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Provider 1922053107

NPI: 1922053107Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,389,553

Total Claims

594K

Beneficiaries

445K

1.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+3%
2019
$1.6M
-11%
2020
$1.4M
+49%
2021
$2.1M
-10%
2022
$1.9M
+13%
2023
$2.1M
-11%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 13% of total spending.

96361Top 25%

IV infusion, hydration, each additional hour

$1.6M

12K claims · 13.2%

Your Cost: $131.70/claim|Median: $38.92
3.4× median
99283Normal range

Emergency dept visit, moderate complexity

$1.4M

23K claims · 11.1%

Your Cost: $60.80/claim|Median: $42.48
1.4× median
99284Normal range

Emergency dept visit, high complexity

$966K

18K claims · 7.8%

Your Cost: $54.75/claim|Median: $69.51
0.8× median
H2012Normal range

Behavioral health day treatment, per hour

$766K

19K claims · 6.2%

Your Cost: $39.39/claim|Median: $137.86
0.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$664K

11K claims · 5.4%

Your Cost: $57.87/claim|Median: $85.65
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$421K

14K claims · 3.4%

Your Cost: $30.94/claim|Median: $24.49
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$382K

5,018 claims · 3.1%

Your Cost: $76.20/claim|Median: $65.76
1.2× median
70450Normal range

CT head/brain without contrast

$367K

5,170 claims · 3.0%

Your Cost: $70.90/claim|Median: $45.53
1.6× median
96360Normal range

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

$361K

4,140 claims · 2.9%

Your Cost: $87.09/claim|Median: $61.57
1.4× median
80053Top 25%

Comprehensive metabolic panel

$360K

26K claims · 2.9%

Your Cost: $13.77/claim|Median: $7.24
1.9× median
99282Normal range

Emergency dept visit, low complexity

$308K

4,885 claims · 2.5%

Your Cost: $63.09/claim|Median: $37.72
1.7× median
96365Normal range

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

$265K

4,288 claims · 2.1%

Your Cost: $61.85/claim|Median: $54.77
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$263K

1,474 claims · 2.1%

Your Cost: $178.20/claim|Median: $151.68
1.2× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$243K

4,608 claims · 2.0%

Your Cost: $52.72/claim|Median: $35.43
1.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$203K

5,470 claims · 1.6%

Your Cost: $37.11/claim|Median: $91.47
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$199K

33K claims · 1.6%

Your Cost: $6.06/claim|Median: $4.71
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$168K

8,420 claims · 1.4%

Your Cost: $19.98/claim|Median: $16.79
1.2× median
71275Normal range

CT angiography, chest, with contrast

$167K

1,998 claims · 1.3%

Your Cost: $83.37/claim|Median: $92.96
0.9× median
U0003Top 25%

Infectious disease detection (COVID-19)

$138K

1,744 claims · 1.1%

Your Cost: $79.35/claim|Median: $63.08
1.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$135K

2,937 claims · 1.1%

Your Cost: $46.13/claim|Median: $37.56
1.2× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$130K

3,611 claims · 1.0%

Your Cost: $35.96/claim|Median: $10.88
3.3× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$127K

1,313 claims · 1.0%

Your Cost: $96.38/claim|Median: $40.12
2.4× median
84484Top 25%

Troponin, quantitative

$119K

11K claims · 1.0%

Your Cost: $10.40/claim|Median: $4.84
2.1× median
83880Top 10%

$115K

3,693 claims · 0.9%

Your Cost: $31.21/claim|Median: $11.81
2.6× median
99211Top 10%

Office/outpatient visit, minimal complexity

$112K

2,775 claims · 0.9%

Your Cost: $40.22/claim|Median: $12.93
3.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$88K

2,250 claims · 0.7%

Your Cost: $39.27/claim|Median: $39.70
1.0× median
80048Top 25%

Basic metabolic panel

$83K

6,403 claims · 0.7%

Your Cost: $12.95/claim|Median: $5.78
2.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$82K

2,618 claims · 0.7%

Your Cost: $31.50/claim|Median: $75.28
0.4× median
90853Top 5%

Group psychotherapy

$79K

451 claims · 0.6%

Your Cost: $174.66/claim|Median: $25.02
7.0× median
83735Top 25%

Magnesium blood level test

$77K

15K claims · 0.6%

Your Cost: $5.22/claim|Median: $2.77
1.9× median
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