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Provider 1891376810

NPI: 1891376810Share
Active Billing Period:2020-11→2024-12(44 months)

Total Paid

$15.6M

$15,601,453

Total Claims

436K

Beneficiaries

349K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2020
$3K
+24231%
2021
$608K
+669%
2022
$4.7M
+13%
2023
$5.3M
-6%
2024
$5.0M

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 26% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$4.0M

20K claims · 25.7%

Your Cost: $202.67/claim|Median: $69.51
2.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.2M

14K claims · 14.4%

Your Cost: $154.89/claim|Median: $42.48
3.6× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.2M

5,511 claims · 14.0%

Your Cost: $395.34/claim|Median: $85.65
4.6× median
G0381Normal range

$1.2M

13K claims · 7.6%

Your Cost: $90.89/claim|Median: $59.47
1.5× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$841K

6,008 claims · 5.4%

Your Cost: $139.96/claim|Median: $21.76
6.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$539K

2,811 claims · 3.5%

Your Cost: $191.72/claim|Median: $65.76
2.9× median
99282Normal range

Emergency dept visit, low complexity

$495K

13K claims · 3.2%

Your Cost: $38.09/claim|Median: $37.72
1.0× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$298K

1,841 claims · 1.9%

Your Cost: $161.81/claim|Median: $36.13
4.5× median
71046Top 5%

Chest X-ray, 2 views

$238K

4,012 claims · 1.5%

Your Cost: $59.36/claim|Median: $8.92
6.7× median
96361Normal range

IV infusion, hydration, each additional hour

$237K

4,622 claims · 1.5%

Your Cost: $51.31/claim|Median: $38.92
1.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$210K

519 claims · 1.3%

Your Cost: $403.89/claim|Median: $151.68
2.7× median
45385Top 10%

Colonoscopy with polyp removal, snare technique

$196K

302 claims · 1.3%

Your Cost: $650.21/claim|Median: $255.17
2.5× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$192K

4,296 claims · 1.2%

Your Cost: $44.66/claim|Median: $14.92
3.0× median
11043Top 10%

$174K

629 claims · 1.1%

Your Cost: $276.62/claim|Median: $62.99
4.4× median
27447Top 10%

Total knee replacement surgery, both components

$172K

25 claims · 1.1%

Your Cost: $6,886.17/claim|Median: $1,115.75
6.2× median
96360Top 25%

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

$152K

1,179 claims · 1.0%

Your Cost: $129.34/claim|Median: $61.57
2.1× median
15275Top 5%

$149K

106 claims · 1.0%

Your Cost: $1,407.88/claim|Median: $51.83
27.2× median
G0463Top 25%

Hospital outpatient clinic visit

$142K

1,956 claims · 0.9%

Your Cost: $72.73/claim|Median: $26.41
2.8× median
72125Top 25%

CT cervical spine without contrast

$115K

1,164 claims · 0.7%

Your Cost: $99.00/claim|Median: $32.30
3.1× median
96365Top 25%

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

$111K

1,039 claims · 0.7%

Your Cost: $107.27/claim|Median: $54.77
2.0× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$110K

3,002 claims · 0.7%

Your Cost: $36.56/claim|Median: $34.62
1.1× median
74176Top 25%

CT abdomen and pelvis without contrast

$109K

837 claims · 0.7%

Your Cost: $129.98/claim|Median: $60.19
2.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$105K

1,190 claims · 0.7%

Your Cost: $88.56/claim|Median: $91.47
1.0× median
71045Top 5%

Chest X-ray, single view

$102K

2,249 claims · 0.7%

Your Cost: $45.18/claim|Median: $4.93
9.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$96K

880 claims · 0.6%

Your Cost: $109.48/claim|Median: $97.61
1.1× median
70450Normal range

CT head/brain without contrast

$82K

2,371 claims · 0.5%

Your Cost: $34.62/claim|Median: $45.53
0.8× median
71260Top 25%

CT chest with contrast

$81K

530 claims · 0.5%

Your Cost: $153.67/claim|Median: $48.36
3.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$76K

1,973 claims · 0.5%

Your Cost: $38.51/claim|Median: $63.08
0.6× median
72148Normal range

MRI lumbar spine without contrast

$67K

524 claims · 0.4%

Your Cost: $128.24/claim|Median: $101.03
1.3× median
76830Top 25%

Ultrasound, transvaginal

$66K

669 claims · 0.4%

Your Cost: $98.39/claim|Median: $57.47
1.7× median
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