× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$114K

1,060 claims · 0.9%

Your Cost: $107.59/claim|Median: $169.17
0.6× median
G0378Normal range

Hospital observation service, per hour

$109K

1,816 claims · 0.8%

Your Cost: $60.17/claim|Median: $99.39
0.6× median
80053Top 25%

Comprehensive metabolic panel

$107K

5,928 claims · 0.8%

Your Cost: $17.99/claim|Median: $7.24
2.5× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$101K

2,863 claims · 0.8%

Your Cost: $35.23/claim|Median: $24.95
1.4× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$92K

892 claims · 0.7%

Your Cost: $103.68/claim|Median: $10.88
9.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$65K

2,777 claims · 0.5%

Your Cost: $23.37/claim|Median: $23.39
1.0× median
74246Top 25%

$64K

426 claims · 0.5%

Your Cost: $151.33/claim|Median: $58.10
2.6× median
80048Normal range

Basic metabolic panel

$62K

15K claims · 0.5%

Your Cost: $4.05/claim|Median: $5.78
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$61K

1,976 claims · 0.5%

Your Cost: $30.88/claim|Median: $39.70
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$60K

28K claims · 0.5%

Your Cost: $2.17/claim|Median: $4.71
0.5× median
97161Top 25%

Physical therapy evaluation, low complexity

$58K

864 claims · 0.4%

Your Cost: $66.97/claim|Median: $47.89
1.4× median
71046Top 25%

Chest X-ray, 2 views

$57K

3,198 claims · 0.4%

Your Cost: $17.97/claim|Median: $8.92
2.0× median
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