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Provider 1851396394

NPI: 1851396394Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.8M

$17,791,333

Total Claims

260K

Beneficiaries

236K

1.1 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+3%
2019
$1.7M
-6%
2020
$1.6M
+72%
2021
$2.8M
+45%
2022
$4.0M
+1%
2023
$4.1M
-54%
2024
$1.9M

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 29% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$5.2M

22K claims · 29.1%

Your Cost: $234.99/claim|Median: $69.51
3.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$3.8M

12K claims · 21.1%

Your Cost: $305.14/claim|Median: $85.65
3.6× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.3M

20K claims · 18.4%

Your Cost: $163.18/claim|Median: $42.48
3.8× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.4M

12K claims · 7.7%

Your Cost: $115.98/claim|Median: $21.76
5.3× median
74177Normal range

CT abdomen and pelvis with contrast

$474K

2,910 claims · 2.7%

Your Cost: $162.78/claim|Median: $65.76
2.5× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$326K

2,423 claims · 1.8%

Your Cost: $134.74/claim|Median: $100.62
1.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$314K

7,627 claims · 1.8%

Your Cost: $41.22/claim|Median: $14.92
2.8× median
97530Normal range

Therapeutic activities, each 15 min

$246K

4,115 claims · 1.4%

Your Cost: $59.77/claim|Median: $33.11
1.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$236K

3,416 claims · 1.3%

Your Cost: $69.23/claim|Median: $9.56
7.2× median
92507Top 25%

Speech/hearing/language treatment

$222K

3,320 claims · 1.2%

Your Cost: $66.98/claim|Median: $49.45
1.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$181K

561 claims · 1.0%

Your Cost: $322.88/claim|Median: $151.68
2.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$164K

3,483 claims · 0.9%

Your Cost: $47.17/claim|Median: $24.49
1.9× median
80053Normal range

Comprehensive metabolic panel

$149K

17K claims · 0.8%

Your Cost: $8.81/claim|Median: $7.24
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$145K

3,999 claims · 0.8%

Your Cost: $36.15/claim|Median: $38.92
0.9× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$142K

38 claims · 0.8%

Your Cost: $3,723.88/claim|Median: $331.68
11.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$139K

21K claims · 0.8%

Your Cost: $6.48/claim|Median: $4.71
1.4× median
71045Top 25%

Chest X-ray, single view

$105K

9,133 claims · 0.6%

Your Cost: $11.45/claim|Median: $4.93
2.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$96K

1,875 claims · 0.5%

Your Cost: $51.04/claim|Median: $35.43
1.4× median
70450Normal range

CT head/brain without contrast

$94K

2,281 claims · 0.5%

Your Cost: $41.15/claim|Median: $45.53
0.9× median
36415Top 10%

Collection of venous blood by venipuncture

$90K

12K claims · 0.5%

Your Cost: $7.31/claim|Median: $1.57
4.7× median
80081Normal range

$78K

1,259 claims · 0.4%

Your Cost: $62.04/claim|Median: $59.44
1.0× median
90853Normal range

Group psychotherapy

$77K

12K claims · 0.4%

Your Cost: $6.26/claim|Median: $25.02
0.3× median
69436Normal range

Tympanostomy, general anesthesia

$67K

140 claims · 0.4%

Your Cost: $477.52/claim|Median: $205.50
2.3× median
87804Top 25%

Influenza virus detection, rapid test

$59K

2,755 claims · 0.3%

Your Cost: $21.43/claim|Median: $12.59
1.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$51K

1,660 claims · 0.3%

Your Cost: $30.57/claim|Median: $23.39
1.3× median
80050Normal range

General health panel

$50K

1,652 claims · 0.3%

Your Cost: $30.55/claim|Median: $25.59
1.2× median
99282Normal range

Emergency dept visit, low complexity

$48K

577 claims · 0.3%

Your Cost: $83.77/claim|Median: $37.72
2.2× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$47K

1,470 claims · 0.3%

Your Cost: $32.06/claim|Median: $21.08
1.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$45K

1,647 claims · 0.3%

Your Cost: $27.49/claim|Median: $24.95
1.1× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$44K

883 claims · 0.2%

Your Cost: $49.39/claim|Median: $39.70
1.2× median
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