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Provider 1881665164

NPI: 1881665164Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.3M

$16,299,575

Total Claims

360K

Beneficiaries

311K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-21%
2019
$924K
-5%
2020
$873K
+153%
2021
$2.2M
+50%
2022
$3.3M
+22%
2023
$4.1M
-7%
2024
$3.8M

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 10%

Emergency dept visit, high complexity

$3.8M

20K claims · 23.0%

Your Cost: $183.37/claim|Median: $69.51
2.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.5M

9,659 claims · 15.2%

Your Cost: $256.44/claim|Median: $85.65
3.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.3M

20K claims · 13.9%

Your Cost: $113.07/claim|Median: $42.48
2.7× median
74176Top 1%

CT abdomen and pelvis without contrast

$1.2M

1,643 claims · 7.6%

Your Cost: $758.35/claim|Median: $60.19
12.6× median
74177Top 5%

CT abdomen and pelvis with contrast

$701K

743 claims · 4.3%

Your Cost: $943.17/claim|Median: $65.76
14.3× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$675K

11K claims · 4.1%

Your Cost: $60.03/claim|Median: $7.50
8.0× median
70450Top 5%

CT head/brain without contrast

$532K

1,675 claims · 3.3%

Your Cost: $317.54/claim|Median: $45.53
7.0× median
71045Top 10%

Chest X-ray, single view

$405K

9,674 claims · 2.5%

Your Cost: $41.86/claim|Median: $4.93
8.5× median
58662Normal range

$394K

791 claims · 2.4%

Your Cost: $497.67/claim|Median: $457.94
1.1× median
G0481Top 25%

Drug test, definitive, 8-14 drug classes

$247K

2,220 claims · 1.5%

Your Cost: $111.41/claim|Median: $64.72
1.7× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$246K

8,345 claims · 1.5%

Your Cost: $29.47/claim|Median: $39.63
0.7× median
G0378Normal range

Hospital observation service, per hour

$246K

915 claims · 1.5%

Your Cost: $268.61/claim|Median: $99.39
2.7× median
80053Normal range

Comprehensive metabolic panel

$217K

30K claims · 1.3%

Your Cost: $7.18/claim|Median: $7.24
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$180K

34K claims · 1.1%

Your Cost: $5.29/claim|Median: $4.71
1.1× median
80050Normal range

General health panel

$164K

4,049 claims · 1.0%

Your Cost: $40.50/claim|Median: $25.59
1.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$150K

421 claims · 0.9%

Your Cost: $355.54/claim|Median: $54.68
6.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$134K

2,461 claims · 0.8%

Your Cost: $54.56/claim|Median: $35.80
1.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$100K

6,238 claims · 0.6%

Your Cost: $16.04/claim|Median: $9.56
1.7× median
43239Normal range

Upper GI endoscopy with biopsy

$82K

332 claims · 0.5%

Your Cost: $245.83/claim|Median: $151.68
1.6× median
93017Top 5%

$81K

289 claims · 0.5%

Your Cost: $281.32/claim|Median: $56.03
5.0× median
80061Normal range

Lipid panel

$77K

6,538 claims · 0.5%

Your Cost: $11.72/claim|Median: $8.41
1.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$74K

719 claims · 0.5%

Your Cost: $103.21/claim|Median: $97.61
1.1× median
94060Top 5%

$69K

269 claims · 0.4%

Your Cost: $257.68/claim|Median: $25.18
10.2× median
59025Top 25%

Fetal non-stress test

$64K

505 claims · 0.4%

Your Cost: $127.24/claim|Median: $26.45
4.8× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$59K

998 claims · 0.4%

Your Cost: $59.53/claim|Median: $3.42
17.4× median
84484Normal range

Troponin, quantitative

$55K

7,637 claims · 0.3%

Your Cost: $7.16/claim|Median: $4.84
1.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$50K

998 claims · 0.3%

Your Cost: $49.88/claim|Median: $35.43
1.4× median
83880Normal range

$49K

2,347 claims · 0.3%

Your Cost: $21.08/claim|Median: $11.81
1.8× median
99282Normal range

Emergency dept visit, low complexity

$49K

738 claims · 0.3%

Your Cost: $66.01/claim|Median: $37.72
1.7× median
71046Top 10%

Chest X-ray, 2 views

$48K

1,073 claims · 0.3%

Your Cost: $44.44/claim|Median: $8.92
5.0× median