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Provider 1811036726

NPI: 1811036726Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.9M

$9,929,940

Total Claims

93K

Beneficiaries

86K

1.1 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-41%
2019
$2.1M
-56%
2020
$941K
-59%
2021
$389K
+140%
2022
$933K
+40%
2023
$1.3M
-57%
2024
$558K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 17% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$1.7M

6,192 claims · 17.4%

Your Cost: $278.84/claim|Median: $268.66
1.0× median
Y7506Normal range

Healthcare procedure, code Y7506

$1.5M

6,497 claims · 15.5%

Your Cost: $236.82/claim|Median: $146.80
1.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.1M

17K claims · 11.5%

Your Cost: $65.67/claim|Median: $4.71
13.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.1M

7,466 claims · 11.1%

Your Cost: $147.67/claim|Median: $42.48
3.5× median
80053Top 5%

Comprehensive metabolic panel

$710K

16K claims · 7.1%

Your Cost: $43.68/claim|Median: $7.24
6.0× median
99284Top 10%

Emergency dept visit, high complexity

$679K

3,114 claims · 6.8%

Your Cost: $217.90/claim|Median: $69.51
3.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$636K

2,263 claims · 6.4%

Your Cost: $281.04/claim|Median: $85.65
3.3× median
80047Top 1%

$456K

1,857 claims · 4.6%

Your Cost: $245.34/claim|Median: $6.12
40.1× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$251K

4,051 claims · 2.5%

Your Cost: $62.04/claim|Median: $7.50
8.3× median
80076Top 1%

Hepatic function panel

$248K

1,042 claims · 2.5%

Your Cost: $238.00/claim|Median: $4.59
51.9× median
71045Top 5%

Chest X-ray, single view

$207K

3,523 claims · 2.1%

Your Cost: $58.76/claim|Median: $4.93
11.9× median
83690Top 5%

$172K

3,627 claims · 1.7%

Your Cost: $47.41/claim|Median: $3.35
14.2× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$138K

868 claims · 1.4%

Your Cost: $158.79/claim|Median: $65.64
2.4× median
84703Top 1%

Human chorionic gonadotropin (hCG) quantitative blood test

$88K

779 claims · 0.9%

Your Cost: $113.21/claim|Median: $4.20
27.0× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$75K

2,126 claims · 0.8%

Your Cost: $35.49/claim|Median: $2.14
16.6× median
84484Top 5%

Troponin, quantitative

$72K

2,306 claims · 0.7%

Your Cost: $31.05/claim|Median: $4.84
6.4× median
36415Top 1%

Collection of venous blood by venipuncture

$70K

1,009 claims · 0.7%

Your Cost: $69.45/claim|Median: $1.57
44.2× median
G0378Normal range

Hospital observation service, per hour

$68K

274 claims · 0.7%

Your Cost: $249.88/claim|Median: $99.39
2.5× median
85730Top 5%

$65K

2,112 claims · 0.7%

Your Cost: $30.75/claim|Median: $2.83
10.9× median
81001Top 1%

Urinalysis, automated, with microscopy

$65K

680 claims · 0.7%

Your Cost: $95.14/claim|Median: $2.03
46.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$65K

1,205 claims · 0.7%

Your Cost: $53.67/claim|Median: $35.43
1.5× median
83880Top 5%

$41K

968 claims · 0.4%

Your Cost: $42.71/claim|Median: $11.81
3.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$40K

992 claims · 0.4%

Your Cost: $40.77/claim|Median: $63.08
0.6× median
81003Top 1%

Urinalysis, automated without microscopy

$39K

233 claims · 0.4%

Your Cost: $168.43/claim|Median: $1.48
113.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$39K

174 claims · 0.4%

Your Cost: $223.11/claim|Median: $65.76
3.4× median
71046Top 1%

Chest X-ray, 2 views

$30K

85 claims · 0.3%

Your Cost: $353.47/claim|Median: $8.92
39.6× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$29K

446 claims · 0.3%

Your Cost: $66.04/claim|Median: $37.56
1.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$20K

212 claims · 0.2%

Your Cost: $93.53/claim|Median: $97.61
1.0× median
G0463Normal range

Hospital outpatient clinic visit

$19K

420 claims · 0.2%

Your Cost: $45.82/claim|Median: $26.41
1.7× median
99999Normal range

$16K

687 claims · 0.2%

Your Cost: $22.72/claim|Median: $348.86
0.1× median
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