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Provider 1871655993

NPI: 1871655993Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,145,469

Total Claims

300K

Beneficiaries

253K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+5%
2019
$1.4M
-28%
2020
$980K
+18%
2021
$1.2M
+5%
2022
$1.2M
+18%
2023
$1.4M
-51%
2024
$704K

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 37% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$3.0M

15K claims · 36.9%

Your Cost: $198.30/claim|Median: $85.65
2.3× median
99284Normal range

Emergency dept visit, high complexity

$976K

17K claims · 12.0%

Your Cost: $56.63/claim|Median: $69.51
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$669K

19K claims · 8.2%

Your Cost: $36.11/claim|Median: $42.48
0.9× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$635K

3,262 claims · 7.8%

Your Cost: $194.55/claim|Median: $169.17
1.2× median
76376Top 10%

$494K

9,456 claims · 6.1%

Your Cost: $52.29/claim|Median: $5.53
9.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$233K

32K claims · 2.9%

Your Cost: $7.28/claim|Median: $4.71
1.5× median
80053Normal range

Comprehensive metabolic panel

$197K

23K claims · 2.4%

Your Cost: $8.55/claim|Median: $7.24
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$180K

4,274 claims · 2.2%

Your Cost: $42.15/claim|Median: $35.43
1.2× median
99282Normal range

Emergency dept visit, low complexity

$159K

4,161 claims · 2.0%

Your Cost: $38.25/claim|Median: $37.72
1.0× median
70450Normal range

CT head/brain without contrast

$147K

2,271 claims · 1.8%

Your Cost: $64.69/claim|Median: $45.53
1.4× median
99281Normal range

Emergency dept visit, minimal complexity

$109K

2,890 claims · 1.3%

Your Cost: $37.60/claim|Median: $52.03
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$104K

3,862 claims · 1.3%

Your Cost: $27.03/claim|Median: $74.78
0.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$104K

2,769 claims · 1.3%

Your Cost: $37.47/claim|Median: $39.70
0.9× median
87486Top 25%

$94K

3,121 claims · 1.2%

Your Cost: $30.27/claim|Median: $19.16
1.6× median
87581Top 25%

$94K

3,120 claims · 1.2%

Your Cost: $30.15/claim|Median: $17.13
1.8× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$94K

3,121 claims · 1.1%

Your Cost: $29.97/claim|Median: $26.72
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$87K

1,926 claims · 1.1%

Your Cost: $45.12/claim|Median: $65.64
0.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$74K

8,413 claims · 0.9%

Your Cost: $8.75/claim|Median: $7.50
1.2× median
81001Top 25%

Urinalysis, automated, with microscopy

$59K

18K claims · 0.7%

Your Cost: $3.36/claim|Median: $2.03
1.7× median
71045Normal range

Chest X-ray, single view

$54K

12K claims · 0.7%

Your Cost: $4.54/claim|Median: $4.93
0.9× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$51K

8,992 claims · 0.6%

Your Cost: $5.65/claim|Median: $4.20
1.3× median
71046Normal range

Chest X-ray, 2 views

$41K

3,938 claims · 0.5%

Your Cost: $10.34/claim|Median: $8.92
1.2× median
87430Top 25%

$31K

2,012 claims · 0.4%

Your Cost: $15.28/claim|Median: $9.41
1.6× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$29K

1,300 claims · 0.4%

Your Cost: $22.63/claim|Median: $18.03
1.3× median
84484Normal range

Troponin, quantitative

$25K

4,440 claims · 0.3%

Your Cost: $5.55/claim|Median: $4.84
1.1× median
87086Top 25%

Urine culture, colony count, with identification

$23K

2,545 claims · 0.3%

Your Cost: $9.20/claim|Median: $5.31
1.7× median
86762Top 10%

$22K

1,086 claims · 0.3%

Your Cost: $19.83/claim|Median: $9.97
2.0× median
86592Top 25%

$20K

3,512 claims · 0.2%

Your Cost: $5.64/claim|Median: $3.35
1.7× median
G2023Normal range

Specimen collection for COVID-19 testing

$19K

1,032 claims · 0.2%

Your Cost: $18.20/claim|Median: $17.15
1.1× median
85610Normal range

Prothrombin time (PT) blood clotting test

$17K

5,367 claims · 0.2%

Your Cost: $3.21/claim|Median: $2.14
1.5× median
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