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Provider 1790896710

NPI: 1790896710Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.3M

$11,335,114

Total Claims

360K

Beneficiaries

325K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+12%
2019
$1.5M
-31%
2020
$1.1M
+51%
2021
$1.6M
+25%
2022
$2.0M
+25%
2023
$2.5M
-47%
2024
$1.3M

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 42% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$4.8M

19K claims · 42.4%

Your Cost: $247.07/claim|Median: $85.65
2.9× median
99282Normal range

Emergency dept visit, low complexity

$1.9M

46K claims · 16.5%

Your Cost: $40.32/claim|Median: $37.72
1.1× median
99284Normal range

Emergency dept visit, high complexity

$922K

14K claims · 8.1%

Your Cost: $68.16/claim|Median: $69.51
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$503K

21K claims · 4.4%

Your Cost: $23.40/claim|Median: $12.59
1.9× median
99283Normal range

Emergency dept visit, moderate complexity

$471K

12K claims · 4.2%

Your Cost: $38.97/claim|Median: $42.48
0.9× median
99281Normal range

Emergency dept visit, minimal complexity

$449K

12K claims · 4.0%

Your Cost: $37.81/claim|Median: $52.03
0.7× median
G0463Normal range

Hospital outpatient clinic visit

$343K

9,343 claims · 3.0%

Your Cost: $36.71/claim|Median: $26.41
1.4× median
80053Top 25%

Comprehensive metabolic panel

$339K

32K claims · 3.0%

Your Cost: $10.65/claim|Median: $7.24
1.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$316K

15K claims · 2.8%

Your Cost: $20.67/claim|Median: $30.04
0.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$287K

33K claims · 2.5%

Your Cost: $8.61/claim|Median: $4.71
1.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$117K

11K claims · 1.0%

Your Cost: $10.81/claim|Median: $7.50
1.4× median
71045Normal range

Chest X-ray, single view

$107K

19K claims · 0.9%

Your Cost: $5.54/claim|Median: $4.93
1.1× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$96K

5,738 claims · 0.8%

Your Cost: $16.67/claim|Median: $11.48
1.5× median
81001Top 25%

Urinalysis, automated, with microscopy

$87K

22K claims · 0.8%

Your Cost: $3.92/claim|Median: $2.03
1.9× median
87086Top 25%

Urine culture, colony count, with identification

$84K

8,380 claims · 0.7%

Your Cost: $10.07/claim|Median: $5.31
1.9× median
70450Top 25%

CT head/brain without contrast

$75K

912 claims · 0.7%

Your Cost: $82.02/claim|Median: $45.53
1.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$56K

319 claims · 0.5%

Your Cost: $175.49/claim|Median: $65.76
2.7× median
83690Top 25%

$55K

7,956 claims · 0.5%

Your Cost: $6.87/claim|Median: $3.35
2.1× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$40K

6,143 claims · 0.4%

Your Cost: $6.58/claim|Median: $4.20
1.6× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$30K

11K claims · 0.3%

Your Cost: $2.73/claim|Median: $1.53
1.8× median
84484Top 25%

Troponin, quantitative

$28K

3,266 claims · 0.2%

Your Cost: $8.67/claim|Median: $4.84
1.8× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$26K

1,137 claims · 0.2%

Your Cost: $23.04/claim|Median: $38.79
0.6× median
74176Normal range

CT abdomen and pelvis without contrast

$18K

246 claims · 0.2%

Your Cost: $71.90/claim|Median: $60.19
1.2× median
71260Top 25%

CT chest with contrast

$17K

141 claims · 0.1%

Your Cost: $118.39/claim|Median: $48.36
2.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$17K

72 claims · 0.1%

Your Cost: $229.35/claim|Median: $169.17
1.4× median
83880Top 25%

$16K

558 claims · 0.1%

Your Cost: $28.26/claim|Median: $11.81
2.4× median
82553Top 25%

$15K

1,231 claims · 0.1%

Your Cost: $12.00/claim|Median: $5.41
2.2× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$14K

638 claims · 0.1%

Your Cost: $22.57/claim|Median: $18.03
1.3× median
81025Normal range

Urine pregnancy test

$13K

4,006 claims · 0.1%

Your Cost: $3.19/claim|Median: $4.81
0.7× median
70470Top 25%

$10K

88 claims · 0.1%

Your Cost: $108.61/claim|Median: $56.82
1.9× median