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Provider 1912975228

NPI: 1912975228Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,308,774

Total Claims

658K

Beneficiaries

501K

1.3 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$390K
+387%
2019
$1.9M
-22%
2020
$1.5M
+20%
2021
$1.8M
+24%
2022
$2.2M
-16%
2023
$1.9M
-62%
2024
$712K

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 21% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.2M

29K claims · 21.4%

Your Cost: $74.82/claim|Median: $69.51
1.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

25K claims · 17.3%

Your Cost: $71.29/claim|Median: $42.48
1.7× median
36415Top 5%

Collection of venous blood by venipuncture

$1.1M

61K claims · 10.6%

Your Cost: $18.11/claim|Median: $1.57
11.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$753K

14K claims · 7.3%

Your Cost: $53.72/claim|Median: $85.65
0.6× median
96361Normal range

IV infusion, hydration, each additional hour

$410K

9,642 claims · 4.0%

Your Cost: $42.53/claim|Median: $38.92
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$371K

3,687 claims · 3.6%

Your Cost: $100.70/claim|Median: $65.76
1.5× median
74176Normal range

CT abdomen and pelvis without contrast

$208K

1,811 claims · 2.0%

Your Cost: $115.07/claim|Median: $60.19
1.9× median
99282Normal range

Emergency dept visit, low complexity

$202K

3,234 claims · 2.0%

Your Cost: $62.34/claim|Median: $37.72
1.7× median
71275Top 25%

CT angiography, chest, with contrast

$192K

724 claims · 1.9%

Your Cost: $265.16/claim|Median: $92.96
2.9× median
59025Top 25%

Fetal non-stress test

$187K

2,409 claims · 1.8%

Your Cost: $77.54/claim|Median: $26.45
2.9× median
70450Normal range

CT head/brain without contrast

$165K

6,658 claims · 1.6%

Your Cost: $24.81/claim|Median: $45.53
0.5× median
80053Normal range

Comprehensive metabolic panel

$157K

37K claims · 1.5%

Your Cost: $4.24/claim|Median: $7.24
0.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$146K

2,870 claims · 1.4%

Your Cost: $50.91/claim|Median: $24.49
2.1× median
86901Top 5%

$141K

3,589 claims · 1.4%

Your Cost: $39.18/claim|Median: $2.26
17.3× median
96360Normal range

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

$132K

3,434 claims · 1.3%

Your Cost: $38.52/claim|Median: $61.57
0.6× median
84484Top 25%

Troponin, quantitative

$95K

11K claims · 0.9%

Your Cost: $9.08/claim|Median: $4.84
1.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$91K

1,776 claims · 0.9%

Your Cost: $51.00/claim|Median: $49.45
1.0× median
C9803Top 25%

$89K

2,298 claims · 0.9%

Your Cost: $38.67/claim|Median: $13.20
2.9× median
83690Top 10%

$85K

7,210 claims · 0.8%

Your Cost: $11.79/claim|Median: $3.35
3.5× median
87205Top 5%

$84K

8,553 claims · 0.8%

Your Cost: $9.83/claim|Median: $2.10
4.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$81K

7,028 claims · 0.8%

Your Cost: $11.58/claim|Median: $24.95
0.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$79K

2,355 claims · 0.8%

Your Cost: $33.34/claim|Median: $37.81
0.9× median
99281Normal range

Emergency dept visit, minimal complexity

$69K

859 claims · 0.7%

Your Cost: $80.37/claim|Median: $52.03
1.5× median
80048Normal range

Basic metabolic panel

$61K

11K claims · 0.6%

Your Cost: $5.40/claim|Median: $5.78
0.9× median
76815Normal range

Ultrasound, pregnant uterus, limited

$58K

3,439 claims · 0.6%

Your Cost: $16.81/claim|Median: $36.79
0.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$56K

149 claims · 0.5%

Your Cost: $376.48/claim|Median: $151.68
2.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$56K

5,387 claims · 0.5%

Your Cost: $10.31/claim|Median: $35.43
0.3× median
97161Normal range

Physical therapy evaluation, low complexity

$54K

911 claims · 0.5%

Your Cost: $59.32/claim|Median: $47.89
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$53K

2,335 claims · 0.5%

Your Cost: $22.56/claim|Median: $12.93
1.7× median
87086Normal range

Urine culture, colony count, with identification

$52K

8,765 claims · 0.5%

Your Cost: $5.90/claim|Median: $5.31
1.1× median
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