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Provider 1851787295

NPI: 1851787295Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.7M

$10,714,291

Total Claims

422K

Beneficiaries

359K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-11%
2019
$931K
-11%
2020
$826K
+14%
2021
$945K
+150%
2022
$2.4M
-3%
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 (99283 (Emergency dept visit, moderate complexity)) accounts for 13% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$1.4M

30K claims · 13.4%

Your Cost: $47.60/claim|Median: $42.48
1.1× median
Z7502Top 25%

$935K

25K claims · 8.7%

Your Cost: $37.75/claim|Median: $37.17
1.0× median
0450Normal range

Emergency room visit

$893K

18K claims · 8.3%

Your Cost: $50.88/claim|Median: $44.95
1.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$585K

8,141 claims · 5.5%

Your Cost: $71.83/claim|Median: $24.49
2.9× median
70450Top 25%

CT head/brain without contrast

$483K

3,815 claims · 4.5%

Your Cost: $126.64/claim|Median: $45.53
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$465K

2,740 claims · 4.3%

Your Cost: $169.60/claim|Median: $65.76
2.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$428K

8,147 claims · 4.0%

Your Cost: $52.58/claim|Median: $21.76
2.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$269K

11K claims · 2.5%

Your Cost: $25.55/claim|Median: $7.50
3.4× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$250K

6,415 claims · 2.3%

Your Cost: $39.03/claim|Median: $14.92
2.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$242K

9,714 claims · 2.3%

Your Cost: $24.94/claim|Median: $9.56
2.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$241K

26K claims · 2.3%

Your Cost: $9.12/claim|Median: $4.71
1.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$203K

4,217 claims · 1.9%

Your Cost: $48.24/claim|Median: $35.43
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$200K

2,292 claims · 1.9%

Your Cost: $87.24/claim|Median: $60.19
1.4× median
80048Top 25%

Basic metabolic panel

$176K

16K claims · 1.6%

Your Cost: $11.06/claim|Median: $5.78
1.9× median
72125Top 10%

CT cervical spine without contrast

$170K

1,101 claims · 1.6%

Your Cost: $154.22/claim|Median: $32.30
4.8× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$165K

4,376 claims · 1.5%

Your Cost: $37.75/claim|Median: $16.79
2.2× median
99070Normal range

$131K

22K claims · 1.2%

Your Cost: $6.00/claim|Median: $8.08
0.7× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$131K

2,947 claims · 1.2%

Your Cost: $44.54/claim|Median: $34.62
1.3× median
99499Top 10%

Unlisted evaluation and management service

$129K

1,730 claims · 1.2%

Your Cost: $74.78/claim|Median: $30.88
2.4× median
Z7610Normal range

$129K

11K claims · 1.2%

Your Cost: $12.05/claim|Median: $9.46
1.3× median
77067Top 25%

Screening mammography, bilateral, including CAD

$124K

1,607 claims · 1.2%

Your Cost: $77.44/claim|Median: $39.33
2.0× median
96365Normal range

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

$123K

2,037 claims · 1.2%

Your Cost: $60.59/claim|Median: $54.77
1.1× median
87426Normal range

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

$118K

3,991 claims · 1.1%

Your Cost: $29.63/claim|Median: $30.04
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$108K

3,664 claims · 1.0%

Your Cost: $29.34/claim|Median: $38.92
0.8× median
80053Top 25%

Comprehensive metabolic panel

$104K

8,180 claims · 1.0%

Your Cost: $12.75/claim|Median: $7.24
1.8× median
84484Top 25%

Troponin, quantitative

$104K

7,299 claims · 1.0%

Your Cost: $14.22/claim|Median: $4.84
2.9× median
71250Top 10%

CT scan of chest without contrast

$92K

588 claims · 0.9%

Your Cost: $155.77/claim|Median: $39.11
4.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$82K

1,285 claims · 0.8%

Your Cost: $63.66/claim|Median: $85.65
0.7× median
71045Top 25%

Chest X-ray, single view

$81K

9,506 claims · 0.8%

Your Cost: $8.57/claim|Median: $4.93
1.7× median
97763Normal range

$74K

1,581 claims · 0.7%

Your Cost: $47.04/claim|Median: $34.99
1.3× median
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