Total Paid
$100.0M
$99,953,812
Total Claims
1.0M
Beneficiaries
931K
1.1 claims/patient
Avg Cost/Claim
$100
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 33% of total spending.
$33.2M
189K claims
$176.16
$42.48
Emergency dept visit, moderate complexity
$33.2M
189K claims · 33.2%
$18.2M
66K claims
$274.53
$69.51
Emergency dept visit, high complexity
$18.2M
66K claims · 18.2%
Hospital outpatient clinic visit
$15.4M
161K claims · 15.4%
$6.6M
50K claims
$133.86
$91.47
Proprietary lab analysis, genomic sequencing
$6.6M
50K claims · 6.7%
$3.7M
7,709 claims · 3.7%
$3.0M
2,667 claims
$1,121.31
$57.39
Extraction, erupted tooth or exposed root
$3.0M
2,667 claims · 3.0%
$1.8M
13K claims · 1.8%
$1.5M
21K claims
$70.62
$75.18
Preventive medicine, established patient, age 1-4
$1.5M
21K claims · 1.5%
$1.4M
21K claims
$68.10
$74.82
Preventive medicine, established patient, age 5-11
$1.4M
21K claims · 1.4%
$1.1M
53K claims · 1.1%
$1.1M
17K claims
$65.21
$69.35
Preventive medicine, established patient, infant (under 1)
$1.1M
17K claims · 1.1%
$988K
11K claims
$86.32
$120.85
Prefabricated stainless steel crown, primary tooth
$988K
11K claims · 1.0%
$970K
8,862 claims
$109.42
$37.72
Emergency dept visit, low complexity
$970K
8,862 claims · 1.0%
Tympanostomy, general anesthesia
$906K
1,004 claims · 0.9%
$903K
45K claims
$20.26
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$903K
45K claims · 0.9%
$902K
2,428 claims
$371.45
$112.83
Echocardiography, transthoracic, limited
$902K
2,428 claims · 0.9%
$727K
9,094 claims
$79.89
$25.06
Office/outpatient visit, low complexity
$727K
9,094 claims · 0.7%
$670K
2,015 claims
$332.67
$148.53
Mental health partial hospitalization, treatment, per hour
$670K
2,015 claims · 0.7%
$646K
8,858 claims
$72.91
$80.15
Preventive medicine, established patient, age 12-17
$646K
8,858 claims · 0.6%
Chest X-ray, 2 views
$421K
8,650 claims · 0.4%
$391K
527 claims
$742.42
$233.73
Polysomnography, sleep study, 6+ hours
$391K
527 claims · 0.4%
$357K
3,779 claims
$94.46
$10.88
Pressurized or nonpressurized inhalation treatment
$357K
3,779 claims · 0.4%
$260K
720 claims
$360.70
$54.68
Echocardiography, transthoracic, complete, with Doppler
$260K
720 claims · 0.3%
$257K
80 claims
$3,207.74
$331.68
Tonsillectomy and adenoidectomy, under age 12
$257K
80 claims · 0.3%
$247K
3,251 claims
$75.83
$63.08
Infectious disease detection (COVID-19)
$247K
3,251 claims · 0.2%
$202K
2,174 claims
$93.09
$37.35
Ultrasound, retroperitoneal, complete
$202K
2,174 claims · 0.2%
$201K
20K claims
$10.17
$28.46
Streptococcus Group A detection, nucleic acid, amplified probe
$201K
20K claims · 0.2%
Upper GI endoscopy with biopsy
$180K
281 claims · 0.2%
$178K
178 claims · 0.2%
$175K
4,416 claims · 0.2%
Evaluation of swallowing function
$158K
2,192 claims · 0.2%
Psychotherapy, 60 minutes
$126K
1,230 claims · 0.1%
Psychotherapy, 45 minutes
$120K
1,452 claims · 0.1%
$119K
981 claims · 0.1%
$114K
3,544 claims
$32.18
$6.61
Screening audiometry, pure tone, air only
$114K
3,544 claims · 0.1%
General health panel
$112K
3,120 claims · 0.1%
MRI brain without contrast
$110K
606 claims · 0.1%
$104K
1,200 claims · 0.1%
$102K
6,088 claims · 0.1%
$99K
1,462 claims
$67.94
$12.70
Medical nutrition therapy, reassessment, individual, fifteen minutes
$99K
1,462 claims · 0.1%
$98K
2,273 claims · 0.1%
Therapeutic activities, each 15 min
$93K
1,179 claims · 0.1%
$91K
128 claims · 0.1%
$90K
6,099 claims
$14.84
$15.76
Infectious disease detection, COVID-19, antigen
$90K
6,099 claims · 0.1%
OT evaluation, moderate complexity
$88K
1,009 claims · 0.1%
$85K
23K claims
$3.73
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$85K
23K claims · 0.1%
Therapeutic pulpotomy
$80K
2,549 claims · 0.1%
$78K
201 claims
$388.16
$133.68
MRI brain without contrast, then with contrast
$78K
201 claims · 0.1%
$78K
42K claims
$1.86
$1.57
Collection of venous blood by venipuncture
$78K
42K claims · 0.1%
$75K
2,451 claims · 0.1%
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