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Provider 1912109919

NPI: 1912109919Share
Active Billing Period:2018-01→2023-08(68 months)
Billing appears to have stoppedLast active: 2023-08

Total Paid

$8.8M

$8,815,584

Total Claims

105K

Beneficiaries

69K

1.5 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-23%
2019
$1.9M
-56%
2020
$844K
+78%
2021
$1.5M
-25%
2022
$1.1M
-14%
2023
$967K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (X4003) accounts for 32% of total spending.

X4003Top 5%

$2.9M

6,860 claims · 32.4%

Your Cost: $416.30/claim|Median: $74.03
5.6× median
X4011Normal range

Healthcare procedure, code X4011

$1.4M

7,288 claims · 16.4%

Your Cost: $198.28/claim|Median: $268.66
0.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$987K

3,220 claims · 11.2%

Your Cost: $306.64/claim|Median: $85.65
3.6× median
99284Top 10%

Emergency dept visit, high complexity

$445K

2,097 claims · 5.0%

Your Cost: $212.21/claim|Median: $69.51
3.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$444K

2,983 claims · 5.0%

Your Cost: $148.86/claim|Median: $42.48
3.5× median
90870Normal range

$420K

3,502 claims · 4.8%

Your Cost: $119.93/claim|Median: $68.07
1.8× median
G0463Normal range

Hospital outpatient clinic visit

$332K

9,669 claims · 3.8%

Your Cost: $34.38/claim|Median: $26.41
1.3× median
Y7506Normal range

Healthcare procedure, code Y7506

$307K

7,788 claims · 3.5%

Your Cost: $39.39/claim|Median: $146.80
0.3× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$292K

6,366 claims · 3.3%

Your Cost: $45.93/claim|Median: $60.05
0.8× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$206K

2,649 claims · 2.3%

Your Cost: $77.68/claim|Median: $35.43
2.2× median
81001Top 1%

Urinalysis, automated, with microscopy

$188K

3,138 claims · 2.1%

Your Cost: $59.79/claim|Median: $2.03
29.5× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$169K

5,146 claims · 1.9%

Your Cost: $32.76/claim|Median: $4.71
7.0× median
80053Top 10%

Comprehensive metabolic panel

$162K

4,855 claims · 1.8%

Your Cost: $33.31/claim|Median: $7.24
4.6× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$97K

6,375 claims · 1.1%

Your Cost: $15.28/claim|Median: $15.76
1.0× median
C9803Normal range

$96K

6,345 claims · 1.1%

Your Cost: $15.10/claim|Median: $13.20
1.1× median
81025Top 1%

Urine pregnancy test

$76K

1,417 claims · 0.9%

Your Cost: $53.93/claim|Median: $4.81
11.2× median
36415Top 5%

Collection of venous blood by venipuncture

$66K

4,016 claims · 0.7%

Your Cost: $16.37/claim|Median: $1.57
10.4× median
G0378Normal range

Hospital observation service, per hour

$65K

233 claims · 0.7%

Your Cost: $280.60/claim|Median: $99.39
2.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$43K

922 claims · 0.5%

Your Cost: $46.14/claim|Median: $36.13
1.3× median
83735Top 5%

Magnesium blood level test

$21K

1,078 claims · 0.2%

Your Cost: $19.38/claim|Median: $2.77
7.0× median
99291Top 10%

Critical care, first 30-74 minutes

$19K

63 claims · 0.2%

Your Cost: $295.18/claim|Median: $101.24
2.9× median
71045Top 5%

Chest X-ray, single view

$14K

309 claims · 0.2%

Your Cost: $44.06/claim|Median: $4.93
8.9× median
99282Normal range

Emergency dept visit, low complexity

$11K

147 claims · 0.1%

Your Cost: $76.39/claim|Median: $37.72
2.0× median
87426Normal range

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

$9K

417 claims · 0.1%

Your Cost: $21.55/claim|Median: $30.04
0.7× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$7K

231 claims · 0.1%

Your Cost: $31.80/claim|Median: $9.87
3.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$7K

209 claims · 0.1%

Your Cost: $33.66/claim|Median: $7.50
4.5× median
87276Top 1%

$5K

113 claims · 0.1%

Your Cost: $41.70/claim|Median: $11.29
3.7× median
87275Top 1%

$4K

115 claims · 0.1%

Your Cost: $38.94/claim|Median: $10.59
3.7× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$4K

27 claims · 0.0%

Your Cost: $140.47/claim|Median: $29.03
4.8× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$2K

12 claims · 0.0%

Your Cost: $203.30/claim|Median: $268.70
0.8× median
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