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Provider 1801457510

NPI: 1801457510Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,433,158

Total Claims

533K

Beneficiaries

437K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$432K
+378%
2019
$2.1M
-11%
2020
$1.8M
+76%
2021
$3.2M
+0%
2022
$3.2M
-11%
2023
$2.9M
-38%
2024
$1.8M

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 23% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.6M

40K claims · 23.0%

Your Cost: $89.40/claim|Median: $42.48
2.1× median
99284Normal range

Emergency dept visit, high complexity

$2.7M

32K claims · 17.5%

Your Cost: $83.29/claim|Median: $69.51
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$714K

11K claims · 4.6%

Your Cost: $65.87/claim|Median: $85.65
0.8× median
70450Top 25%

CT head/brain without contrast

$668K

4,989 claims · 4.3%

Your Cost: $133.93/claim|Median: $45.53
2.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$584K

3,193 claims · 3.8%

Your Cost: $182.76/claim|Median: $65.76
2.8× median
99282Normal range

Emergency dept visit, low complexity

$583K

8,146 claims · 3.8%

Your Cost: $71.57/claim|Median: $37.72
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$580K

8,048 claims · 3.8%

Your Cost: $72.11/claim|Median: $38.92
1.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$511K

5,272 claims · 3.3%

Your Cost: $96.97/claim|Median: $36.13
2.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$504K

3,523 claims · 3.3%

Your Cost: $143.14/claim|Median: $60.19
2.4× median
36415Top 5%

Collection of venous blood by venipuncture

$428K

12K claims · 2.8%

Your Cost: $36.05/claim|Median: $1.57
23.0× median
99281Normal range

Emergency dept visit, minimal complexity

$385K

5,483 claims · 2.5%

Your Cost: $70.13/claim|Median: $52.03
1.3× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$384K

4,971 claims · 2.5%

Your Cost: $77.27/claim|Median: $3.42
22.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$344K

15K claims · 2.2%

Your Cost: $23.39/claim|Median: $21.76
1.1× median
59025Top 10%

Fetal non-stress test

$287K

1,957 claims · 1.9%

Your Cost: $146.77/claim|Median: $26.45
5.5× median
80053Normal range

Comprehensive metabolic panel

$207K

28K claims · 1.3%

Your Cost: $7.31/claim|Median: $7.24
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$163K

3,153 claims · 1.1%

Your Cost: $51.71/claim|Median: $63.08
0.8× median
96360Normal range

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

$155K

2,126 claims · 1.0%

Your Cost: $72.93/claim|Median: $61.57
1.2× median
G0463Normal range

Hospital outpatient clinic visit

$155K

3,070 claims · 1.0%

Your Cost: $50.39/claim|Median: $26.41
1.9× median
84703Top 10%

Human chorionic gonadotropin (hCG) quantitative blood test

$143K

13K claims · 0.9%

Your Cost: $10.87/claim|Median: $4.20
2.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$138K

8,535 claims · 0.9%

Your Cost: $16.19/claim|Median: $9.56
1.7× median
80306Top 10%

$135K

3,817 claims · 0.9%

Your Cost: $35.40/claim|Median: $10.29
3.4× median
87070Top 10%

Bacterial culture, any source except blood or urine

$130K

5,337 claims · 0.8%

Your Cost: $24.29/claim|Median: $5.89
4.1× median
97110Normal range

Therapeutic exercises, each 15 min

$105K

2,926 claims · 0.7%

Your Cost: $36.05/claim|Median: $24.49
1.5× median
G0378Normal range

Hospital observation service, per hour

$84K

3,606 claims · 0.5%

Your Cost: $23.25/claim|Median: $99.39
0.2× median
71275Top 25%

CT angiography, chest, with contrast

$79K

425 claims · 0.5%

Your Cost: $187.00/claim|Median: $92.96
2.0× median
71046Top 25%

Chest X-ray, 2 views

$76K

4,271 claims · 0.5%

Your Cost: $17.87/claim|Median: $8.92
2.0× median
86850Top 10%

$73K

2,112 claims · 0.5%

Your Cost: $34.47/claim|Median: $5.44
6.3× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$71K

9,610 claims · 0.5%

Your Cost: $7.38/claim|Median: $1.53
4.8× median
96365Normal range

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

$66K

2,741 claims · 0.4%

Your Cost: $24.04/claim|Median: $54.77
0.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$61K

9,706 claims · 0.4%

Your Cost: $6.32/claim|Median: $97.61
0.1× median
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