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Provider 1902465065

NPI: 1902465065Share
Active Billing Period:2019-032024-12(64 months)

Total Paid

$12.6M

$12,609,729

Total Claims

574K

Beneficiaries

483K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2019
$464K
+236%
2020
$1.6M
+42%
2021
$2.2M
+47%
2022
$3.3M
-3%
2023
$3.2M
-39%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 20% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.5M

38K claims · 19.7%

Your Cost: $65.72/claim|Median: $42.48
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$2.2M

19K claims · 17.8%

Your Cost: $116.03/claim|Median: $69.51
1.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.1M

12K claims · 8.6%

Your Cost: $94.09/claim|Median: $91.47
1.0× median
99282Normal range

Emergency dept visit, low complexity

$800K

25K claims · 6.3%

Your Cost: $32.36/claim|Median: $37.72
0.9× median
71045Top 10%

Chest X-ray, single view

$522K

14K claims · 4.1%

Your Cost: $36.19/claim|Median: $4.93
7.3× median
74177Top 5%

CT abdomen and pelvis with contrast

$502K

985 claims · 4.0%

Your Cost: $509.96/claim|Median: $65.76
7.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$437K

20K claims · 3.5%

Your Cost: $21.72/claim|Median: $7.50
2.9× median
80053Normal range

Comprehensive metabolic panel

$333K

50K claims · 2.6%

Your Cost: $6.64/claim|Median: $7.24
0.9× median
70450Top 25%

CT head/brain without contrast

$321K

1,902 claims · 2.5%

Your Cost: $168.94/claim|Median: $45.53
3.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$312K

1,622 claims · 2.5%

Your Cost: $192.20/claim|Median: $85.65
2.2× median
87426Top 25%

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

$264K

7,006 claims · 2.1%

Your Cost: $37.74/claim|Median: $30.04
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$259K

53K claims · 2.1%

Your Cost: $4.88/claim|Median: $4.71
1.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$223K

557 claims · 1.8%

Your Cost: $400.37/claim|Median: $151.68
2.6× median
80050Normal range

General health panel

$217K

6,290 claims · 1.7%

Your Cost: $34.47/claim|Median: $25.59
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$216K

9,837 claims · 1.7%

Your Cost: $21.99/claim|Median: $25.06
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$182K

6,221 claims · 1.4%

Your Cost: $29.25/claim|Median: $28.46
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$164K

84K claims · 1.3%

Your Cost: $1.96/claim|Median: $1.57
1.2× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$144K

2,059 claims · 1.1%

Your Cost: $70.13/claim|Median: $35.80
2.0× median
43775Normal range

$139K

421 claims · 1.1%

Your Cost: $331.20/claim|Median: $619.12
0.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$133K

3,656 claims · 1.1%

Your Cost: $36.49/claim|Median: $39.70
0.9× median
83735Normal range

Magnesium blood level test

$131K

30K claims · 1.0%

Your Cost: $4.40/claim|Median: $2.77
1.6× median
82306Normal range

Vitamin D, 25 hydroxy

$103K

4,857 claims · 0.8%

Your Cost: $21.28/claim|Median: $18.18
1.2× median
84484Normal range

Troponin, quantitative

$93K

11K claims · 0.7%

Your Cost: $8.22/claim|Median: $4.84
1.7× median
87400Normal range

$76K

10K claims · 0.6%

Your Cost: $7.26/claim|Median: $8.40
0.9× median
82553Normal range

$76K

11K claims · 0.6%

Your Cost: $6.88/claim|Median: $5.41
1.3× median
81025Normal range

Urine pregnancy test

$71K

11K claims · 0.6%

Your Cost: $6.23/claim|Median: $4.81
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$57K

1,218 claims · 0.5%

Your Cost: $47.20/claim|Median: $35.43
1.3× median
80061Normal range

Lipid panel

$57K

5,758 claims · 0.5%

Your Cost: $9.98/claim|Median: $8.41
1.2× median
81001Normal range

Urinalysis, automated, with microscopy

$54K

25K claims · 0.4%

Your Cost: $2.20/claim|Median: $2.03
1.1× median
43281Normal range

$53K

85 claims · 0.4%

Your Cost: $624.70/claim|Median: $558.72
1.1× median