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Provider 1801874227

NPI: 1801874227Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,426,390

Total Claims

859K

Beneficiaries

662K

1.3 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+4%
2019
$1.7M
+6%
2020
$1.8M
+42%
2021
$2.6M
-11%
2022
$2.3M
-13%
2023
$2.0M
-24%
2024
$1.5M

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 8% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

17K claims · 8.1%

Your Cost: $63.05/claim|Median: $42.48
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.1M

16K claims · 7.9%

Your Cost: $65.20/claim|Median: $63.08
1.0× median
G0463Normal range

Hospital outpatient clinic visit

$951K

60K claims · 7.1%

Your Cost: $15.96/claim|Median: $26.41
0.6× median
96361Normal range

IV infusion, hydration, each additional hour

$743K

8,134 claims · 5.5%

Your Cost: $91.38/claim|Median: $38.92
2.3× median
80053Top 10%

Comprehensive metabolic panel

$599K

27K claims · 4.5%

Your Cost: $22.51/claim|Median: $7.24
3.1× median
99284Normal range

Emergency dept visit, high complexity

$595K

12K claims · 4.4%

Your Cost: $49.49/claim|Median: $69.51
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$537K

14K claims · 4.0%

Your Cost: $37.16/claim|Median: $85.65
0.4× median
99282Normal range

Emergency dept visit, low complexity

$334K

4,378 claims · 2.5%

Your Cost: $76.35/claim|Median: $37.72
2.0× median
80048Top 25%

Basic metabolic panel

$290K

19K claims · 2.2%

Your Cost: $14.88/claim|Median: $5.78
2.6× median
87507Top 25%

$262K

900 claims · 2.0%

Your Cost: $291.36/claim|Median: $157.44
1.9× median
96365Normal range

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

$243K

5,159 claims · 1.8%

Your Cost: $47.03/claim|Median: $54.77
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$211K

3,813 claims · 1.6%

Your Cost: $55.35/claim|Median: $65.76
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$208K

1,484 claims · 1.5%

Your Cost: $139.96/claim|Median: $151.68
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$191K

6,205 claims · 1.4%

Your Cost: $30.78/claim|Median: $24.95
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$187K

6,174 claims · 1.4%

Your Cost: $30.32/claim|Median: $23.39
1.3× median
70450Normal range

CT head/brain without contrast

$182K

3,493 claims · 1.4%

Your Cost: $52.18/claim|Median: $45.53
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$175K

36K claims · 1.3%

Your Cost: $4.82/claim|Median: $4.71
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$171K

5,104 claims · 1.3%

Your Cost: $33.57/claim|Median: $47.08
0.7× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$164K

2,657 claims · 1.2%

Your Cost: $61.63/claim|Median: $40.12
1.5× median
99214Normal range

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

$151K

13K claims · 1.1%

Your Cost: $11.47/claim|Median: $53.41
0.2× median
96360Normal range

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

$146K

2,786 claims · 1.1%

Your Cost: $52.53/claim|Median: $61.57
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$138K

1,888 claims · 1.0%

Your Cost: $72.85/claim|Median: $54.68
1.3× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$134K

1,668 claims · 1.0%

Your Cost: $80.35/claim|Median: $65.45
1.2× median
99213Normal range

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

$132K

8,969 claims · 1.0%

Your Cost: $14.76/claim|Median: $37.81
0.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$129K

13K claims · 1.0%

Your Cost: $10.07/claim|Median: $9.87
1.0× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$126K

11K claims · 0.9%

Your Cost: $11.36/claim|Median: $15.76
0.7× median
C9803Normal range

$118K

6,274 claims · 0.9%

Your Cost: $18.83/claim|Median: $13.20
1.4× median
45380Normal range

Colonoscopy with biopsy

$109K

875 claims · 0.8%

Your Cost: $124.46/claim|Median: $200.68
0.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$108K

3,182 claims · 0.8%

Your Cost: $34.08/claim|Median: $91.47
0.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$105K

7,119 claims · 0.8%

Your Cost: $14.74/claim|Median: $35.80
0.4× median
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