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Provider 1881695146

NPI: 1881695146Share
Active Billing Period:2018-10→2024-12(64 months)

Total Paid

$16.7M

$16,684,603

Total Claims

541K

Beneficiaries

450K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$278
+2695%
2019
$8K
+16817%
2020
$1.3M
+425%
2021
$6.9M
-58%
2022
$2.9M
+5%
2023
$3.0M
-18%
2024
$2.5M

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 36% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$6.0M

37K claims · 36.1%

Your Cost: $162.54/claim|Median: $69.51
2.3× median
G0378Normal range

Hospital observation service, per hour

$2.3M

8,389 claims · 13.5%

Your Cost: $269.44/claim|Median: $99.39
2.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

20K claims · 12.1%

Your Cost: $102.55/claim|Median: $42.48
2.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.0M

12K claims · 12.0%

Your Cost: $172.98/claim|Median: $85.65
2.0× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$398K

14K claims · 2.4%

Your Cost: $27.66/claim|Median: $121.16
0.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$327K

18K claims · 2.0%

Your Cost: $18.03/claim|Median: $21.76
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$279K

2,391 claims · 1.7%

Your Cost: $116.50/claim|Median: $65.76
1.8× median
70450Normal range

CT head/brain without contrast

$204K

4,307 claims · 1.2%

Your Cost: $47.45/claim|Median: $45.53
1.0× median
66984Top 10%

Extracapsular cataract removal with IOL insertion

$180K

209 claims · 1.1%

Your Cost: $862.32/claim|Median: $268.70
3.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$165K

3,783 claims · 1.0%

Your Cost: $43.71/claim|Median: $35.43
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$140K

41K claims · 0.8%

Your Cost: $3.39/claim|Median: $4.71
0.7× median
80053Normal range

Comprehensive metabolic panel

$130K

18K claims · 0.8%

Your Cost: $7.24/claim|Median: $7.24
1.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$117K

18K claims · 0.7%

Your Cost: $6.38/claim|Median: $7.50
0.9× median
80048Normal range

Basic metabolic panel

$96K

20K claims · 0.6%

Your Cost: $4.80/claim|Median: $5.78
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$89K

7,955 claims · 0.5%

Your Cost: $11.24/claim|Median: $14.92
0.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$83K

1,586 claims · 0.5%

Your Cost: $52.38/claim|Median: $91.47
0.6× median
73721Top 25%

MRI joint of lower extremity without contrast

$81K

319 claims · 0.5%

Your Cost: $255.43/claim|Median: $127.34
2.0× median
72125Normal range

CT cervical spine without contrast

$70K

1,421 claims · 0.4%

Your Cost: $49.51/claim|Median: $32.30
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$69K

1,204 claims · 0.4%

Your Cost: $57.40/claim|Median: $63.08
0.9× median
71045Normal range

Chest X-ray, single view

$66K

13K claims · 0.4%

Your Cost: $5.01/claim|Median: $4.93
1.0× median
71275Normal range

CT angiography, chest, with contrast

$65K

506 claims · 0.4%

Your Cost: $128.50/claim|Median: $92.96
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$64K

331 claims · 0.4%

Your Cost: $193.31/claim|Median: $151.68
1.3× median
73221Top 25%

MRI of upper extremity joint with contrast

$59K

261 claims · 0.4%

Your Cost: $225.02/claim|Median: $122.11
1.8× median
70551Normal range

MRI brain without contrast

$57K

348 claims · 0.3%

Your Cost: $162.64/claim|Median: $85.39
1.9× median
84484Normal range

Troponin, quantitative

$55K

9,082 claims · 0.3%

Your Cost: $6.08/claim|Median: $4.84
1.3× median
72148Normal range

MRI lumbar spine without contrast

$49K

383 claims · 0.3%

Your Cost: $127.68/claim|Median: $101.03
1.3× median
M0243Top 25%

$49K

140 claims · 0.3%

Your Cost: $347.50/claim|Median: $215.21
1.6× median
J0475Normal range

Injection, baclofen, ten milligrams

$46K

538 claims · 0.3%

Your Cost: $85.04/claim|Median: $384.42
0.2× median
71260Normal range

CT chest with contrast

$38K

742 claims · 0.2%

Your Cost: $51.17/claim|Median: $48.36
1.1× median
74176Normal range

CT abdomen and pelvis without contrast

$36K

597 claims · 0.2%

Your Cost: $59.65/claim|Median: $60.19
1.0× median
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