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Provider 1922042704

NPI: 1922042704Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,434,881

Total Claims

202K

Beneficiaries

181K

1.1 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+12%
2019
$3.6M
-48%
2020
$1.8M
-59%
2021
$753K
+79%
2022
$1.3M
+52%
2023
$2.1M
-16%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (Y7506 (Healthcare procedure, code Y7506)) accounts for 16% of total spending.

Y7506Top 25%

Healthcare procedure, code Y7506

$2.3M

6,882 claims · 15.6%

Your Cost: $327.41/claim|Median: $146.80
2.2× median
99284Top 10%

Emergency dept visit, high complexity

$2.2M

12K claims · 15.3%

Your Cost: $181.27/claim|Median: $69.51
2.6× median
X4011Normal range

Healthcare procedure, code X4011

$1.4M

8,052 claims · 9.4%

Your Cost: $169.27/claim|Median: $268.66
0.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.2M

9,578 claims · 8.5%

Your Cost: $128.64/claim|Median: $42.48
3.0× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.1M

22K claims · 7.9%

Your Cost: $50.85/claim|Median: $4.71
10.8× median
80053Top 5%

Comprehensive metabolic panel

$1.1M

20K claims · 7.3%

Your Cost: $53.62/claim|Median: $7.24
7.4× median
Y7507Top 25%

$613K

1,495 claims · 4.2%

Your Cost: $410.28/claim|Median: $172.12
2.4× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$518K

4,836 claims · 3.6%

Your Cost: $107.04/claim|Median: $21.76
4.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$468K

11K claims · 3.2%

Your Cost: $43.16/claim|Median: $7.50
5.8× median
99282Normal range

Emergency dept visit, low complexity

$385K

5,194 claims · 2.7%

Your Cost: $74.08/claim|Median: $37.72
2.0× median
71045Top 5%

Chest X-ray, single view

$332K

6,430 claims · 2.3%

Your Cost: $51.57/claim|Median: $4.93
10.5× median
81001Top 5%

Urinalysis, automated, with microscopy

$264K

7,623 claims · 1.8%

Your Cost: $34.57/claim|Median: $2.03
17.0× median
83690Top 5%

$247K

5,638 claims · 1.7%

Your Cost: $43.81/claim|Median: $3.35
13.1× median
84703Top 5%

Human chorionic gonadotropin (hCG) quantitative blood test

$242K

4,251 claims · 1.7%

Your Cost: $56.83/claim|Median: $4.20
13.5× median
82803Top 5%

$165K

3,344 claims · 1.1%

Your Cost: $49.32/claim|Median: $8.90
5.5× median
84484Top 10%

Troponin, quantitative

$136K

7,231 claims · 0.9%

Your Cost: $18.85/claim|Median: $4.84
3.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$133K

373 claims · 0.9%

Your Cost: $355.94/claim|Median: $85.65
4.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$120K

1,256 claims · 0.8%

Your Cost: $95.61/claim|Median: $100.62
1.0× median
83735Top 10%

Magnesium blood level test

$114K

6,523 claims · 0.8%

Your Cost: $17.55/claim|Median: $2.77
6.3× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$114K

5,479 claims · 0.8%

Your Cost: $20.84/claim|Median: $2.14
9.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$111K

533 claims · 0.8%

Your Cost: $208.68/claim|Median: $65.76
3.2× median
87400Top 1%

$96K

743 claims · 0.7%

Your Cost: $129.52/claim|Median: $8.40
15.4× median
82150Top 1%

Amylase blood test

$88K

871 claims · 0.6%

Your Cost: $101.15/claim|Median: $3.65
27.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$87K

6,680 claims · 0.6%

Your Cost: $12.96/claim|Median: $11.48
1.1× median
81003Top 1%

Urinalysis, automated without microscopy

$86K

1,692 claims · 0.6%

Your Cost: $50.65/claim|Median: $1.48
34.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$80K

2,151 claims · 0.6%

Your Cost: $37.05/claim|Median: $14.92
2.5× median
J3490Normal range

Unclassified drugs

$71K

5,789 claims · 0.5%

Your Cost: $12.23/claim|Median: $5.70
2.1× median
70450Normal range

CT head/brain without contrast

$69K

1,033 claims · 0.5%

Your Cost: $67.11/claim|Median: $45.53
1.5× median
C9803Normal range

$69K

5,678 claims · 0.5%

Your Cost: $12.17/claim|Median: $13.20
0.9× median
87804Normal range

Influenza virus detection, rapid test

$56K

4,440 claims · 0.4%

Your Cost: $12.71/claim|Median: $12.59
1.0× median
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