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Provider 1841266194

NPI: 1841266194Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,456,521

Total Claims

177K

Beneficiaries

136K

1.3 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$562K
+144%
2019
$1.4M
-30%
2020
$961K
+82%
2021
$1.8M
+25%
2022
$2.2M
+6%
2023
$2.3M
-1%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 46% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$5.3M

14K claims · 45.9%

Your Cost: $379.15/claim|Median: $85.65
4.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.4M

13K claims · 20.7%

Your Cost: $189.15/claim|Median: $42.48
4.5× median
99284Top 5%

Emergency dept visit, high complexity

$1.0M

3,990 claims · 8.9%

Your Cost: $256.36/claim|Median: $69.51
3.7× median
G0463Top 25%

Hospital outpatient clinic visit

$386K

4,648 claims · 3.4%

Your Cost: $83.03/claim|Median: $26.41
3.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$271K

1,603 claims · 2.4%

Your Cost: $169.15/claim|Median: $54.68
3.1× median
99282Top 25%

Emergency dept visit, low complexity

$253K

2,605 claims · 2.2%

Your Cost: $97.30/claim|Median: $37.72
2.6× median
67028Top 10%

Intravitreal injection of a pharmacologic agent

$218K

876 claims · 1.9%

Your Cost: $249.23/claim|Median: $58.82
4.2× median
36415Top 5%

Collection of venous blood by venipuncture

$190K

21K claims · 1.7%

Your Cost: $8.87/claim|Median: $1.57
5.6× median
G0378Normal range

Hospital observation service, per hour

$140K

3,247 claims · 1.2%

Your Cost: $43.10/claim|Median: $99.39
0.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$95K

1,504 claims · 0.8%

Your Cost: $62.89/claim|Median: $63.08
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$92K

20K claims · 0.8%

Your Cost: $4.51/claim|Median: $4.71
1.0× median
M0243Normal range

$90K

340 claims · 0.8%

Your Cost: $265.22/claim|Median: $215.21
1.2× median
77080Top 1%

Dual-energy x-ray absorptiometry (DEXA) bone density scan

$72K

156 claims · 0.6%

Your Cost: $462.50/claim|Median: $18.93
24.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$70K

3,542 claims · 0.6%

Your Cost: $19.88/claim|Median: $7.50
2.7× median
J0248Top 10%

$66K

117 claims · 0.6%

Your Cost: $563.26/claim|Median: $229.59
2.5× median
C9803Normal range

$66K

3,420 claims · 0.6%

Your Cost: $19.24/claim|Median: $13.20
1.5× median
96365Normal range

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

$52K

828 claims · 0.5%

Your Cost: $62.92/claim|Median: $54.77
1.1× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$50K

56 claims · 0.4%

Your Cost: $890.29/claim|Median: $32.07
27.8× median
Q0222Top 10%

$49K

38 claims · 0.4%

Your Cost: $1,298.55/claim|Median: $52.04
25.0× median
M0222Top 25%

$46K

198 claims · 0.4%

Your Cost: $230.08/claim|Median: $142.80
1.6× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$42K

316 claims · 0.4%

Your Cost: $133.32/claim|Median: $97.61
1.4× median
M0247Normal range

$41K

207 claims · 0.4%

Your Cost: $197.76/claim|Median: $235.71
0.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$31K

455 claims · 0.3%

Your Cost: $69.03/claim|Median: $21.76
3.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$31K

1,504 claims · 0.3%

Your Cost: $20.38/claim|Median: $15.76
1.3× median
80048Normal range

Basic metabolic panel

$30K

4,551 claims · 0.3%

Your Cost: $6.56/claim|Median: $5.78
1.1× median
M0245Normal range

$30K

104 claims · 0.3%

Your Cost: $284.92/claim|Median: $246.46
1.2× median
78815Normal range

PET imaging for limited area

$28K

89 claims · 0.2%

Your Cost: $318.97/claim|Median: $325.10
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$28K

2,493 claims · 0.2%

Your Cost: $11.12/claim|Median: $35.80
0.3× median
95782Normal range

$25K

37 claims · 0.2%

Your Cost: $671.31/claim|Median: $216.35
3.1× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$23K

851 claims · 0.2%

Your Cost: $27.20/claim|Median: $65.45
0.4× median
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