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Provider 1821101239

NPI: 1821101239Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.5M

$17,541,664

Total Claims

596K

Beneficiaries

451K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-15%
2019
$3.3M
-40%
2020
$2.0M
+17%
2021
$2.3M
+8%
2022
$2.5M
-25%
2023
$1.9M
-14%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0378 (Hospital observation service, per hour)) accounts for 19% of total spending.

G0378Top 25%

Hospital observation service, per hour

$3.3M

5,671 claims · 18.8%

Your Cost: $582.19/claim|Median: $99.39
5.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.3M

21K claims · 18.7%

Your Cost: $154.85/claim|Median: $42.48
3.6× median
99284Top 10%

Emergency dept visit, high complexity

$2.4M

13K claims · 13.7%

Your Cost: $187.88/claim|Median: $69.51
2.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.6M

9,362 claims · 9.4%

Your Cost: $175.75/claim|Median: $85.65
2.1× median
99282Top 25%

Emergency dept visit, low complexity

$1.1M

10K claims · 6.1%

Your Cost: $102.54/claim|Median: $37.72
2.7× median
OP250Top 25%

Orthotic or prosthetic procedure, not otherwise classified

$732K

41K claims · 4.2%

Your Cost: $18.02/claim|Median: $1.68
10.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$276K

2,098 claims · 1.6%

Your Cost: $131.34/claim|Median: $54.68
2.4× median
93017Top 25%

$266K

1,910 claims · 1.5%

Your Cost: $139.26/claim|Median: $56.03
2.5× median
70450Normal range

CT head/brain without contrast

$265K

5,377 claims · 1.5%

Your Cost: $49.23/claim|Median: $45.53
1.1× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$234K

3,606 claims · 1.3%

Your Cost: $64.96/claim|Median: $144.30
0.5× median
80053Normal range

Comprehensive metabolic panel

$227K

31K claims · 1.3%

Your Cost: $7.27/claim|Median: $7.24
1.0× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$225K

1,749 claims · 1.3%

Your Cost: $128.66/claim|Median: $106.14
1.2× median
71045Top 25%

Chest X-ray, single view

$219K

11K claims · 1.3%

Your Cost: $19.09/claim|Median: $4.93
3.9× median
99281Normal range

Emergency dept visit, minimal complexity

$170K

1,766 claims · 1.0%

Your Cost: $96.18/claim|Median: $52.03
1.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$165K

15K claims · 0.9%

Your Cost: $10.87/claim|Median: $7.50
1.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$155K

2,710 claims · 0.9%

Your Cost: $57.17/claim|Median: $39.33
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$152K

3,590 claims · 0.9%

Your Cost: $42.43/claim|Median: $65.76
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$150K

29K claims · 0.9%

Your Cost: $5.19/claim|Median: $4.71
1.1× median
81025Top 10%

Urine pregnancy test

$110K

11K claims · 0.6%

Your Cost: $9.93/claim|Median: $4.81
2.1× median
71046Top 25%

Chest X-ray, 2 views

$103K

4,018 claims · 0.6%

Your Cost: $25.66/claim|Median: $8.92
2.9× median
76700Normal range

Ultrasound, abdominal, complete

$100K

1,563 claims · 0.6%

Your Cost: $63.96/claim|Median: $50.69
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$91K

9,329 claims · 0.5%

Your Cost: $9.78/claim|Median: $21.76
0.4× median
76830Normal range

Ultrasound, transvaginal

$81K

1,072 claims · 0.5%

Your Cost: $75.97/claim|Median: $57.47
1.3× median
82948Top 10%

$75K

8,430 claims · 0.4%

Your Cost: $8.85/claim|Median: $1.78
5.0× median
74176Normal range

CT abdomen and pelvis without contrast

$63K

2,053 claims · 0.4%

Your Cost: $30.59/claim|Median: $60.19
0.5× median
OP251Normal range

$62K

8,504 claims · 0.4%

Your Cost: $7.27/claim|Median: $7.16
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$59K

4,258 claims · 0.3%

Your Cost: $13.75/claim|Median: $39.70
0.3× median
96361Normal range

IV infusion, hydration, each additional hour

$57K

3,070 claims · 0.3%

Your Cost: $18.49/claim|Median: $38.92
0.5× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$55K

578 claims · 0.3%

Your Cost: $95.08/claim|Median: $43.07
2.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$54K

6,805 claims · 0.3%

Your Cost: $7.88/claim|Median: $14.92
0.5× median
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