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Provider 1801830583

NPI: 1801830583Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.1M

$11,145,608

Total Claims

339K

Beneficiaries

284K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$411K
+41%
2019
$578K
-0%
2020
$578K
+37%
2021
$793K
+20%
2022
$952K
+19%
2023
$1.1M
+491%
2024
$6.7M

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 14% of total spending.

0450Normal range

Emergency room visit

$1.6M

26K claims · 14.0%

Your Cost: $60.50/claim|Median: $44.95
1.3× median
90999Top 25%

Unlisted dialysis procedure

$871K

5,455 claims · 7.8%

Your Cost: $159.64/claim|Median: $63.73
2.5× median
0682Top 1%

$512K

128 claims · 4.6%

Your Cost: $4,003.58/claim|Median: $1,381.88
2.9× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$452K

2,461 claims · 4.1%

Your Cost: $183.74/claim|Median: $91.47
2.0× median
J0882Top 5%

Injection, darbepoetin alfa, one microgram, ESRD use

$414K

999 claims · 3.7%

Your Cost: $414.58/claim|Median: $49.66
8.3× median
0510Normal range

Revenue code, clinic services

$403K

12K claims · 3.6%

Your Cost: $32.86/claim|Median: $28.38
1.2× median
J0606Top 5%

$367K

971 claims · 3.3%

Your Cost: $378.43/claim|Median: $25.87
14.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$343K

1,691 claims · 3.1%

Your Cost: $202.94/claim|Median: $65.76
3.1× median
70450Top 25%

CT head/brain without contrast

$324K

2,844 claims · 2.9%

Your Cost: $113.98/claim|Median: $45.53
2.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$250K

3,766 claims · 2.2%

Your Cost: $66.30/claim|Median: $21.76
3.0× median
80053Top 25%

Comprehensive metabolic panel

$226K

19K claims · 2.0%

Your Cost: $11.86/claim|Median: $7.24
1.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$205K

7,821 claims · 1.8%

Your Cost: $26.23/claim|Median: $7.50
3.5× median
0762Top 25%

$205K

372 claims · 1.8%

Your Cost: $549.90/claim|Median: $102.28
5.4× median
96365Normal range

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

$203K

2,565 claims · 1.8%

Your Cost: $79.01/claim|Median: $54.77
1.4× median
72125Top 10%

CT cervical spine without contrast

$198K

1,194 claims · 1.8%

Your Cost: $166.17/claim|Median: $32.30
5.1× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$194K

3,404 claims · 1.7%

Your Cost: $57.14/claim|Median: $35.43
1.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$186K

21K claims · 1.7%

Your Cost: $8.80/claim|Median: $4.71
1.9× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$160K

2,098 claims · 1.4%

Your Cost: $76.38/claim|Median: $37.56
2.0× median
0760Normal range

$137K

13K claims · 1.2%

Your Cost: $10.92/claim|Median: $22.01
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$131K

1,751 claims · 1.2%

Your Cost: $74.91/claim|Median: $63.08
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$115K

2,569 claims · 1.0%

Your Cost: $44.92/claim|Median: $38.92
1.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$115K

2,815 claims · 1.0%

Your Cost: $40.84/claim|Median: $14.92
2.7× median
71045Top 25%

Chest X-ray, single view

$100K

11K claims · 0.9%

Your Cost: $9.10/claim|Median: $4.93
1.8× median
0270Normal range

$99K

16K claims · 0.9%

Your Cost: $6.23/claim|Median: $5.50
1.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$96K

3,397 claims · 0.9%

Your Cost: $28.25/claim|Median: $9.56
3.0× median
87811Top 5%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$94K

2,038 claims · 0.8%

Your Cost: $46.09/claim|Median: $30.53
1.5× median
99284Normal range

Emergency dept visit, high complexity

$88K

1,115 claims · 0.8%

Your Cost: $78.81/claim|Median: $69.51
1.1× median
0250Normal range

$86K

14K claims · 0.8%

Your Cost: $6.21/claim|Median: $3.70
1.7× median
77067Top 10%

Screening mammography, bilateral, including CAD

$86K

803 claims · 0.8%

Your Cost: $106.85/claim|Median: $39.33
2.7× median
96360Normal range

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

$77K

1,087 claims · 0.7%

Your Cost: $70.64/claim|Median: $61.57
1.1× median
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