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Provider 1811992084

NPI: 1811992084Share
Active Billing Period:2018-01→2024-12(70 months)

Total Paid

$16.6M

$16,585,585

Total Claims

279K

Beneficiaries

229K

1.2 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$5K
+441%
2019
$28K
+12201%
2020
$3.5M
+68%
2021
$5.9M
-57%
2022
$2.5M
+7%
2023
$2.7M
-29%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 35% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$5.8M

26K claims · 35.1%

Your Cost: $224.56/claim|Median: $69.51
3.2× median
G0378Top 10%

Hospital observation service, per hour

$3.6M

4,693 claims · 21.5%

Your Cost: $758.17/claim|Median: $99.39
7.6× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.6M

9,617 claims · 15.9%

Your Cost: $274.16/claim|Median: $42.48
6.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$476K

7,228 claims · 2.9%

Your Cost: $65.89/claim|Median: $21.76
3.0× median
99282Top 10%

Emergency dept visit, low complexity

$469K

3,014 claims · 2.8%

Your Cost: $155.60/claim|Median: $37.72
4.1× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$430K

7,196 claims · 2.6%

Your Cost: $59.80/claim|Median: $121.16
0.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$420K

2,845 claims · 2.5%

Your Cost: $147.69/claim|Median: $85.65
1.7× median
77067Top 25%

Screening mammography, bilateral, including CAD

$235K

2,593 claims · 1.4%

Your Cost: $90.45/claim|Median: $39.33
2.3× median
76818Normal range

$207K

2,807 claims · 1.2%

Your Cost: $73.75/claim|Median: $68.15
1.1× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$159K

2,333 claims · 1.0%

Your Cost: $68.02/claim|Median: $60.05
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$140K

2,727 claims · 0.8%

Your Cost: $51.26/claim|Median: $58.55
0.9× median
99281Top 10%

Emergency dept visit, minimal complexity

$121K

720 claims · 0.7%

Your Cost: $168.08/claim|Median: $52.03
3.2× median
99213Normal range

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

$105K

2,439 claims · 0.6%

Your Cost: $43.14/claim|Median: $37.81
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$97K

1,491 claims · 0.6%

Your Cost: $65.25/claim|Median: $65.76
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$82K

700 claims · 0.5%

Your Cost: $116.87/claim|Median: $106.79
1.1× median
99214Normal range

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

$77K

1,191 claims · 0.5%

Your Cost: $64.71/claim|Median: $53.41
1.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$68K

1,823 claims · 0.4%

Your Cost: $37.07/claim|Median: $9.56
3.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$65K

542 claims · 0.4%

Your Cost: $120.74/claim|Median: $75.28
1.6× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$57K

2,614 claims · 0.3%

Your Cost: $21.96/claim|Median: $21.41
1.0× median
80053Normal range

Comprehensive metabolic panel

$53K

9,740 claims · 0.3%

Your Cost: $5.47/claim|Median: $7.24
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$48K

1,074 claims · 0.3%

Your Cost: $45.05/claim|Median: $58.16
0.8× median
96361Normal range

IV infusion, hydration, each additional hour

$48K

1,992 claims · 0.3%

Your Cost: $24.10/claim|Median: $38.92
0.6× median
G0463Normal range

Hospital outpatient clinic visit

$44K

1,089 claims · 0.3%

Your Cost: $40.01/claim|Median: $26.41
1.5× median
76830Normal range

Ultrasound, transvaginal

$40K

857 claims · 0.2%

Your Cost: $46.44/claim|Median: $57.47
0.8× median
59025Normal range

Fetal non-stress test

$39K

1,011 claims · 0.2%

Your Cost: $39.05/claim|Median: $26.45
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$38K

1,170 claims · 0.2%

Your Cost: $32.63/claim|Median: $25.06
1.3× median
76856Normal range

Ultrasound, pelvic, complete

$38K

1,044 claims · 0.2%

Your Cost: $36.45/claim|Median: $47.58
0.8× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$37K

555 claims · 0.2%

Your Cost: $67.52/claim|Median: $74.78
0.9× median
T1001Top 10%

Nursing assessment/evaluation, per visit

$33K

230 claims · 0.2%

Your Cost: $142.41/claim|Median: $49.05
2.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$32K

8,220 claims · 0.2%

Your Cost: $3.84/claim|Median: $7.50
0.5× median
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