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Provider 1881614071

NPI: 1881614071Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.4M

$9,426,920

Total Claims

222K

Beneficiaries

180K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$880K
+5%
2019
$922K
-52%
2020
$445K
+149%
2021
$1.1M
+53%
2022
$1.7M
+21%
2023
$2.0M
+13%
2024
$2.3M

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 38% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.6M

28K claims · 38.5%

Your Cost: $129.51/claim|Median: $69.51
1.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

20K claims · 21.7%

Your Cost: $101.08/claim|Median: $42.48
2.4× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$947K

6,369 claims · 10.0%

Your Cost: $148.74/claim|Median: $97.61
1.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$310K

1,395 claims · 3.3%

Your Cost: $222.47/claim|Median: $85.65
2.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$259K

7,418 claims · 2.8%

Your Cost: $34.98/claim|Median: $21.76
1.6× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$235K

568 claims · 2.5%

Your Cost: $413.47/claim|Median: $120.85
3.4× median
80053Normal range

Comprehensive metabolic panel

$181K

21K claims · 1.9%

Your Cost: $8.52/claim|Median: $7.24
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$168K

25K claims · 1.8%

Your Cost: $6.86/claim|Median: $4.71
1.5× median
G0330Top 25%

$167K

75 claims · 1.8%

Your Cost: $2,225.39/claim|Median: $1,205.70
1.8× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$167K

2,407 claims · 1.8%

Your Cost: $69.26/claim|Median: $14.92
4.6× median
J3490Normal range

Unclassified drugs

$114K

11K claims · 1.2%

Your Cost: $10.14/claim|Median: $5.70
1.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$111K

3,754 claims · 1.2%

Your Cost: $29.68/claim|Median: $7.50
4.0× median
71045Top 10%

Chest X-ray, single view

$90K

2,440 claims · 1.0%

Your Cost: $36.88/claim|Median: $4.93
7.5× median
96361Normal range

IV infusion, hydration, each additional hour

$77K

1,856 claims · 0.8%

Your Cost: $41.58/claim|Median: $38.92
1.1× median
74177Top 5%

CT abdomen and pelvis with contrast

$62K

84 claims · 0.7%

Your Cost: $732.24/claim|Median: $65.76
11.1× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$61K

333 claims · 0.6%

Your Cost: $182.86/claim|Median: $10.51
17.4× median
D0230Top 1%

Intraoral, periapical radiographic image, first film

$60K

346 claims · 0.6%

Your Cost: $173.00/claim|Median: $7.33
23.6× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$55K

1,012 claims · 0.6%

Your Cost: $54.39/claim|Median: $37.81
1.4× median
D0240Top 1%

$45K

265 claims · 0.5%

Your Cost: $169.49/claim|Median: $15.24
11.1× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$38K

226 claims · 0.4%

Your Cost: $167.35/claim|Median: $32.07
5.2× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$35K

586 claims · 0.4%

Your Cost: $59.84/claim|Median: $35.43
1.7× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$32K

26 claims · 0.3%

Your Cost: $1,212.29/claim|Median: $763.43
1.6× median
97597Normal range

$28K

959 claims · 0.3%

Your Cost: $29.55/claim|Median: $21.22
1.4× median
69436Normal range

Tympanostomy, general anesthesia

$28K

58 claims · 0.3%

Your Cost: $483.48/claim|Median: $205.50
2.4× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$27K

552 claims · 0.3%

Your Cost: $48.91/claim|Median: $36.13
1.4× median
70450Top 25%

CT head/brain without contrast

$26K

186 claims · 0.3%

Your Cost: $138.97/claim|Median: $45.53
3.1× median
87804Normal range

Influenza virus detection, rapid test

$25K

4,327 claims · 0.3%

Your Cost: $5.81/claim|Median: $12.59
0.5× median
84484Top 25%

Troponin, quantitative

$22K

2,533 claims · 0.2%

Your Cost: $8.65/claim|Median: $4.84
1.8× median
G0463Normal range

Hospital outpatient clinic visit

$22K

1,571 claims · 0.2%

Your Cost: $13.83/claim|Median: $26.41
0.5× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$21K

4,132 claims · 0.2%

Your Cost: $5.09/claim|Median: $1.53
3.3× median