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Provider 1912334517

NPI: 1912334517Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,857,029

Total Claims

324K

Beneficiaries

229K

1.4 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+50%
2019
$2.1M
-15%
2020
$1.7M
-0%
2021
$1.7M
+15%
2022
$2.0M
+12%
2023
$2.2M
-24%
2024
$1.7M

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 18% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$2.3M

14K claims · 17.9%

Your Cost: $166.05/claim|Median: $69.51
2.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.2M

12K claims · 16.9%

Your Cost: $175.35/claim|Median: $42.48
4.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$836K

6,094 claims · 6.5%

Your Cost: $137.16/claim|Median: $85.65
1.6× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$680K

3,925 claims · 5.3%

Your Cost: $173.27/claim|Median: $36.13
4.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$660K

13K claims · 5.1%

Your Cost: $51.92/claim|Median: $24.49
2.1× median
96361Top 25%

IV infusion, hydration, each additional hour

$655K

2,806 claims · 5.1%

Your Cost: $233.53/claim|Median: $38.92
6.0× median
97530Normal range

Therapeutic activities, each 15 min

$632K

11K claims · 4.9%

Your Cost: $55.85/claim|Median: $33.11
1.7× median
99281Top 25%

Emergency dept visit, minimal complexity

$552K

3,595 claims · 4.3%

Your Cost: $153.62/claim|Median: $52.03
3.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$542K

2,456 claims · 4.2%

Your Cost: $220.49/claim|Median: $65.76
3.4× median
99282Top 10%

Emergency dept visit, low complexity

$493K

3,340 claims · 3.8%

Your Cost: $147.67/claim|Median: $37.72
3.9× median
70450Top 25%

CT head/brain without contrast

$488K

2,913 claims · 3.8%

Your Cost: $167.66/claim|Median: $45.53
3.7× median
92507Top 25%

Speech/hearing/language treatment

$394K

5,567 claims · 3.1%

Your Cost: $70.75/claim|Median: $49.45
1.4× median
96365Top 10%

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

$394K

2,479 claims · 3.1%

Your Cost: $158.85/claim|Median: $54.77
2.9× median
G0378Normal range

Hospital observation service, per hour

$223K

1,700 claims · 1.7%

Your Cost: $131.13/claim|Median: $99.39
1.3× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$197K

2,344 claims · 1.5%

Your Cost: $84.14/claim|Median: $144.30
0.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$175K

816 claims · 1.4%

Your Cost: $214.63/claim|Median: $60.19
3.6× median
96360Top 25%

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

$116K

723 claims · 0.9%

Your Cost: $160.47/claim|Median: $61.57
2.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$87K

1,958 claims · 0.7%

Your Cost: $44.34/claim|Median: $10.88
4.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$83K

2,008 claims · 0.6%

Your Cost: $41.36/claim|Median: $35.43
1.2× median
C9803Normal range

$75K

3,475 claims · 0.6%

Your Cost: $21.64/claim|Median: $13.20
1.6× median
59025Top 5%

Fetal non-stress test

$74K

404 claims · 0.6%

Your Cost: $184.24/claim|Median: $26.45
7.0× median
71046Top 25%

Chest X-ray, 2 views

$72K

3,079 claims · 0.6%

Your Cost: $23.48/claim|Median: $8.92
2.6× median
80053Normal range

Comprehensive metabolic panel

$57K

14K claims · 0.4%

Your Cost: $4.00/claim|Median: $7.24
0.6× median
80048Normal range

Basic metabolic panel

$52K

9,691 claims · 0.4%

Your Cost: $5.38/claim|Median: $5.78
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$52K

851 claims · 0.4%

Your Cost: $61.00/claim|Median: $39.33
1.6× median
43239Top 10%

Upper GI endoscopy with biopsy

$45K

95 claims · 0.4%

Your Cost: $475.96/claim|Median: $151.68
3.1× median
76705Top 10%

Ultrasound, abdominal, limited

$44K

447 claims · 0.3%

Your Cost: $98.33/claim|Median: $23.81
4.1× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$43K

1,686 claims · 0.3%

Your Cost: $25.27/claim|Median: $16.79
1.5× median
G0237Top 25%

$42K

1,132 claims · 0.3%

Your Cost: $37.49/claim|Median: $6.51
5.8× median
71275Top 10%

CT angiography, chest, with contrast

$41K

139 claims · 0.3%

Your Cost: $294.58/claim|Median: $92.96
3.2× median
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