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Provider 1912992215

NPI: 1912992215Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,581,234

Total Claims

171K

Beneficiaries

150K

1.1 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$13K
+2945%
2019
$390K
+168%
2020
$1.0M
+46%
2021
$1.5M
+1%
2022
$1.5M
+9%
2023
$1.7M
-19%
2024
$1.4M

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 22% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$1.6M

8,984 claims · 21.7%

Your Cost: $182.83/claim|Median: $42.48
4.3× median
99284Top 10%

Emergency dept visit, high complexity

$1.0M

6,130 claims · 13.6%

Your Cost: $168.58/claim|Median: $69.51
2.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$435K

2,413 claims · 5.7%

Your Cost: $180.38/claim|Median: $85.65
2.1× median
99213Top 1%

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

$394K

2,524 claims · 5.2%

Your Cost: $156.19/claim|Median: $37.81
4.1× median
74177Top 10%

CT abdomen and pelvis with contrast

$362K

1,185 claims · 4.8%

Your Cost: $305.80/claim|Median: $65.76
4.7× median
80053Top 10%

Comprehensive metabolic panel

$253K

12K claims · 3.3%

Your Cost: $21.77/claim|Median: $7.24
3.0× median
70450Top 5%

CT head/brain without contrast

$247K

976 claims · 3.3%

Your Cost: $253.52/claim|Median: $45.53
5.6× median
99282Top 10%

Emergency dept visit, low complexity

$233K

1,407 claims · 3.1%

Your Cost: $165.74/claim|Median: $37.72
4.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$230K

3,546 claims · 3.0%

Your Cost: $64.94/claim|Median: $24.49
2.7× median
C1889Top 10%

$205K

321 claims · 2.7%

Your Cost: $637.54/claim|Median: $42.39
15.0× median
77067Top 10%

Screening mammography, bilateral, including CAD

$152K

1,411 claims · 2.0%

Your Cost: $107.76/claim|Median: $39.33
2.7× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$144K

1,003 claims · 1.9%

Your Cost: $143.38/claim|Median: $3.42
41.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$139K

491 claims · 1.8%

Your Cost: $282.85/claim|Median: $38.92
7.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$121K

1,909 claims · 1.6%

Your Cost: $63.62/claim|Median: $63.08
1.0× median
96365Top 5%

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

$119K

542 claims · 1.6%

Your Cost: $219.25/claim|Median: $54.77
4.0× median
59025Top 5%

Fetal non-stress test

$110K

452 claims · 1.5%

Your Cost: $243.66/claim|Median: $26.45
9.2× median
J3490Top 25%

Unclassified drugs

$105K

2,840 claims · 1.4%

Your Cost: $36.96/claim|Median: $5.70
6.5× median
36415Top 10%

Collection of venous blood by venipuncture

$84K

16K claims · 1.1%

Your Cost: $5.20/claim|Median: $1.57
3.3× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$83K

2,095 claims · 1.1%

Your Cost: $39.72/claim|Median: $16.79
2.4× median
76641Normal range

Ultrasound imaging of one breast, complete

$83K

1,205 claims · 1.1%

Your Cost: $68.96/claim|Median: $49.03
1.4× median
99212Top 5%

Office/outpatient visit, low complexity

$75K

475 claims · 1.0%

Your Cost: $157.02/claim|Median: $25.06
6.3× median
J7120Top 10%

Ringer's lactate infusion, up to 1000 cc

$73K

3,373 claims · 1.0%

Your Cost: $21.58/claim|Median: $1.51
14.3× median
J2704Top 5%

$69K

2,653 claims · 0.9%

Your Cost: $25.94/claim|Median: $0.76
34.1× median
86885Top 25%

$63K

1,428 claims · 0.8%

Your Cost: $43.98/claim|Median: $5.28
8.3× median
74176Top 10%

CT abdomen and pelvis without contrast

$62K

212 claims · 0.8%

Your Cost: $294.65/claim|Median: $60.19
4.9× median
86900Top 10%

$59K

1,742 claims · 0.8%

Your Cost: $33.93/claim|Median: $2.55
13.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$59K

1,519 claims · 0.8%

Your Cost: $38.72/claim|Median: $39.70
1.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$50K

38 claims · 0.7%

Your Cost: $1,309.50/claim|Median: $763.43
1.7× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$47K

1,269 claims · 0.6%

Your Cost: $37.28/claim|Median: $28.46
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$47K

1,186 claims · 0.6%

Your Cost: $39.75/claim|Median: $35.80
1.1× median
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