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Provider 1922033547

NPI: 1922033547Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.2M

$15,175,609

Total Claims

780K

Beneficiaries

711K

1.1 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+2%
2019
$2.5M
-35%
2020
$1.6M
+27%
2021
$2.1M
+12%
2022
$2.3M
+9%
2023
$2.5M
-38%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 16% of total spending.

0450Normal range

Emergency room visit

$2.4M

63K claims · 15.8%

Your Cost: $37.97/claim|Median: $44.95
0.8× median
70450Top 25%

CT head/brain without contrast

$691K

8,643 claims · 4.6%

Your Cost: $79.95/claim|Median: $45.53
1.8× median
74176Normal range

CT abdomen and pelvis without contrast

$655K

8,705 claims · 4.3%

Your Cost: $75.28/claim|Median: $60.19
1.3× median
Z7502Normal range

$635K

17K claims · 4.2%

Your Cost: $37.64/claim|Median: $37.17
1.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$434K

2,859 claims · 2.9%

Your Cost: $151.65/claim|Median: $85.65
1.8× median
99281Normal range

Emergency dept visit, minimal complexity

$421K

7,455 claims · 2.8%

Your Cost: $56.50/claim|Median: $52.03
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$394K

11K claims · 2.6%

Your Cost: $37.02/claim|Median: $21.76
1.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$340K

21K claims · 2.2%

Your Cost: $16.53/claim|Median: $7.50
2.2× median
80053Normal range

Comprehensive metabolic panel

$319K

47K claims · 2.1%

Your Cost: $6.73/claim|Median: $7.24
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$315K

6,524 claims · 2.1%

Your Cost: $48.25/claim|Median: $35.43
1.4× median
S3620Top 25%

Newborn metabolic screening panel

$292K

2,072 claims · 1.9%

Your Cost: $141.11/claim|Median: $11.82
11.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$289K

56K claims · 1.9%

Your Cost: $5.14/claim|Median: $4.71
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$284K

5,273 claims · 1.9%

Your Cost: $53.91/claim|Median: $106.79
0.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$278K

11K claims · 1.8%

Your Cost: $25.35/claim|Median: $14.92
1.7× median
96365Normal range

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

$270K

5,894 claims · 1.8%

Your Cost: $45.83/claim|Median: $54.77
0.8× median
Z9725Normal range

$254K

8,464 claims · 1.7%

Your Cost: $30.00/claim|Median: $42.99
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$229K

1,670 claims · 1.5%

Your Cost: $136.86/claim|Median: $65.76
2.1× median
99199Top 25%

Unlisted special service, procedure, or report

$224K

6,190 claims · 1.5%

Your Cost: $36.16/claim|Median: $5.39
6.7× median
0206Normal range

$216K

629 claims · 1.4%

Your Cost: $342.79/claim|Median: $2,282.75
0.2× median
0370Normal range

$212K

4,334 claims · 1.4%

Your Cost: $49.00/claim|Median: $12.04
4.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$211K

4,863 claims · 1.4%

Your Cost: $43.30/claim|Median: $37.56
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$204K

7,949 claims · 1.3%

Your Cost: $25.71/claim|Median: $38.92
0.7× median
87426Normal range

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

$202K

10K claims · 1.3%

Your Cost: $20.16/claim|Median: $30.04
0.7× median
72125Top 25%

CT cervical spine without contrast

$196K

1,946 claims · 1.3%

Your Cost: $100.85/claim|Median: $32.30
3.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$184K

11K claims · 1.2%

Your Cost: $16.47/claim|Median: $9.56
1.7× median
99284Normal range

Emergency dept visit, high complexity

$169K

2,419 claims · 1.1%

Your Cost: $69.89/claim|Median: $69.51
1.0× median
71045Top 25%

Chest X-ray, single view

$168K

19K claims · 1.1%

Your Cost: $8.85/claim|Median: $4.93
1.8× median
0171Normal range

$166K

479 claims · 1.1%

Your Cost: $347.30/claim|Median: $209.20
1.7× median
76700Normal range

Ultrasound, abdominal, complete

$148K

2,914 claims · 1.0%

Your Cost: $50.64/claim|Median: $50.69
1.0× median
0761Normal range

$141K

5,253 claims · 0.9%

Your Cost: $26.78/claim|Median: $24.10
1.1× median
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