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Provider 1851343909

NPI: 1851343909Share
Active Billing Period:2020-09→2024-12(51 months)

Total Paid

$7.7M

$7,742,593

Total Claims

116K

Beneficiaries

106K

1.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2020
$145K
+1525%
2021
$2.4M
-3%
2022
$2.3M
-8%
2023
$2.1M
-59%
2024
$858K

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 48% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.7M

8,711 claims · 47.9%

Your Cost: $425.86/claim|Median: $69.51
6.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

21K claims · 18.7%

Your Cost: $67.60/claim|Median: $42.48
1.6× median
87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$677K

1,518 claims · 8.7%

Your Cost: $446.28/claim|Median: $169.17
2.6× median
99281Normal range

Emergency dept visit, minimal complexity

$482K

6,975 claims · 6.2%

Your Cost: $69.06/claim|Median: $52.03
1.3× median
99282Normal range

Emergency dept visit, low complexity

$324K

4,761 claims · 4.2%

Your Cost: $67.97/claim|Median: $37.72
1.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$113K

2,711 claims · 1.5%

Your Cost: $41.67/claim|Median: $7.50
5.6× median
99211Top 5%

Office/outpatient visit, minimal complexity

$86K

716 claims · 1.1%

Your Cost: $120.50/claim|Median: $12.93
9.3× median
87430Top 10%

$81K

3,698 claims · 1.0%

Your Cost: $21.87/claim|Median: $9.41
2.3× median
87400Top 25%

$67K

3,220 claims · 0.9%

Your Cost: $20.82/claim|Median: $8.40
2.5× median
80053Normal range

Comprehensive metabolic panel

$60K

7,592 claims · 0.8%

Your Cost: $7.97/claim|Median: $7.24
1.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$59K

335 claims · 0.8%

Your Cost: $175.41/claim|Median: $85.65
2.0× median
C9803Normal range

$59K

3,350 claims · 0.8%

Your Cost: $17.54/claim|Median: $13.20
1.3× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$57K

1,519 claims · 0.7%

Your Cost: $37.62/claim|Median: $26.72
1.4× median
87486Top 25%

$57K

1,519 claims · 0.7%

Your Cost: $37.60/claim|Median: $19.16
2.0× median
87581Top 10%

$57K

1,519 claims · 0.7%

Your Cost: $37.52/claim|Median: $17.13
2.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$55K

940 claims · 0.7%

Your Cost: $58.84/claim|Median: $63.08
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$47K

8,613 claims · 0.6%

Your Cost: $5.44/claim|Median: $4.71
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$39K

1,038 claims · 0.5%

Your Cost: $37.78/claim|Median: $39.70
1.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$38K

153 claims · 0.5%

Your Cost: $251.09/claim|Median: $65.76
3.8× median
71045Top 25%

Chest X-ray, single view

$31K

2,048 claims · 0.4%

Your Cost: $15.09/claim|Median: $4.93
3.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$31K

987 claims · 0.4%

Your Cost: $30.93/claim|Median: $30.04
1.0× median
G0378Top 5%

Hospital observation service, per hour

$27K

27 claims · 0.4%

Your Cost: $1,006.42/claim|Median: $99.39
10.1× median
81001Normal range

Urinalysis, automated, with microscopy

$26K

9,084 claims · 0.3%

Your Cost: $2.85/claim|Median: $2.03
1.4× median
81025Top 10%

Urine pregnancy test

$19K

2,326 claims · 0.2%

Your Cost: $8.08/claim|Median: $4.81
1.7× median
87081Top 25%

Culture screening for pathogenic organisms

$17K

1,959 claims · 0.2%

Your Cost: $8.65/claim|Median: $5.09
1.7× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$11K

690 claims · 0.1%

Your Cost: $16.20/claim|Median: $15.76
1.0× median
CP007Top 10%

$11K

150 claims · 0.1%

Your Cost: $70.05/claim|Median: $43.87
1.6× median
70450Normal range

CT head/brain without contrast

$7K

192 claims · 0.1%

Your Cost: $35.26/claim|Median: $45.53
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$5K

60 claims · 0.1%

Your Cost: $83.39/claim|Median: $58.16
1.4× median
83690Normal range

$5K

1,024 claims · 0.1%

Your Cost: $4.69/claim|Median: $3.35
1.4× median
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