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Provider 1831193499

NPI: 1831193499Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.5M

$10,527,340

Total Claims

296K

Beneficiaries

233K

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-9%
2019
$1.1M
-33%
2020
$733K
+91%
2021
$1.4M
+45%
2022
$2.0M
+23%
2023
$2.5M
-39%
2024
$1.5M

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 28% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.0M

21K claims · 28.2%

Your Cost: $139.00/claim|Median: $69.51
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

18K claims · 14.8%

Your Cost: $85.69/claim|Median: $42.48
2.0× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$946K

3,038 claims · 9.0%

Your Cost: $311.45/claim|Median: $85.65
3.6× median
58662Normal range

$441K

962 claims · 4.2%

Your Cost: $458.61/claim|Median: $457.94
1.0× median
74177Top 5%

CT abdomen and pelvis with contrast

$424K

503 claims · 4.0%

Your Cost: $843.56/claim|Median: $65.76
12.8× median
G0481Top 25%

Drug test, definitive, 8-14 drug classes

$376K

3,787 claims · 3.6%

Your Cost: $99.36/claim|Median: $64.72
1.5× median
70450Top 10%

CT head/brain without contrast

$293K

1,223 claims · 2.8%

Your Cost: $239.63/claim|Median: $45.53
5.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$261K

7,204 claims · 2.5%

Your Cost: $36.16/claim|Median: $39.70
0.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$243K

408 claims · 2.3%

Your Cost: $594.85/claim|Median: $763.43
0.8× median
71045Top 10%

Chest X-ray, single view

$230K

7,858 claims · 2.2%

Your Cost: $29.25/claim|Median: $4.93
5.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$208K

6,506 claims · 2.0%

Your Cost: $32.04/claim|Median: $7.50
4.3× median
97110Normal range

Therapeutic exercises, each 15 min

$187K

7,251 claims · 1.8%

Your Cost: $25.79/claim|Median: $24.49
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$172K

2,569 claims · 1.6%

Your Cost: $67.15/claim|Median: $65.64
1.0× median
80053Normal range

Comprehensive metabolic panel

$171K

25K claims · 1.6%

Your Cost: $6.82/claim|Median: $7.24
0.9× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$158K

1,980 claims · 1.5%

Your Cost: $79.81/claim|Median: $3.42
23.3× median
59025Top 25%

Fetal non-stress test

$144K

1,573 claims · 1.4%

Your Cost: $91.75/claim|Median: $26.45
3.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$142K

30K claims · 1.4%

Your Cost: $4.80/claim|Median: $4.71
1.0× median
99282Normal range

Emergency dept visit, low complexity

$124K

1,914 claims · 1.2%

Your Cost: $64.60/claim|Median: $37.72
1.7× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$83K

271 claims · 0.8%

Your Cost: $306.49/claim|Median: $144.30
2.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$73K

3,259 claims · 0.7%

Your Cost: $22.38/claim|Median: $9.56
2.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$60K

2,571 claims · 0.6%

Your Cost: $23.45/claim|Median: $28.46
0.8× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$52K

5,404 claims · 0.5%

Your Cost: $9.67/claim|Median: $1.53
6.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$51K

2,066 claims · 0.5%

Your Cost: $24.58/claim|Median: $21.76
1.1× median
80061Normal range

Lipid panel

$50K

4,454 claims · 0.5%

Your Cost: $11.28/claim|Median: $8.41
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$46K

1,624 claims · 0.4%

Your Cost: $28.44/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$46K

1,632 claims · 0.4%

Your Cost: $28.27/claim|Median: $23.39
1.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$40K

1,450 claims · 0.4%

Your Cost: $27.80/claim|Median: $14.92
1.9× median
80050Normal range

General health panel

$39K

948 claims · 0.4%

Your Cost: $40.95/claim|Median: $25.59
1.6× median
80081Normal range

$34K

540 claims · 0.3%

Your Cost: $62.65/claim|Median: $59.44
1.1× median
C9399Normal range

$33K

8,948 claims · 0.3%

Your Cost: $3.74/claim|Median: $8.41
0.4× median