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Provider 1831529049

NPI: 1831529049Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,517,989

Total Claims

290K

Beneficiaries

227K

1.3 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-22%
2019
$1.0M
-12%
2020
$890K
+16%
2021
$1.0M
+108%
2022
$2.1M
+13%
2023
$2.4M
+13%
2024
$2.7M

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 17% of total spending.

99284Normal range

Emergency dept visit, high complexity

$1.9M

32K claims · 16.6%

Your Cost: $59.87/claim|Median: $69.51
0.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$894K

7,197 claims · 7.8%

Your Cost: $124.21/claim|Median: $36.13
3.4× median
99070Normal range

$576K

27K claims · 5.0%

Your Cost: $20.96/claim|Median: $8.08
2.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$535K

6,051 claims · 4.6%

Your Cost: $88.43/claim|Median: $21.76
4.1× median
72148Top 5%

MRI lumbar spine without contrast

$511K

809 claims · 4.4%

Your Cost: $632.08/claim|Median: $101.03
6.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$492K

1,828 claims · 4.3%

Your Cost: $269.41/claim|Median: $65.76
4.1× median
70450Top 10%

CT head/brain without contrast

$471K

2,024 claims · 4.1%

Your Cost: $232.48/claim|Median: $45.53
5.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$364K

8,052 claims · 3.2%

Your Cost: $45.25/claim|Median: $7.50
6.0× median
J3490Normal range

Unclassified drugs

$307K

17K claims · 2.7%

Your Cost: $18.01/claim|Median: $5.70
3.2× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$241K

3,834 claims · 2.1%

Your Cost: $62.74/claim|Median: $14.92
4.2× median
99199Top 10%

Unlisted special service, procedure, or report

$227K

3,388 claims · 2.0%

Your Cost: $67.07/claim|Median: $5.39
12.4× median
70553Top 1%

MRI brain without contrast, then with contrast

$213K

178 claims · 1.9%

Your Cost: $1,198.10/claim|Median: $133.68
9.0× median
97139Normal range

$210K

12K claims · 1.8%

Your Cost: $17.99/claim|Median: $28.71
0.6× median
0450Normal range

Emergency room visit

$205K

3,604 claims · 1.8%

Your Cost: $56.88/claim|Median: $44.95
1.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$203K

2,381 claims · 1.8%

Your Cost: $85.46/claim|Median: $63.08
1.4× median
99221Top 1%

Initial hospital care, straightforward/low

$193K

492 claims · 1.7%

Your Cost: $392.53/claim|Median: $39.96
9.8× median
72141Top 1%

MRI of cervical spine without contrast

$189K

276 claims · 1.6%

Your Cost: $685.14/claim|Median: $112.68
6.1× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$178K

303 claims · 1.5%

Your Cost: $588.58/claim|Median: $268.70
2.2× median
70551Top 5%

MRI brain without contrast

$171K

294 claims · 1.5%

Your Cost: $581.98/claim|Median: $85.39
6.8× median
73721Top 5%

MRI joint of lower extremity without contrast

$170K

354 claims · 1.5%

Your Cost: $479.30/claim|Median: $127.34
3.8× median
80053Top 25%

Comprehensive metabolic panel

$163K

14K claims · 1.4%

Your Cost: $12.08/claim|Median: $7.24
1.7× median
99232Top 1%

Subsequent hospital care, per day, moderate complexity

$154K

843 claims · 1.3%

Your Cost: $182.11/claim|Median: $23.99
7.6× median
96361Normal range

IV infusion, hydration, each additional hour

$128K

3,475 claims · 1.1%

Your Cost: $36.95/claim|Median: $38.92
0.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$118K

16K claims · 1.0%

Your Cost: $7.54/claim|Median: $4.71
1.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$115K

760 claims · 1.0%

Your Cost: $151.96/claim|Median: $60.19
2.5× median
86480Top 5%

Tuberculosis test, cell-mediated immunity

$111K

1,461 claims · 1.0%

Your Cost: $76.16/claim|Median: $38.35
2.0× median
96360Normal range

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

$111K

1,248 claims · 1.0%

Your Cost: $88.76/claim|Median: $61.57
1.4× median
71045Top 25%

Chest X-ray, single view

$107K

5,752 claims · 0.9%

Your Cost: $18.56/claim|Median: $4.93
3.8× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$103K

1,409 claims · 0.9%

Your Cost: $73.39/claim|Median: $37.56
2.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$97K

1,486 claims · 0.8%

Your Cost: $65.31/claim|Median: $65.64
1.0× median
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