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Provider 1821087164

NPI: 1821087164Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,426,288

Total Claims

399K

Beneficiaries

346K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$606K
-48%
2019
$318K
-8%
2020
$291K
+945%
2021
$3.0M
+18%
2022
$3.6M
+14%
2023
$4.1M
-40%
2024
$2.5M

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 22% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.1M

9,584 claims · 21.6%

Your Cost: $325.05/claim|Median: $69.51
4.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

22K claims · 14.1%

Your Cost: $90.69/claim|Median: $42.48
2.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$786K

3,716 claims · 5.4%

Your Cost: $211.53/claim|Median: $85.65
2.5× median
G0378Top 25%

Hospital observation service, per hour

$723K

1,780 claims · 5.0%

Your Cost: $405.98/claim|Median: $99.39
4.1× median
G0463Top 25%

Hospital outpatient clinic visit

$703K

10K claims · 4.9%

Your Cost: $69.82/claim|Median: $26.41
2.6× median
59025Top 10%

Fetal non-stress test

$653K

4,365 claims · 4.5%

Your Cost: $149.54/claim|Median: $26.45
5.7× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$470K

8,732 claims · 3.3%

Your Cost: $53.77/claim|Median: $39.63
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$439K

4,763 claims · 3.0%

Your Cost: $92.14/claim|Median: $37.72
2.4× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$324K

1,581 claims · 2.2%

Your Cost: $204.64/claim|Median: $74.78
2.7× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$296K

1,532 claims · 2.1%

Your Cost: $193.08/claim|Median: $58.55
3.3× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$266K

11K claims · 1.8%

Your Cost: $23.41/claim|Median: $11.48
2.0× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$262K

1,484 claims · 1.8%

Your Cost: $176.78/claim|Median: $37.35
4.7× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$257K

9,797 claims · 1.8%

Your Cost: $26.20/claim|Median: $30.04
0.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$231K

232 claims · 1.6%

Your Cost: $996.10/claim|Median: $763.43
1.3× median
80053Normal range

Comprehensive metabolic panel

$226K

30K claims · 1.6%

Your Cost: $7.44/claim|Median: $7.24
1.0× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$216K

2,086 claims · 1.5%

Your Cost: $103.61/claim|Median: $164.22
0.6× median
87400Normal range

$193K

15K claims · 1.3%

Your Cost: $12.84/claim|Median: $8.40
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$193K

32K claims · 1.3%

Your Cost: $5.93/claim|Median: $4.71
1.3× median
A0429Normal range

Ambulance, BLS emergency transport

$143K

1,622 claims · 1.0%

Your Cost: $88.03/claim|Median: $138.19
0.6× median
86703Top 10%

$139K

7,288 claims · 1.0%

Your Cost: $19.12/claim|Median: $10.37
1.8× median
86780Top 10%

$135K

7,130 claims · 0.9%

Your Cost: $18.87/claim|Median: $9.83
1.9× median
72082Top 5%

$133K

1,090 claims · 0.9%

Your Cost: $122.41/claim|Median: $31.02
3.9× median
74177Normal range

CT abdomen and pelvis with contrast

$129K

846 claims · 0.9%

Your Cost: $152.91/claim|Median: $65.76
2.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$128K

2,512 claims · 0.9%

Your Cost: $50.82/claim|Median: $35.43
1.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$119K

4,885 claims · 0.8%

Your Cost: $24.40/claim|Median: $7.50
3.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$102K

1,364 claims · 0.7%

Your Cost: $75.10/claim|Median: $75.28
1.0× median
71045Top 25%

Chest X-ray, single view

$83K

4,070 claims · 0.6%

Your Cost: $20.48/claim|Median: $4.93
4.2× median
70450Normal range

CT head/brain without contrast

$82K

1,190 claims · 0.6%

Your Cost: $69.13/claim|Median: $45.53
1.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$78K

2,802 claims · 0.5%

Your Cost: $27.90/claim|Median: $14.92
1.9× median
86850Top 25%

$78K

5,322 claims · 0.5%

Your Cost: $14.59/claim|Median: $5.44
2.7× median
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