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Provider 1801366711

NPI: 1801366711Share
Active Billing Period:2019-02→2024-12(71 months)

Total Paid

$17.1M

$17,130,134

Total Claims

632K

Beneficiaries

553K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2019
$1.8M
+4%
2020
$1.9M
+34%
2021
$2.6M
+31%
2022
$3.4M
+13%
2023
$3.8M
-3%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 46% of total spending.

0450Top 25%

Emergency room visit

$7.8M

62K claims · 45.6%

Your Cost: $126.51/claim|Median: $44.95
2.8× median
99199Top 10%

Unlisted special service, procedure, or report

$1.3M

25K claims · 7.6%

Your Cost: $53.05/claim|Median: $5.39
9.8× median
74177Normal range

CT abdomen and pelvis with contrast

$511K

4,753 claims · 3.0%

Your Cost: $107.58/claim|Median: $65.76
1.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$469K

13K claims · 2.7%

Your Cost: $34.90/claim|Median: $9.56
3.7× median
70450Top 25%

CT head/brain without contrast

$425K

5,310 claims · 2.5%

Your Cost: $79.97/claim|Median: $45.53
1.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$375K

4,811 claims · 2.2%

Your Cost: $77.98/claim|Median: $100.62
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$331K

7,349 claims · 1.9%

Your Cost: $45.02/claim|Median: $65.64
0.7× median
80053Normal range

Comprehensive metabolic panel

$265K

30K claims · 1.5%

Your Cost: $8.77/claim|Median: $7.24
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$251K

7,610 claims · 1.5%

Your Cost: $32.97/claim|Median: $21.76
1.5× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$246K

7,358 claims · 1.4%

Your Cost: $33.48/claim|Median: $26.72
1.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$220K

4,358 claims · 1.3%

Your Cost: $50.48/claim|Median: $63.08
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$208K

2,874 claims · 1.2%

Your Cost: $72.53/claim|Median: $60.19
1.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$196K

14K claims · 1.1%

Your Cost: $14.16/claim|Median: $7.50
1.9× median
71046Normal range

Chest X-ray, 2 views

$190K

16K claims · 1.1%

Your Cost: $11.74/claim|Median: $8.92
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$188K

35K claims · 1.1%

Your Cost: $5.38/claim|Median: $4.71
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$187K

6,426 claims · 1.1%

Your Cost: $29.04/claim|Median: $38.92
0.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$175K

5,391 claims · 1.0%

Your Cost: $32.46/claim|Median: $37.56
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$149K

5,189 claims · 0.9%

Your Cost: $28.77/claim|Median: $39.70
0.7× median
96365Normal range

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

$131K

3,139 claims · 0.8%

Your Cost: $41.78/claim|Median: $54.77
0.8× median
96360Normal range

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

$130K

2,774 claims · 0.8%

Your Cost: $46.75/claim|Median: $61.57
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$124K

5,905 claims · 0.7%

Your Cost: $20.92/claim|Median: $14.92
1.4× median
0360Top 25%

$119K

750 claims · 0.7%

Your Cost: $159.12/claim|Median: $95.40
1.7× median
80306Normal range

$117K

9,752 claims · 0.7%

Your Cost: $12.04/claim|Median: $10.29
1.2× median
J3490Normal range

Unclassified drugs

$105K

25K claims · 0.6%

Your Cost: $4.21/claim|Median: $5.70
0.7× median
99070Normal range

$102K

15K claims · 0.6%

Your Cost: $6.88/claim|Median: $8.08
0.9× median
76700Normal range

Ultrasound, abdominal, complete

$97K

2,815 claims · 0.6%

Your Cost: $34.50/claim|Median: $50.69
0.7× median
71045Normal range

Chest X-ray, single view

$95K

12K claims · 0.6%

Your Cost: $7.70/claim|Median: $4.93
1.6× median
76856Normal range

Ultrasound, pelvic, complete

$85K

2,714 claims · 0.5%

Your Cost: $31.17/claim|Median: $47.58
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$79K

1,285 claims · 0.5%

Your Cost: $61.65/claim|Median: $42.48
1.5× median
81001Normal range

Urinalysis, automated, with microscopy

$78K

26K claims · 0.5%

Your Cost: $2.98/claim|Median: $2.03
1.5× median
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