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Provider 1891059127

NPI: 1891059127Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,213,835

Total Claims

775K

Beneficiaries

704K

1.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+39%
2019
$4.2M
-60%
2020
$1.7M
-1%
2021
$1.6M
+26%
2022
$2.1M
+16%
2023
$2.4M
-7%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 22% of total spending.

0450Normal range

Emergency room visit

$3.8M

97K claims · 22.2%

Your Cost: $39.58/claim|Median: $44.95
0.9× median
Z7502Normal range

$1.3M

35K claims · 7.5%

Your Cost: $37.40/claim|Median: $37.17
1.0× median
70450Top 25%

CT head/brain without contrast

$1.1M

9,893 claims · 6.3%

Your Cost: $108.83/claim|Median: $45.53
2.4× median
99281Normal range

Emergency dept visit, minimal complexity

$1.1M

13K claims · 6.1%

Your Cost: $84.11/claim|Median: $52.03
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$905K

8,438 claims · 5.3%

Your Cost: $107.25/claim|Median: $60.19
1.8× median
80053Top 25%

Comprehensive metabolic panel

$576K

54K claims · 3.3%

Your Cost: $10.63/claim|Median: $7.24
1.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$543K

25K claims · 3.2%

Your Cost: $21.40/claim|Median: $7.50
2.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$473K

9,713 claims · 2.7%

Your Cost: $48.68/claim|Median: $21.76
2.2× median
94642Top 25%

$389K

3,862 claims · 2.3%

Your Cost: $100.78/claim|Median: $45.48
2.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$389K

55K claims · 2.3%

Your Cost: $7.09/claim|Median: $4.71
1.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$344K

15K claims · 2.0%

Your Cost: $23.47/claim|Median: $9.56
2.5× median
99284Normal range

Emergency dept visit, high complexity

$309K

4,296 claims · 1.8%

Your Cost: $72.03/claim|Median: $69.51
1.0× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$293K

4,982 claims · 1.7%

Your Cost: $58.88/claim|Median: $54.77
1.1× median
71045Top 25%

Chest X-ray, single view

$269K

21K claims · 1.6%

Your Cost: $12.70/claim|Median: $4.93
2.6× median
J3490Normal range

Unclassified drugs

$269K

40K claims · 1.6%

Your Cost: $6.65/claim|Median: $5.70
1.2× median
Z7610Top 25%

$265K

21K claims · 1.5%

Your Cost: $12.61/claim|Median: $9.46
1.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$255K

7,618 claims · 1.5%

Your Cost: $33.46/claim|Median: $14.92
2.2× median
76705Normal range

Ultrasound, abdominal, limited

$253K

5,202 claims · 1.5%

Your Cost: $48.60/claim|Median: $23.81
2.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$246K

1,400 claims · 1.4%

Your Cost: $175.97/claim|Median: $85.65
2.1× median
99283Normal range

Emergency dept visit, moderate complexity

$241K

3,933 claims · 1.4%

Your Cost: $61.16/claim|Median: $42.48
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$215K

1,011 claims · 1.3%

Your Cost: $212.92/claim|Median: $65.76
3.2× median
96361Normal range

IV infusion, hydration, each additional hour

$208K

6,966 claims · 1.2%

Your Cost: $29.89/claim|Median: $38.92
0.8× median
99199Top 25%

Unlisted special service, procedure, or report

$195K

5,948 claims · 1.1%

Your Cost: $32.81/claim|Median: $5.39
6.1× median
84484Normal range

Troponin, quantitative

$157K

19K claims · 0.9%

Your Cost: $8.21/claim|Median: $4.84
1.7× median
72125Top 25%

CT cervical spine without contrast

$153K

1,419 claims · 0.9%

Your Cost: $108.14/claim|Median: $32.30
3.3× median
83880Normal range

$148K

6,899 claims · 0.9%

Your Cost: $21.41/claim|Median: $11.81
1.8× median
83690Top 25%

$125K

21K claims · 0.7%

Your Cost: $6.02/claim|Median: $3.35
1.8× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$123K

2,483 claims · 0.7%

Your Cost: $49.59/claim|Median: $61.57
0.8× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$96K

2,376 claims · 0.6%

Your Cost: $40.22/claim|Median: $40.12
1.0× median
76856Normal range

Ultrasound, pelvic, complete

$85K

1,581 claims · 0.5%

Your Cost: $53.73/claim|Median: $47.58
1.1× median
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