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Provider 1831203488

NPI: 1831203488Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.8M

$12,820,141

Total Claims

359K

Beneficiaries

261K

1.4 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+6%
2019
$1.9M
-38%
2020
$1.2M
+126%
2021
$2.7M
+15%
2022
$3.0M
-49%
2023
$1.6M
-56%
2024
$692K

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 15% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.0M

13K claims · 15.4%

Your Cost: $150.65/claim|Median: $69.51
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

8,263 claims · 8.8%

Your Cost: $136.99/claim|Median: $42.48
3.2× median
96361Top 10%

IV infusion, hydration, each additional hour

$912K

3,000 claims · 7.1%

Your Cost: $303.99/claim|Median: $38.92
7.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$833K

13K claims · 6.5%

Your Cost: $64.78/claim|Median: $24.49
2.6× median
97530Top 25%

Therapeutic activities, each 15 min

$642K

11K claims · 5.0%

Your Cost: $60.63/claim|Median: $33.11
1.8× median
92507Top 25%

Speech/hearing/language treatment

$641K

9,500 claims · 5.0%

Your Cost: $67.46/claim|Median: $49.45
1.4× median
96365Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$631K

4,204 claims · 4.9%

Your Cost: $150.04/claim|Median: $54.77
2.7× median
74177Top 10%

CT abdomen and pelvis with contrast

$601K

1,726 claims · 4.7%

Your Cost: $348.44/claim|Median: $65.76
5.3× median
70450Top 5%

CT head/brain without contrast

$506K

1,871 claims · 3.9%

Your Cost: $270.46/claim|Median: $45.53
5.9× median
99282Top 25%

Emergency dept visit, low complexity

$458K

4,003 claims · 3.6%

Your Cost: $114.29/claim|Median: $37.72
3.0× median
G0378Normal range

Hospital observation service, per hour

$371K

1,498 claims · 2.9%

Your Cost: $247.67/claim|Median: $99.39
2.5× median
G0463Normal range

Hospital outpatient clinic visit

$277K

4,800 claims · 2.2%

Your Cost: $57.66/claim|Median: $26.41
2.2× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$226K

1,572 claims · 1.8%

Your Cost: $143.59/claim|Median: $169.17
0.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$215K

1,636 claims · 1.7%

Your Cost: $131.64/claim|Median: $85.65
1.5× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$191K

490 claims · 1.5%

Your Cost: $390.39/claim|Median: $54.68
7.1× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$152K

972 claims · 1.2%

Your Cost: $156.56/claim|Median: $36.13
4.3× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$136K

1,733 claims · 1.1%

Your Cost: $78.32/claim|Median: $10.88
7.2× median
71046Top 10%

Chest X-ray, 2 views

$127K

2,694 claims · 1.0%

Your Cost: $46.96/claim|Median: $8.92
5.3× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$113K

3,946 claims · 0.9%

Your Cost: $28.72/claim|Median: $20.04
1.4× median
99281Top 25%

Emergency dept visit, minimal complexity

$110K

767 claims · 0.9%

Your Cost: $143.17/claim|Median: $52.03
2.8× median
80053Normal range

Comprehensive metabolic panel

$109K

22K claims · 0.9%

Your Cost: $4.93/claim|Median: $7.24
0.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$106K

926 claims · 0.8%

Your Cost: $114.47/claim|Median: $91.47
1.3× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$106K

608 claims · 0.8%

Your Cost: $173.89/claim|Median: $61.57
2.8× median
71275Top 10%

CT angiography, chest, with contrast

$106K

325 claims · 0.8%

Your Cost: $324.71/claim|Median: $92.96
3.5× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$92K

2,452 claims · 0.7%

Your Cost: $37.65/claim|Median: $16.79
2.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$87K

5,485 claims · 0.7%

Your Cost: $15.93/claim|Median: $7.50
2.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$74K

1,675 claims · 0.6%

Your Cost: $44.44/claim|Median: $35.80
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$73K

1,980 claims · 0.6%

Your Cost: $37.09/claim|Median: $39.70
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$64K

5,154 claims · 0.5%

Your Cost: $12.46/claim|Median: $9.87
1.3× median
99213Top 25%

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

$64K

1,005 claims · 0.5%

Your Cost: $63.59/claim|Median: $37.81
1.7× median
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