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Provider 1871548016

NPI: 1871548016Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.7M

$17,659,961

Total Claims

321K

Beneficiaries

232K

1.4 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+21%
2019
$2.5M
-2%
2020
$2.4M
+14%
2021
$2.7M
+5%
2022
$2.9M
-6%
2023
$2.7M
-11%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 23% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$4.1M

25K claims · 23.0%

Your Cost: $162.16/claim|Median: $69.51
2.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.1M

28K claims · 17.5%

Your Cost: $108.91/claim|Median: $42.48
2.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.8M

6,279 claims · 10.3%

Your Cost: $288.61/claim|Median: $85.65
3.4× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.2M

3,645 claims · 6.8%

Your Cost: $330.82/claim|Median: $60.19
5.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$938K

11K claims · 5.3%

Your Cost: $82.08/claim|Median: $21.76
3.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$549K

6,388 claims · 3.1%

Your Cost: $85.88/claim|Median: $9.56
9.0× median
80053Top 10%

Comprehensive metabolic panel

$548K

22K claims · 3.1%

Your Cost: $25.06/claim|Median: $7.24
3.5× median
70450Top 10%

CT head/brain without contrast

$518K

2,128 claims · 2.9%

Your Cost: $243.40/claim|Median: $45.53
5.3× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$444K

5,325 claims · 2.5%

Your Cost: $83.38/claim|Median: $14.92
5.6× median
96365Top 10%

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

$410K

2,762 claims · 2.3%

Your Cost: $148.32/claim|Median: $54.77
2.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$361K

7,780 claims · 2.0%

Your Cost: $46.41/claim|Median: $24.49
1.9× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$340K

19K claims · 1.9%

Your Cost: $17.54/claim|Median: $4.71
3.7× median
92507Normal range

Speech/hearing/language treatment

$279K

4,943 claims · 1.6%

Your Cost: $56.52/claim|Median: $49.45
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$234K

3,195 claims · 1.3%

Your Cost: $73.26/claim|Median: $63.08
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$163K

34K claims · 0.9%

Your Cost: $4.78/claim|Median: $1.57
3.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$159K

5,160 claims · 0.9%

Your Cost: $30.72/claim|Median: $7.50
4.1× median
96361Normal range

IV infusion, hydration, each additional hour

$154K

2,744 claims · 0.9%

Your Cost: $56.27/claim|Median: $38.92
1.4× median
99282Normal range

Emergency dept visit, low complexity

$142K

1,803 claims · 0.8%

Your Cost: $78.93/claim|Median: $37.72
2.1× median
71046Top 10%

Chest X-ray, 2 views

$142K

3,730 claims · 0.8%

Your Cost: $38.09/claim|Median: $8.92
4.3× median
77067Top 10%

Screening mammography, bilateral, including CAD

$123K

1,092 claims · 0.7%

Your Cost: $112.26/claim|Median: $39.33
2.9× median
99281Normal range

Emergency dept visit, minimal complexity

$108K

1,622 claims · 0.6%

Your Cost: $66.88/claim|Median: $52.03
1.3× median
71045Top 10%

Chest X-ray, single view

$105K

3,620 claims · 0.6%

Your Cost: $29.12/claim|Median: $4.93
5.9× median
84484Top 10%

Troponin, quantitative

$103K

5,200 claims · 0.6%

Your Cost: $19.87/claim|Median: $4.84
4.1× median
80061Top 5%

Lipid panel

$101K

2,329 claims · 0.6%

Your Cost: $43.16/claim|Median: $8.41
5.1× median
97530Normal range

Therapeutic activities, each 15 min

$99K

2,306 claims · 0.6%

Your Cost: $43.11/claim|Median: $33.11
1.3× median
G0378Normal range

Hospital observation service, per hour

$72K

598 claims · 0.4%

Your Cost: $119.78/claim|Median: $99.39
1.2× median
96360Top 25%

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

$58K

408 claims · 0.3%

Your Cost: $141.56/claim|Median: $61.57
2.3× median
G2023Normal range

Specimen collection for COVID-19 testing

$56K

4,037 claims · 0.3%

Your Cost: $13.77/claim|Median: $17.15
0.8× median
80305Top 5%

$51K

2,124 claims · 0.3%

Your Cost: $23.91/claim|Median: $7.44
3.2× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$49K

5,075 claims · 0.3%

Your Cost: $9.74/claim|Median: $0.91
10.7× median