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Provider 1861432726

NPI: 1861432726Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,604,557

Total Claims

649K

Beneficiaries

505K

1.3 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+9%
2019
$2.2M
-8%
2020
$2.1M
+31%
2021
$2.7M
+7%
2022
$2.9M
-9%
2023
$2.6M
-21%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 20% of total spending.

96361Top 25%

IV infusion, hydration, each additional hour

$3.4M

14K claims · 20.2%

Your Cost: $239.81/claim|Median: $38.92
6.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

21K claims · 10.9%

Your Cost: $85.81/claim|Median: $42.48
2.0× median
99284Normal range

Emergency dept visit, high complexity

$1.5M

21K claims · 9.1%

Your Cost: $72.01/claim|Median: $69.51
1.0× median
99282Top 25%

Emergency dept visit, low complexity

$1.5M

14K claims · 9.0%

Your Cost: $110.45/claim|Median: $37.72
2.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.1M

17K claims · 6.5%

Your Cost: $62.36/claim|Median: $85.65
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$851K

5,671 claims · 5.1%

Your Cost: $150.14/claim|Median: $65.76
2.3× median
70450Top 25%

CT head/brain without contrast

$662K

5,296 claims · 4.0%

Your Cost: $125.03/claim|Median: $45.53
2.7× median
G0463Normal range

Hospital outpatient clinic visit

$658K

14K claims · 4.0%

Your Cost: $47.52/claim|Median: $26.41
1.8× median
96360Normal range

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

$407K

4,020 claims · 2.5%

Your Cost: $101.34/claim|Median: $61.57
1.6× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$336K

2,339 claims · 2.0%

Your Cost: $143.71/claim|Median: $40.12
3.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$313K

1,905 claims · 1.9%

Your Cost: $164.29/claim|Median: $54.68
3.0× median
96365Normal range

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

$311K

3,778 claims · 1.9%

Your Cost: $82.37/claim|Median: $54.77
1.5× median
59025Top 10%

Fetal non-stress test

$310K

2,286 claims · 1.9%

Your Cost: $135.48/claim|Median: $26.45
5.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$263K

9,072 claims · 1.6%

Your Cost: $29.04/claim|Median: $35.43
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$249K

4,276 claims · 1.5%

Your Cost: $58.15/claim|Median: $63.08
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$246K

2,473 claims · 1.5%

Your Cost: $99.41/claim|Median: $60.19
1.7× median
92558Top 5%

$222K

2,527 claims · 1.3%

Your Cost: $87.78/claim|Median: $6.67
13.2× median
99281Normal range

Emergency dept visit, minimal complexity

$205K

2,472 claims · 1.2%

Your Cost: $83.06/claim|Median: $52.03
1.6× median
71275Normal range

CT angiography, chest, with contrast

$194K

1,269 claims · 1.2%

Your Cost: $152.87/claim|Median: $92.96
1.6× median
76705Top 25%

Ultrasound, abdominal, limited

$189K

2,407 claims · 1.1%

Your Cost: $78.42/claim|Median: $23.81
3.3× median
80053Normal range

Comprehensive metabolic panel

$135K

36K claims · 0.8%

Your Cost: $3.70/claim|Median: $7.24
0.5× median
70553Normal range

MRI brain without contrast, then with contrast

$123K

597 claims · 0.7%

Your Cost: $205.76/claim|Median: $133.68
1.5× median
76830Normal range

Ultrasound, transvaginal

$122K

1,721 claims · 0.7%

Your Cost: $70.74/claim|Median: $57.47
1.2× median
70551Normal range

MRI brain without contrast

$111K

1,542 claims · 0.7%

Your Cost: $72.24/claim|Median: $85.39
0.8× median
76856Normal range

Ultrasound, pelvic, complete

$91K

1,970 claims · 0.5%

Your Cost: $45.96/claim|Median: $47.58
1.0× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$90K

1,195 claims · 0.5%

Your Cost: $75.01/claim|Median: $25.43
2.9× median
C9803Normal range

$87K

8,100 claims · 0.5%

Your Cost: $10.68/claim|Median: $13.20
0.8× median
G0378Normal range

Hospital observation service, per hour

$77K

4,104 claims · 0.5%

Your Cost: $18.76/claim|Median: $99.39
0.2× median
71046Normal range

Chest X-ray, 2 views

$69K

5,526 claims · 0.4%

Your Cost: $12.51/claim|Median: $8.92
1.4× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$68K

2,577 claims · 0.4%

Your Cost: $26.36/claim|Median: $21.41
1.2× median
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