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Provider 1801990825

NPI: 1801990825Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,374,115

Total Claims

188K

Beneficiaries

147K

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+48%
2019
$1.8M
-35%
2020
$1.2M
-67%
2021
$390K
+223%
2022
$1.3M
+3%
2023
$1.3M
-6%
2024
$1.2M

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 19% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

16K claims · 18.7%

Your Cost: $99.04/claim|Median: $42.48
2.3× median
99284Top 25%

Emergency dept visit, high complexity

$1.2M

9,163 claims · 14.6%

Your Cost: $133.29/claim|Median: $69.51
1.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$789K

4,268 claims · 9.4%

Your Cost: $184.82/claim|Median: $85.65
2.2× median
X4011Normal range

Healthcare procedure, code X4011

$675K

5,377 claims · 8.1%

Your Cost: $125.46/claim|Median: $268.66
0.5× median
80053Top 10%

Comprehensive metabolic panel

$383K

14K claims · 4.6%

Your Cost: $26.66/claim|Median: $7.24
3.7× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$367K

17K claims · 4.4%

Your Cost: $21.16/claim|Median: $4.71
4.5× median
81001Top 5%

Urinalysis, automated, with microscopy

$290K

9,807 claims · 3.5%

Your Cost: $29.60/claim|Median: $2.03
14.6× median
99282Normal range

Emergency dept visit, low complexity

$277K

3,916 claims · 3.3%

Your Cost: $70.77/claim|Median: $37.72
1.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$242K

5,616 claims · 2.9%

Your Cost: $43.11/claim|Median: $7.50
5.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$207K

8,112 claims · 2.5%

Your Cost: $25.47/claim|Median: $39.70
0.6× median
87400Top 5%

$187K

4,384 claims · 2.2%

Your Cost: $42.75/claim|Median: $8.40
5.1× median
71045Top 10%

Chest X-ray, single view

$159K

3,773 claims · 1.9%

Your Cost: $42.05/claim|Median: $4.93
8.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$152K

2,654 claims · 1.8%

Your Cost: $57.15/claim|Median: $21.76
2.6× median
87430Top 1%

$144K

1,170 claims · 1.7%

Your Cost: $123.34/claim|Median: $9.41
13.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$139K

2,484 claims · 1.7%

Your Cost: $56.07/claim|Median: $65.64
0.9× median
36415Top 5%

Collection of venous blood by venipuncture

$139K

15K claims · 1.7%

Your Cost: $9.42/claim|Median: $1.57
6.0× median
Y7506Normal range

Healthcare procedure, code Y7506

$105K

771 claims · 1.2%

Your Cost: $135.56/claim|Median: $146.80
0.9× median
82550Top 5%

Creatine kinase (CK) total blood test

$97K

4,513 claims · 1.2%

Your Cost: $21.54/claim|Median: $2.97
7.3× median
71046Top 5%

Chest X-ray, 2 views

$76K

824 claims · 0.9%

Your Cost: $91.82/claim|Median: $8.92
10.3× median
87086Top 1%

Urine culture, colony count, with identification

$75K

1,262 claims · 0.9%

Your Cost: $59.73/claim|Median: $5.31
11.2× median
81025Top 5%

Urine pregnancy test

$72K

1,791 claims · 0.9%

Your Cost: $40.05/claim|Median: $4.81
8.3× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$68K

2,271 claims · 0.8%

Your Cost: $29.98/claim|Median: $9.87
3.0× median
70450Normal range

CT head/brain without contrast

$67K

1,271 claims · 0.8%

Your Cost: $52.33/claim|Median: $45.53
1.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$63K

1,265 claims · 0.8%

Your Cost: $49.70/claim|Median: $37.56
1.3× median
84484Top 10%

Troponin, quantitative

$63K

4,232 claims · 0.7%

Your Cost: $14.82/claim|Median: $4.84
3.1× median
74177Normal range

CT abdomen and pelvis with contrast

$60K

502 claims · 0.7%

Your Cost: $119.10/claim|Median: $65.76
1.8× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$51K

521 claims · 0.6%

Your Cost: $97.62/claim|Median: $35.43
2.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$49K

1,379 claims · 0.6%

Your Cost: $35.72/claim|Median: $9.56
3.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$43K

448 claims · 0.5%

Your Cost: $95.38/claim|Median: $75.28
1.3× median
86756Top 1%

$41K

287 claims · 0.5%

Your Cost: $144.38/claim|Median: $13.28
10.9× median
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