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Provider 1861435042

NPI: 1861435042Share
Active Billing Period:2018-01→2024-12(71 months)

Total Paid

$18.2M

$18,194,341

Total Claims

611K

Beneficiaries

524K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$13K
+155%
2019
$34K
+3600%
2020
$1.3M
+394%
2021
$6.2M
-49%
2022
$3.2M
+19%
2023
$3.8M
-2%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 21% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$3.8M

29K claims · 21.0%

Your Cost: $131.67/claim|Median: $85.65
1.5× median
G0378Top 10%

Hospital observation service, per hour

$3.7M

4,523 claims · 20.1%

Your Cost: $807.71/claim|Median: $99.39
8.1× median
99284Top 25%

Emergency dept visit, high complexity

$2.9M

26K claims · 16.2%

Your Cost: $114.75/claim|Median: $69.51
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

25K claims · 11.9%

Your Cost: $87.39/claim|Median: $42.48
2.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$488K

5,055 claims · 2.7%

Your Cost: $96.50/claim|Median: $91.47
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$439K

3,962 claims · 2.4%

Your Cost: $110.92/claim|Median: $100.62
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$434K

3,072 claims · 2.4%

Your Cost: $141.39/claim|Median: $65.76
2.2× median
G0379Top 10%

Direct admission to hospital observation

$278K

418 claims · 1.5%

Your Cost: $664.37/claim|Median: $48.25
13.8× median
80048Normal range

Basic metabolic panel

$276K

43K claims · 1.5%

Your Cost: $6.34/claim|Median: $5.78
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$207K

9,066 claims · 1.1%

Your Cost: $22.81/claim|Median: $21.76
1.0× median
71046Normal range

Chest X-ray, 2 views

$202K

14K claims · 1.1%

Your Cost: $14.14/claim|Median: $8.92
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$189K

48K claims · 1.0%

Your Cost: $3.96/claim|Median: $4.71
0.8× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$177K

4,050 claims · 1.0%

Your Cost: $43.69/claim|Median: $121.16
0.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$150K

19K claims · 0.8%

Your Cost: $8.07/claim|Median: $7.50
1.1× median
70450Normal range

CT head/brain without contrast

$142K

3,109 claims · 0.8%

Your Cost: $45.61/claim|Median: $45.53
1.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$124K

1,344 claims · 0.7%

Your Cost: $92.63/claim|Median: $75.28
1.2× median
80076Normal range

Hepatic function panel

$123K

20K claims · 0.7%

Your Cost: $6.29/claim|Median: $4.59
1.4× median
84484Normal range

Troponin, quantitative

$123K

15K claims · 0.7%

Your Cost: $8.16/claim|Median: $4.84
1.7× median
99282Normal range

Emergency dept visit, low complexity

$80K

1,194 claims · 0.4%

Your Cost: $67.05/claim|Median: $37.72
1.8× median
71275Normal range

CT angiography, chest, with contrast

$78K

800 claims · 0.4%

Your Cost: $96.89/claim|Median: $92.96
1.0× median
70553Normal range

MRI brain without contrast, then with contrast

$77K

384 claims · 0.4%

Your Cost: $199.85/claim|Median: $133.68
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$69K

1,173 claims · 0.4%

Your Cost: $59.08/claim|Median: $63.08
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$68K

5,829 claims · 0.4%

Your Cost: $11.65/claim|Median: $14.92
0.8× median
83735Normal range

Magnesium blood level test

$65K

14K claims · 0.4%

Your Cost: $4.50/claim|Median: $2.77
1.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$58K

1,576 claims · 0.3%

Your Cost: $37.02/claim|Median: $35.43
1.0× median
73721Top 25%

MRI joint of lower extremity without contrast

$57K

241 claims · 0.3%

Your Cost: $236.29/claim|Median: $127.34
1.9× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$55K

1,259 claims · 0.3%

Your Cost: $44.00/claim|Median: $36.70
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$54K

5,579 claims · 0.3%

Your Cost: $9.60/claim|Median: $9.56
1.0× median
84703Top 25%

Human chorionic gonadotropin (hCG) quantitative blood test

$53K

6,422 claims · 0.3%

Your Cost: $8.18/claim|Median: $4.20
1.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$52K

1,323 claims · 0.3%

Your Cost: $39.48/claim|Median: $33.72
1.2× median
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