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Provider 1912997024

NPI: 1912997024Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.8M

$17,830,579

Total Claims

471K

Beneficiaries

400K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+67%
2019
$2.7M
-20%
2020
$2.1M
+14%
2021
$2.4M
+13%
2022
$2.8M
+16%
2023
$3.2M
-6%
2024
$3.0M

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 34% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$6.0M

27K claims · 33.6%

Your Cost: $221.94/claim|Median: $69.51
3.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$4.7M

33K claims · 26.2%

Your Cost: $141.39/claim|Median: $42.48
3.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.8M

10K claims · 15.7%

Your Cost: $270.22/claim|Median: $85.65
3.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$478K

15K claims · 2.7%

Your Cost: $32.14/claim|Median: $21.76
1.5× median
99282Normal range

Emergency dept visit, low complexity

$402K

5,655 claims · 2.3%

Your Cost: $71.07/claim|Median: $37.72
1.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$379K

4,235 claims · 2.1%

Your Cost: $89.49/claim|Median: $75.28
1.2× median
G0378Normal range

Hospital observation service, per hour

$367K

1,974 claims · 2.1%

Your Cost: $186.02/claim|Median: $99.39
1.9× median
87426Normal range

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

$317K

14K claims · 1.8%

Your Cost: $22.02/claim|Median: $30.04
0.7× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$314K

616 claims · 1.8%

Your Cost: $509.32/claim|Median: $763.43
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$255K

61K claims · 1.4%

Your Cost: $4.20/claim|Median: $4.71
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$199K

13K claims · 1.1%

Your Cost: $15.72/claim|Median: $14.92
1.1× median
43239Top 25%

Upper GI endoscopy with biopsy

$144K

429 claims · 0.8%

Your Cost: $335.97/claim|Median: $151.68
2.2× median
80053Normal range

Comprehensive metabolic panel

$117K

43K claims · 0.7%

Your Cost: $2.73/claim|Median: $7.24
0.4× median
87276Normal range

$90K

15K claims · 0.5%

Your Cost: $5.94/claim|Median: $11.29
0.5× median
84484Top 25%

Troponin, quantitative

$90K

6,861 claims · 0.5%

Your Cost: $13.08/claim|Median: $4.84
2.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$87K

35K claims · 0.5%

Your Cost: $2.46/claim|Median: $5.60
0.4× median
71045Top 25%

Chest X-ray, single view

$83K

8,410 claims · 0.5%

Your Cost: $9.87/claim|Median: $4.93
2.0× median
96361Normal range

IV infusion, hydration, each additional hour

$72K

6,647 claims · 0.4%

Your Cost: $10.83/claim|Median: $38.92
0.3× median
71046Normal range

Chest X-ray, 2 views

$72K

4,821 claims · 0.4%

Your Cost: $14.85/claim|Median: $8.92
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$60K

3,834 claims · 0.3%

Your Cost: $15.58/claim|Median: $54.68
0.3× median
87275Normal range

$59K

15K claims · 0.3%

Your Cost: $3.88/claim|Median: $10.59
0.4× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$57K

9,423 claims · 0.3%

Your Cost: $6.10/claim|Median: $0.58
10.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$49K

2,226 claims · 0.3%

Your Cost: $21.93/claim|Median: $35.43
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$39K

683 claims · 0.2%

Your Cost: $57.13/claim|Median: $65.76
0.9× median
83690Normal range

$39K

8,977 claims · 0.2%

Your Cost: $4.32/claim|Median: $3.35
1.3× median
96365Normal range

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

$37K

663 claims · 0.2%

Your Cost: $56.15/claim|Median: $54.77
1.0× median
97597Normal range

$32K

1,206 claims · 0.2%

Your Cost: $26.31/claim|Median: $21.22
1.2× median
80048Normal range

Basic metabolic panel

$31K

13K claims · 0.2%

Your Cost: $2.50/claim|Median: $5.78
0.4× median
93458Normal range

Left heart catheterization with imaging

$28K

59 claims · 0.2%

Your Cost: $476.11/claim|Median: $183.33
2.6× median
87086Normal range

Urine culture, colony count, with identification

$27K

4,969 claims · 0.2%

Your Cost: $5.39/claim|Median: $5.31
1.0× median