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Provider 1851940035

NPI: 1851940035Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,531,405

Total Claims

636K

Beneficiaries

507K

1.3 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$606K
+288%
2019
$2.4M
-11%
2020
$2.1M
+55%
2021
$3.2M
+16%
2022
$3.8M
-19%
2023
$3.0M
-53%
2024
$1.4M

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 23% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.9M

43K claims · 23.4%

Your Cost: $90.73/claim|Median: $42.48
2.1× median
99284Normal range

Emergency dept visit, high complexity

$3.1M

33K claims · 18.7%

Your Cost: $93.70/claim|Median: $69.51
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$1.4M

14K claims · 8.6%

Your Cost: $102.36/claim|Median: $38.92
2.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

18K claims · 8.0%

Your Cost: $73.43/claim|Median: $85.65
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$729K

4,708 claims · 4.4%

Your Cost: $154.87/claim|Median: $65.76
2.4× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$596K

7,693 claims · 3.6%

Your Cost: $77.52/claim|Median: $3.42
22.7× median
96360Top 25%

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

$425K

3,331 claims · 2.6%

Your Cost: $127.70/claim|Median: $61.57
2.1× median
99282Normal range

Emergency dept visit, low complexity

$423K

5,729 claims · 2.6%

Your Cost: $73.76/claim|Median: $37.72
2.0× median
70450Top 25%

CT head/brain without contrast

$378K

4,607 claims · 2.3%

Your Cost: $81.95/claim|Median: $45.53
1.8× median
96365Normal range

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

$286K

5,945 claims · 1.7%

Your Cost: $48.18/claim|Median: $54.77
0.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$218K

4,361 claims · 1.3%

Your Cost: $50.07/claim|Median: $35.43
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$215K

1,824 claims · 1.3%

Your Cost: $117.88/claim|Median: $60.19
2.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$215K

18K claims · 1.3%

Your Cost: $11.90/claim|Median: $21.76
0.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$175K

3,742 claims · 1.1%

Your Cost: $46.66/claim|Median: $24.49
1.9× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$167K

4,943 claims · 1.0%

Your Cost: $33.87/claim|Median: $9.56
3.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$146K

2,850 claims · 0.9%

Your Cost: $51.12/claim|Median: $63.08
0.8× median
G0463Normal range

Hospital outpatient clinic visit

$137K

3,714 claims · 0.8%

Your Cost: $36.96/claim|Median: $26.41
1.4× median
80053Normal range

Comprehensive metabolic panel

$129K

39K claims · 0.8%

Your Cost: $3.33/claim|Median: $7.24
0.5× median
71275Normal range

CT angiography, chest, with contrast

$128K

872 claims · 0.8%

Your Cost: $146.61/claim|Median: $92.96
1.6× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$117K

5,188 claims · 0.7%

Your Cost: $22.49/claim|Median: $11.48
2.0× median
71046Top 25%

Chest X-ray, 2 views

$100K

5,271 claims · 0.6%

Your Cost: $19.03/claim|Median: $8.92
2.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$100K

13K claims · 0.6%

Your Cost: $7.45/claim|Median: $14.92
0.5× median
0225UNormal range

$87K

3,216 claims · 0.5%

Your Cost: $26.90/claim|Median: $81.81
0.3× median
99291Top 5%

Critical care, first 30-74 minutes

$85K

284 claims · 0.5%

Your Cost: $300.31/claim|Median: $101.24
3.0× median
81001Top 25%

Urinalysis, automated, with microscopy

$82K

23K claims · 0.5%

Your Cost: $3.64/claim|Median: $2.03
1.8× median
81025Normal range

Urine pregnancy test

$81K

18K claims · 0.5%

Your Cost: $4.60/claim|Median: $4.81
1.0× median
87420Top 5%

$80K

853 claims · 0.5%

Your Cost: $93.94/claim|Median: $9.78
9.6× median
72125Top 25%

CT cervical spine without contrast

$74K

1,288 claims · 0.5%

Your Cost: $57.83/claim|Median: $32.30
1.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$65K

5,501 claims · 0.4%

Your Cost: $11.79/claim|Median: $97.61
0.1× median
84484Normal range

Troponin, quantitative

$60K

13K claims · 0.4%

Your Cost: $4.61/claim|Median: $4.84
1.0× median
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