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Provider 1861545683

NPI: 1861545683Share
Active Billing Period:2018-05→2024-12(63 months)

Total Paid

$9.7M

$9,735,941

Total Claims

347K

Beneficiaries

320K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$4K
+10%
2019
$4K
+15311%
2020
$691K
+376%
2021
$3.3M
-42%
2022
$1.9M
+3%
2023
$2.0M
-5%
2024
$1.9M

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 20% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$2.0M

15K claims · 20.3%

Your Cost: $128.11/claim|Median: $85.65
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$1.4M

13K claims · 14.0%

Your Cost: $101.32/claim|Median: $69.51
1.5× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$968K

4,973 claims · 9.9%

Your Cost: $194.66/claim|Median: $144.30
1.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$849K

12K claims · 8.7%

Your Cost: $72.99/claim|Median: $42.48
1.7× median
U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$333K

3,938 claims · 3.4%

Your Cost: $84.60/claim|Median: $60.05
1.4× median
80053Top 25%

Comprehensive metabolic panel

$304K

29K claims · 3.1%

Your Cost: $10.40/claim|Median: $7.24
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$236K

1,383 claims · 2.4%

Your Cost: $170.86/claim|Median: $65.76
2.6× median
G0378Top 25%

Hospital observation service, per hour

$218K

322 claims · 2.2%

Your Cost: $675.88/claim|Median: $99.39
6.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$191K

7,098 claims · 2.0%

Your Cost: $26.95/claim|Median: $21.76
1.2× median
U0003Top 25%

Infectious disease detection (COVID-19)

$165K

2,084 claims · 1.7%

Your Cost: $79.01/claim|Median: $63.08
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$161K

31K claims · 1.7%

Your Cost: $5.26/claim|Median: $4.71
1.1× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$129K

2,083 claims · 1.3%

Your Cost: $61.77/claim|Median: $35.43
1.7× median
87631Top 10%

Respiratory virus detection, 3-5 targets, multiplex

$121K

857 claims · 1.2%

Your Cost: $141.04/claim|Median: $65.45
2.2× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$113K

5,392 claims · 1.2%

Your Cost: $20.89/claim|Median: $9.87
2.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$91K

1,509 claims · 0.9%

Your Cost: $60.02/claim|Median: $37.56
1.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$85K

9,662 claims · 0.9%

Your Cost: $8.80/claim|Median: $7.50
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$81K

6,189 claims · 0.8%

Your Cost: $13.09/claim|Median: $38.92
0.3× median
0100UTop 25%

$78K

204 claims · 0.8%

Your Cost: $384.71/claim|Median: $44.58
8.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$77K

4,403 claims · 0.8%

Your Cost: $17.45/claim|Median: $14.92
1.2× median
80061Top 25%

Lipid panel

$73K

5,739 claims · 0.8%

Your Cost: $12.78/claim|Median: $8.41
1.5× median
84484Top 25%

Troponin, quantitative

$72K

8,111 claims · 0.7%

Your Cost: $8.92/claim|Median: $4.84
1.8× median
96365Normal range

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

$62K

2,071 claims · 0.6%

Your Cost: $30.16/claim|Median: $54.77
0.6× median
87481Top 10%

$62K

853 claims · 0.6%

Your Cost: $72.18/claim|Median: $22.38
3.2× median
70450Normal range

CT head/brain without contrast

$60K

986 claims · 0.6%

Your Cost: $61.12/claim|Median: $45.53
1.3× median
84702Top 25%

$57K

3,574 claims · 0.6%

Your Cost: $15.98/claim|Median: $8.25
1.9× median
71275Top 25%

CT angiography, chest, with contrast

$57K

286 claims · 0.6%

Your Cost: $198.64/claim|Median: $92.96
2.1× median
71046Normal range

Chest X-ray, 2 views

$55K

3,409 claims · 0.6%

Your Cost: $16.09/claim|Median: $8.92
1.8× median
71045Top 25%

Chest X-ray, single view

$50K

5,752 claims · 0.5%

Your Cost: $8.71/claim|Median: $4.93
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$48K

1,926 claims · 0.5%

Your Cost: $25.11/claim|Median: $24.95
1.0× median
87086Normal range

Urine culture, colony count, with identification

$42K

5,757 claims · 0.4%

Your Cost: $7.38/claim|Median: $5.31
1.4× median
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